Job Details

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