Responsible for providing the Director of Claims Administration with analytical support necessary to ensure regulatory and business, claim administration, compliance. Primary responsibilities include improving the quality of reporting and data by working with TPA to identify reporting needs, defining report specifications, and developing reports to meet user needs. Assisting, organizing, and participating in projects that will improve or enhance business outcomes that includes but is not limited to increasing the level of automation, problem identification and resolution, improving work-flows and procedures, developing or revising appropriate documentation, unit and system testing. Provides assistance in handling claim related calls from the provider community. Responding to claim related inquiries via email. Analyzing claim data to respond to pending claims in the claims adjudication system.