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# Claims Technical Analyst

- **Company:** TEKSYSTEMS INC.
- **Location:** Minneapolis, MN, United States (Remote available)
- **Experience:** Experienced
- **Salary:** $49,920.0 - $74,360.0
- **Contract:** Temporary contract
- **Skills:** Data Validation, Data Analytics
- **Published:** October 10, 2026
- **Apply:** https://dejobs.org/x/x/CE242813D7A54DB0B907455A4105085E/job/

## About the Role

Additional Skills & Qualifications High school diploma Bachelors or associates preferred 4+ years of claims experience with emphasis on researching / auditing not processing or production Most recent position needs to be coming from a health insurance or PBM organization Not looking for someone coming from any other claims industry Claims software experience with RxClaims being preferred

## Description

Job Description This role is responsible for performing basic and intermediate level client, member and pharmacy remediation analysis caused by errors coded into the RxClaim processing system, along with claims monitoring and data validation activities. The research and remediation steps can vary based on the issue so this person must be very thorough and detailed. Research and analyze information by employing analytics and data science techniques to research and validate errors, isolate impacted claims, reprocess claims, and determine financial impact to members, health plans and/or pharmacies; translate data into usable client facing reports. The more research and auditing experience they have the more they will succeed in this role. The understanding of medical terminology (Copays, deductibles, and benefit plans) will help them in this role. Commercial Markets Claims Technical Analyst Purpose: This role is responsible for performing basic and intermediate level client, member and
pharmacy remediation analysis caused by errors coded into the RxClaim processing system, along with claims monitoring and data validation activities. Value Proposition/Selling Points (Market place advantages): While the job is the same, to correct errors in RxClaim, the research and remediation steps can vary based on the error type and impacted claims. This offers a variety of research options and an opportunity to dig into the claim adjudication system functionality. Daily Responsibilities/Job Description: Perform standard queries to retrieve data for required analysis Research and analyze information by employing analytics and data science techniques to research and validate errors, isolate impacted claims, reprocess claims, and determine financial impact to members, health plans and/or pharmacies; translate data into usable client facing reports Other duties as assigned Interaction level with Management/Team Members: Interaction with team members will be daily. Leadership as needed,
including dedicated meetings