Legal ERISA Claims Analyst (Hospital Claims) – On-Site | Plano, TX
Join a growing team focused on resolving complex, high-value healthcare claims.
ERISA Recovery specializes in recovering underpaid and denied hospital claims through the federal ERISA appeals process. As we continue to grow, we’re looking for a Legal ERISA Claims Analyst to join our on-site team in Plano, TX.
This role is ideal for someone who enjoys detailed case analysis, legal research, and navigating complex healthcare reimbursement issues. You’ll play a direct role in turning denied or underpaid claims into successful recoveries for healthcare providers.
What You’ll Do
- Analyze hospital claims to identify underpayments, denials, and recovery opportunities
- Conduct legal research related to ERISA regulations and appeals processes
- Draft appeal letters and supporting legal documentation
- Review medical records, billing data, and reimbursement policies
- Track regulatory and legal updates impacting ERISA claims and apply them to case strategy
- Communicate with third-party administrators and payors to determine claim status
- Use EHR and claims systems to manage and document case progress
- Collaborate with internal teams to move claims efficiently through the recovery process
What We’re Looking For
- Bachelor’s degree required
- 3+ years of experience in a legal, healthcare, or claims analysis role
- Experience with healthcare insurance claims (ERISA exposure strongly preferred)
- Strong analytical and research skills with high attention to detail
- Ability to manage a high volume of cases and prioritize effectively
- Clear, professional written and verbal communication skills
- Proficiency in Microsoft Office (Word, Excel, Outlook)
What Success Looks Like
- You can independently manage and analyze a portfolio of claims
- Your appeal documentation is thorough, accurate, and effective
- You contribute to increased recovery rates through strong analysis and follow-through
Why Join ERISA Recovery
- Growing company with advancement opportunities
- Collaborative, team-oriented environment
- Exposure to complex, high-impact legal and healthcare cases
- Opportunity to build deep expertise in ERISA and medical claims
Benefits
- 401(k) with matching
- Health, dental, and vision insurance
- Paid time off
- Paid lunches
- Performance-based bonus
Location
This is a full-time, on-site role in Plano, TX.
ERISA Recovery is an Equal Opportunity Employer
