- Usaa (Memphis, TN)
- …guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance ... West Virginia or Tennessee . There may be occasional business travel. What you'll do: Applies knowledge and understanding...on any questionable or suspect first or third part claims . Participates in the development of fraud prevention strategies.… more
- Usaa (Chesapeake, VA)
- …and impactful. The Opportunity There are 2 positions available. As a dedicated, Business Process Owner Senior you will plan, direct, and coordinate activities for ... problem definition, evaluation of requirements, design, testing, and implementation of business processes. You will be responsible to understand the process… more
- Metrolink (CA)
- PURPOSE OF POSITION The Legal Administrative Analyst I will perform professional level administrative staff work and support in a fast-paced legal department. This ... public. Manage, update and organize all electronic and hard copy files, filing systems , legal and SCRRA books, and internal processes pertaining to legal matters and… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …operations. The Director of Utilization Management and Quality Programs develops systems , processes and best practices to address and monitor the efficient ... and leads improvement of processes, policies, protocols, clinical guidelines and aligned business practices related to the UM function. Ensures timely responses to… more
- Insight Global (Hartford, CT)
- Job Description Looking for a detail-oriented and analytical Business Analyst with strong experience in healthcare claims and workflow management tools like ... specifications for development teams. - Support implementation of new claims systems . We are a company committed...related field. - 5+ years of experience as a Business Analyst in the healthcare payer domain.… more
- NJM Insurance (Trenton, NJ)
- …Insurance Group's Claims Analytics Department is seeking a Claims Insights Analyst Intern (the official NJM Title is Business Insights Analyst , ... Claims Operations and assist in preparing presentations for business leaders. + Develop competitive models and analysis utilizing...desire to work collaboratively in a team environment The Claims Insight Analyst , Intern position can pay… more
- Insight Global (Cedar Rapids, IA)
- Job Description Insight Global is looking for a Business Analyst to join one of the largest Insurance companies in the world. This individual will join the ... team and partner with stakeholders to gather requirements for claims systems . In this role, you will...with 3rd party vendors on products and a Lead Business Analyst to work on multiple projects… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information ... conduct clinical applications analysis and/or programming of intermediate to complex systems , analysis of clinical workflows, and system adoption strategies. An… more
- Acosta Group (Jacksonville, FL)
- …of programs to business units, and departmental accounting. **RESPONSIBILITIES** The Claims Analyst will support the Risk Management team in administering ... **DESCRIPTION** The Claims Analyst will assist the Manager...Microsoft Office Suite (Word, Excel, Outlook) + Experience with claims management systems or willingness to learn.… more
- Beacon Mobility (Chelmsford, MA)
- …at 200+ locations from New England to New Mexico. Reporting to the Director of Claims , the Region Claims Analyst provides oversight and controls to reporting ... management skills while delivering analytical support to operations, safety and claims leadership. Support to locations will require compliance with applicable… more
- Banner Health (Phoenix, AZ)
- …perfect opportunity for you. Banner Health is seeking a Risk & Insurance Analyst to join the department and assist with risk identification, mitigation, transfer, ... and claims management to protect one of the nation's largest non-profit healthcare systems . In this role you will be revieing new claims , such as property or… more
- Centene Corporation (Columbus, OH)
- … business process analysis, preferably in healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. Advanced ... of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing experience… more
- UMB Bank (Kansas City, MO)
- …Online Banking, Mobile, Wire, ACH & P2P. Responsible for managing multi-channel fraud claims . Responsible for mastering the associated systems and tools used for ... Working knowledge of FDR + Ability to navigate multiple systems + Experience with FIS, IBM and First Data...rules, ACH claims under NACHA and check claims under the UCC. + Experience creating Business… more
- Molina Healthcare (Dallas, TX)
- …of critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system update(s) as necessary. + Works… more
- DXC Technology (Nashville, TN)
- …+ High School Diploma completed + **2+ years of relevant life insurance death claims business experience are mandatory** + **Death claims processing ... learn new payment processes and/or other processes within death claims depending on where the need is on any...worked + Ensure transactions are processed on our administrative systems accurately and in a timeframe considered suitable by… more
- Trane Technologies (Minneapolis, MN)
- …the planet first. For us at Trane Technologies, sustainability is not just how we do business -it is our business . Do you dare to look at the world's challenges ... service performance to suggest and** **execute on improvements in process and systems ** + **Provide communication on warranty and service policy to** **channel and… more
- NTT DATA North America (Raleigh, NC)
- …of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Business Systems Analyst - EPIC to join our team in ... Durham, North Carolina (US-NC), United States (US). Job Description: Business Systems Analyst (Epic Payer Platform & Interoperability) Job Summary The … more
- NTT DATA North America (Lincoln, NE)
- …an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Business Systems Analysis Analyst to join our team in ... Lincoln, Nebraska (US-NE), United States (US). **Posisition: Claims Case Manager** **This position is eligible for company...evenings and Saturdays could also be required based on business need, particularly during the months of Nov -… more
- AON (IL)
- Reinsurance Business Analyst Aon are looking to recruit an experienced Reinsurance Business Analyst to join our team in the US. This is a Hybrid position ... by the applicable plan documents and policies. #LI-RW1 #LI-HYBRID 2025-91619 Reinsurance Business Analyst Aon are looking to recruit an experienced Reinsurance… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Insurance Fund, State Title Business Systems Analyst Trainee 1- Actuarial (NY HELPS) Occupational Category Financial, Accounting, Auditing ... other duties as needed Minimum Qualifications For appointment to Business Systems Analyst Trainee 1...Trainee 1 include but are not limited to Administrative Analyst Trainee 1, Claims Services Representative Trainee… more
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