- LA Care Health Plan (Los Angeles, CA)
- Business Analyst III Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... years of successful experience in a quantitative role as a Business Analyst , Data Analyst , Programming Analyst , Claims processing, encounter… more
- Wolters Kluwer (Riverwoods, IL)
- …Location:_** Riverwoods, IL (USA) **About the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims ... contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional...Responsibilities:** + Research, analyze and interpret CMS rules and claims data to identify trends, issues, and… more
- AON (Fort Wayne, IN)
- Claims Litigation Analyst K&K Insurance is a...and effective solutions as part of our K&K Insurance Claims business group within Aon Affinity. This is ... succeed. What the day will look like As a Claims Litigation Analyst , you will report directly...and effective solutions as part of our K&K Insurance Claims business group within Aon Affinity. This… more
- AIG (Atlanta, GA)
- AIG is reimagining the way we help customers manage risk. Join us as a Claims JD Analyst to play your part in that transformation with opportunities to learn and ... regulatory developments, as well as industry trends impacting the business / claims area. + Maintaining best...will start on July 28, 2025. Locations Early Career Claims JD Analyst positions are in-person opportunities… more
- Acosta Group (Charlotte, NC)
- …a claims analyst summary form timely and consistently. + Attend business unit claims reviews as necessary. + Monitor and oversee subrogation files, ... claims reporting, investigation, and depositions. + Workers' Compensation claims resource to corporate and business unit...Windows environment, Word, Excel, software and use of on-line claims data systems. + Ability to learn… more
- The Cigna Group (Bloomfield, CT)
- …EviCore, a line of business within The Cigna Group, is hiring a Claims System Configuration Lead Analyst . This **highly technical systems** role acts as the ... initiatives. You'll be the subject matter expert to the business and IT for eviCore claims product...presentation skills, strongly preferred + Knowledge of industry standard claims data types (837, 835, 277, 999)… more
- Eaton Corporation (Beachwood, OH)
- Eaton's Corporate Sector division is currently seeking a Lead Analyst - Insurance Claims . This position will be located at our Beachwood, OH facility. We are ... to join our dynamic team as a Global Insurance Analyst . This role requires a strong ability to utilize...role requires a strong ability to utilize processes and data to measure and drive claim performance. The incumbent… more
- AIG (Atlanta, GA)
- Claims Analyst Sr. Severity Join us as a Senior Claims Analyst , Severity to grow your experience in Claims . Make your mark in Claims Our ... have forward thinking skills. + 5 years work experience in Commercial Property Claims . + Experience in General Commercial Property, Business Interruption, Real… more
- Healthfirst (CO)
- …for new and existing claims business rules including member benefits, claims editing, reference data and system functionality within the claims ... configuration requirements and provide feedback to stakeholders regarding feasibility of claims business rule and program changes. + Collect and analyze… more
- Amazon (New York, NY)
- …for cargo claims . You'll develop and validate metrics, review benchmarking data , and communicate with internal stakeholders through business reviews. In this ... is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and...KPIs, and benchmarking that will track the global cargo claims program - Reporting business metrics to… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Analyze, measure, manage, and report outcome results on edits implemented. + Utilize data to examine large claims data sets to provide analysis ... TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible...small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System)… more
- Netflix (Los Angeles, CA)
- …corrective actions to mitigate them. Data Analysis and Reporting + Analyze claims data to identify trends, performance metrics, and areas for improvement in ... plans at any time. We are seeking a Senior Analyst to assist our growing Risk Management team. In...you will support our Global Corporate and Production Casualty Claims , including workers' compensation, return to work, auto liability,… more
- Carrier (Indianapolis, IN)
- …and we can make a difference together. **About the role** As a **Logistics Claims Analyst ** you will review information about Finished Goods and Replacement ... cold chain solutions with a world-class, diverse workforce with business segments covering HVAC, refrigeration, and fire and security....Component claims , related to damage and overs, shorts, and wrong… more
- Molina Healthcare (Long Beach, CA)
- …SQL. + Must be able to conduct root cause analysis in Healthcare Porvider claims data .. + Experienced in Healthcare domain specifically Medicare, Medicaid and ... processes and solutions associated with a wide variety of data sets used for data /text mining, analysis,.../text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business … more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Dec 18, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** Teva ... healthier lives. Join us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- UPMC (Pittsburgh, PA)
- **Purpose:** The function of the Associate Accounts Receivable Claims Analyst is to ensure all HRA, FSA , ASO & Stop Loss related reporting & reconciliation, ... HRA, FSA & ASO claims from our claims system and other data sources, to...High School diploma or GED + Bachelor's Degree in Business Administration- Accounting, Finance or related field preferred +… more
- Healthfirst (NC)
- …the development and configuration of new business , member benefits and products, claims editing, reference data and their enhancements including claims ... systems enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up… more
- Buffalo Public Schools (Buffalo, NY)
- Title:Assistant Management Analyst - Special Projects Claims , Perm/Prov - RB # 24 - 225 ID:9477 Department:Special Project Claims Location:City Hall ... Civil Service Residency Requirements will Apply POSITION: ASSISTANT MANAGEMENT ANALYST - Permanent/Provisional SALARY: $55,428 - $66,268 SHARED LOCATION: Special… more
- Acosta Group (Tampa, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- Acosta Group (Charlotte, NC)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
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