- AmeriHealth Caritas (Manchester, NH)
- **Provider Network Operations Claims Analyst Sr (hybrid)** Location: Manchester, NH Primary Job Function: Provider Network ID**: 34151 **Job Brief** The ... Provider Network Operations Data Analyst Sr. will be responsible...reviews requests prior to initial submission to EO and claims post-production + Capitation reconciliations - building queries, comparing… more
- Crawford & Company (Lake Zurich, IL)
- …We Touch Position Summary Under the general direction of the Claims Data Operations Manager, the Senior Claims Analyst provides a variety of critical ... to appropriate lockbox + Provides backup coverage to others in Claim Operations as needed and/or requested. + Maintains professional and positive relationship with… more
- WellSense (Boston, MA)
- …to claim files absorbed by the data warehouse on a monthly basis. . Works with Claims Operations Analyst to provide reports to assist with identification of ... Internal Controls/ Operational Financial Analyst WellSense Health Plan is a nonprofit health...issues. . Uses SAS and/or SQL coding to pull claims and membership data, has ability to join information… more
- Crawford & Company (Lake Zurich, IL)
- …residing within Lake Zurich! Under the general direction of the Claims Data Operations Manager, the Claim Sys Ops Analyst provides a variety of critical ... claim system changes and developments that impact the Claim System/ Operations area + Provides backup coverage to others in...area + Provides backup coverage to others in Claim Operations as needed and/or requested. + Upholds the Crawford… more
- Armed Forces Benefit Association (Lincoln, NE)
- …to deliver total health and wellbeing to employer groups and their employees . The Claims Analyst is an operations and sales support role responsible for ... managing and supporting all incoming claims and ensuring that all incoming claims are correct set up in the administrative system. This position will be… more
- AIG (Lenexa, KS)
- GI Claims Fraud & Recovery Reporting Analyst At AIG,...is an exciting time to join us - across our operations , we are thinking in new and innovative ways to ... customers to manage risk. Join us as a GI Claims Fraud & Recovery Reporting Analyst to...an email to ###@aig.com . Functional Area: OP - Operations Estimated Travel Percentage (%): No Travel Relocation Provided:… more
- AIG (New York, NY)
- Claims Analyst III, EPL and D&O Join us as...is an exciting time to join us - across our operations , we are thinking in new and innovative ways to deliver ... a Claims Analyst III to grow your experience in Claims . Make your mark in Claims Our Claims teams are the proven problem solvers of choice for… more
- AIG (Concord, CA)
- Senior Claims Analyst Join us as a Senior ...is an exciting time to join us - across our operations , we are thinking in new and innovative ways to ... Claims Analyst to take on key responsibilities within a world-class claims function. Make your mark in Claims Our Claims teams are the proven problem… more
- AIG (New York, NY)
- …business practices, and the ever-evolving legal and regulatory environment. About the role Claims Analyst III - Financial Lines -Cyber Media & Technology What ... you need to know: As a Claims Analyst III, you will be responsible...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- State of Indiana (Indianapolis, IN)
- Medicare Claims Analyst Date Posted: Jul 5, 2024 Requisition ID: 443202 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the ... fully engaged with this mission. Role Overview: The Medicare Claims Analyst will serve as the primary...strategies, KPIs, and actions to achieve them. + Analyze operations to evaluate performance of the specific program or… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- Lowe's (Mooresville, NC)
- …Impact** The primary purpose of this role is to serve as a high risk claims analyst for the Legal department, handling litigated cases and sensitive brand ... will also serve as an escalation point for the Claims Management department to transfer cases that, through development,...claim, as well as a deep understanding of store operations and brand consciousness. This role will collaborate directly… more
- AIG (Alpharetta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Management Analyst , Technical Third Party Oversight to play your part in that ... the team. Make your mark in Technical Third-Party Oversight Claims Our industry leading Claims teams are...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- AIG (Alpharetta, GA)
- …practices, and the ever-evolving legal and regulatory environment. About the role The Claims Analyst III will handle and analyze general liability claims ... to customers through a diversified, multichannel distribution network. Our Claims professionals support AIG policyholders through some of the...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- AIG (Lenexa, KS)
- …role The Technical Third-Party Oversight team is adding a growth position as a Claims Analyst and is responsible for working with TPAs in investigating, ... to customers through a diversified, multichannel distribution network. Our Claims professionals support AIG policyholders through some of the...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- City and County of San Francisco (San Francisco, CA)
- …and professional growth, join us in the Controller's Office. This 1824 Principal Administrative Analyst I - Claims & Disbursement Unit works in the Controller's ... Accounting Operations and Suppliers Division (AOSD) AOSD's primary mission is...team. + Analyzing and evaluating impact of legislation on claims filed against the City and consulting with senior… more
- Burrell Behavioral Health (Springfield, MO)
- Job Description: Job Title: Claims Analyst I - RemoteLocation: Springfield, MO.Department: Client Financial ServicesEmployment Type: Full-timeShift: Monday - ... Friday 8:00 AM - 5:00 PM Job Summary: The Claims Analyst I position is responsible for...and are governed by separate board of directors, their operations and services benefit from this model. Alone, organizations… more
- Amazon (Nashville, TN)
- …Global Risk Management and Claims team is seeking a Sr. Risk Analyst to assist with the development and management of Amazon's global insurance programs, ... new and existing business initiatives. Additionally, the Sr. Risk Analyst will manage the insurance programs for some Amazon...partners to scale department support globally by engaging with operations , finance, and legal teams. Reporting to a Risk… more
- System One (Fairfax, VA)
- ALTA IT Services is staffing a remote contract to hire opportunity for a Claims Analyst to support a leading health insurance customer. The individual will ... provide operations support by obtaining facts; analyzing problems; conducting and...operating information to team members. + Work with 834 claims + Document EFT & ERA and process according… more
- Burrell Behavioral Health (Kirksville, MO)
- Job Description: Job Title: Claims SpecialistLocation: Kirksville, MODepartment: BillingEmployment Type: Full TimeShift: Monday - Friday Job Summary: Are you a ... and Behavioral Health issues? Join our team at Preferred Family Healthcare as a Claims Specialist! As a Claims Specialist, you'll analyze trends in data, report… more