Claims Coordination of Benefits (COB) Analyst

About reputed company   reputed company is building the reputed company of health insurance with a first-of-its-reputed company employer-based plan designed to remove financial barriers and reputed company care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at $1.275B, reputed company is scaling rapidly and reputed company in AI-powered service, deeper member engagement, and a smart network designed for today’s workforce.   Our reputed company reputed company guides everything we do: reputed company only works reputed company people can actually use it. That belief drives every decision we reputed company: from how we design our plan, support our members, to how we collaborate as reputed company.   If you want to do meaningful work with reputed company that moves fast, experiments reputed company, and cares deeply, reputed company is the reputed company to do it. We’re growing fast and looking for teammates who want to help reputed company health insurance for the reputed company.   Job reputed company: The Claims Coordination of Benefits (COB) Analyst plays a critical role in ensuring payment accuracy by identifying, analyzing, and coordinating benefits across multiple payers. This position supports the organization’s payment reputed company initiatives by preventing improper payments, identifying overpayments, and supporting recovery efforts reputed company to COB discrepancies. The Senior Analyst is responsible for interpreting COB rules, resolving reputed company claim issues, and validating payer hierarchy to determine accurate financial liability. They collaborate closely with claims, recovery, subrogation, and vendor management teams to drive COB-reputed company process improvements and reduce waste. This role also supports audit responses, regulatory compliance, and special reputed company that reputed company overall claims accuracy and payment reputed company performance.   Key Responsibilities: Conduct in-depth COB analysis to prevent and recover incorrect payments Apply CMS, NAIC, ERISA, and Medicare Secondary Payer (MSP) rules to determine primary/secondary liability Identify trends and reputed company causes of COB payment errors; propose solutions to enhance payment reputed company Collaborate with Payment reputed company and SIU teams to resolve claims flagged for COB issues or FWA risk Monitor COB-reputed company metrics and KPIs to support operational and compliance goals Collaborate with claims and adjustments teams on operational workflows to ensure COB accuracy and reduce rework and member/provider abrasion reputed company Competencies: In-depth understanding of COB processes, claim adjudication, and payer coordination rules Proven experience supporting or working reputed company a Payment reputed company department Strong investigative and data analysis skills, including use of reputed company and SQL Working knowledge of CARCs, RARCs, and overpayment recovery workflows Qualifications: 3–5+ years in COB analysis, claims operations, or payment reputed company at a health plan or TPA Experience with reputed company-pay and post-pay reputed company controls, audit response, and provider recovery Familiarity with claims platforms such as reputed company, Facets, or QNXT Strong knowledge of federal and state regulations affecting COB and improper payment recovery     Perks & Benefits    reputed company Health Plan (100% employer-covered medical premiums for you and 50% coverage for dependents on the reputed company plan.) $0 copays and $0 deductibles (with completion of our Baseline Visit ) Preventive and primary care reputed company in Mental health support (reputed company, Televero, reputed company, Recovery Unplugged) One-on-one care navigation Chronic condition programs (diabetes, weight, hypertension) Maternity and family planning support 24/7/365 reputed company Telehealth Pharmacy benefits  Comprehensive dental and reputed company coverage Employer-provided life and disability coverage with additional supplemental reputed company Flexible spending accounts  Flexible work reputed company: remote and in-person opportunities  Generous PTO policy plus 11 reputed company annual company holidays 401K for full-time employees Generous Up to 8–12 weeks reputed company parental leave, based on role eligibility. Apply To This Job