- AAOS (Des Plaines, IL)
- …matter expertise. If this sounds like you, please read on The Senior Registry Analyst supports the Registry Department as part of the Combined Analytics team to lead ... quality assessment and analysis of the Registry Program data. The Senior Registry Analyst will develop formal policy and procedures for data retrieval and analysis.… more
- Samsung SDS America (Santa Ana, CA)
- …Group, as well as the Samsung SDS's Management/Finance Group. Sr. Claims Analyst will work on tracking and analyzing claim data, including warehouse and ... into a global top-level third-party logistics company. Senior Logistics Claim Analyst ("Sr. Claim ...aging. + Utilize NERP, SAP, WMP, TMS, and Cello systems to obtain relevant shipment/ claim data. +… more
- Crawford & Company (Brea, CA)
- …In Everything We Touch Position Summary Under direct supervision, processes medical only claims within authority, processes other claims open only for the ... administration of medical benefits (ie maintenance claims without actuarial reserves); approves payments and claimant reimbursements...issues (indemnity, legal, etc.) have been settled and the claim is only open for payment of medical benefits… more
- The Cigna Group (Bloomfield, CT)
- …of the Cigna Group is hiring a Claims System Configuration Lead Analyst . This highly technical systems role acts as the Subject Matter Expert (SME) for ... Claims Configuration of the eviCore Claims Systems and the suite of eviCore Claim ...for eviCore claims product setups/processes, the eviCore claim system and related job processes. **What… more
- DXC Technology (Springfield, IL)
- …Description:** **Job Description Summary:** We are seeking a highly skilled and empathetic Claim Examiner (amnuity) to join our team, specializing in death claims ... processing. This role is integral to ensuring a seamless claim process for our clients, handling every aspect of the claim life cycle with precision and care.… more
- CVS Health (Charleston, WV)
- …Qualifications** 2-4 years experience as a medical assistant, medical office work or claim processor Experience using systems like CEC, HRP, Rumba, MedCompass ... affordable. **Position Summary** Responsible for initial review and triage of claims tasked for review. Determines coverage, verifies eligibility, identifies and… more
- The Cigna Group (Bloomfield, CT)
- …of the Cigna Group is hiring a Claims System Configuration Senior Analyst . This highly technical systems role requires the review of our claims ... system per the specifications of the provider. The Claims System Configuration Senior Analyst ... will have in depth knowledge of the eviCore claims systems and products. As the Subject… more
- Hartford HealthCare (Hartford, CT)
- …moment*. **Job:** **Legal / Compliance* **Organization:** **Hartford HealthCare Corp.* **Title:** * Claims Analyst / Claims Adjuster* **Location:** ... claim management/risk management handling a variety of liability claims including medical malpractice, from start to closure, including initial investigation,… more
- The Cigna Group (Bloomfield, CT)
- …Lives? EviCore, a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst . For this highly technical role, you'll ... review our claims system to ensure all configurations were... will have in depth knowledge of the eviCore claims systems and products. As the Subject… more
- Randstad US (Duarte, CA)
- epic systems analyst - resolute pb/pb claims (remote). +... Analyst to support Resolute PB and PB Claims build for our large Health System client! ... + 7+ years healthcare experience in a Revenue Cycle Systems Analyst role. + Certification in Epic...in Epic Resolute Professional Billing and Epic Professional Billing Claims is a must. + Additional certifications in Epic… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Sep 22, 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
- Walgreens (Deerfield, IL)
- … claims . + Knowledge of Liability claims and 3rd party claim management systems ; risk management; insurance coverages and policies. **Shift:** **Store:** ... claims including oversight of the 3rd party claims administrator and approving cost-effective claim settlements.... experience. + Basic knowledge of a TPA on-line claims system . + Experience with analyzing and… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Claims Technical Analyst , Sr. **Job Description** The Senior Claims Technical ... Analyst is responsible for serving as the claims analysis resource for assigned operations teams. This role...settings + Review, perform root cause analysis, and monitor system defects on escalated issues; diagnose claim … more
- AIG (Dallas, TX)
- …and manage a diary system to efficiently manage and resolve assigned claim inventory. + Independently negotiate high exposure claims with top plaintiff ... Management Analyst Join us as a Claims Analyst to grow your experience in...+ Effectively strategize and budget the litigation of each claim through discussions with counsel, vendors and insureds. Establish… more
- Kelsey-Seybold Clinic (Houston, TX)
- …dollar claims and present summary to management. **Job Title: Medicare Claims Analyst ** **Location: Remote** **Department:** ** Claims ** **Job Type: Full ... Payment Rates. Position will work closely with Supervisor and Claim Services to complete request for claims ...etc.)** **Qualifications** **Education** Required: Associate degree or 2 years Claims Payment Analyst experience in lieu of… more
- MyFlorida (Tallahassee, FL)
- VICTIM COMPENSATION CLAIMS ANALYST - 41001147 Date: Sep 30, 2024 The State Personnel System is an E-Verify employer. For more information click on our ... Office of the Attorney General Working Title: VICTIM COMPENSATION CLAIMS ANALYST - 41001147 Pay Plan: Career...in this position serves the primary role of processing claim and payment determinations in the Bureau of Victim… 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 ... on financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System )… more
- Robert Half Finance & Accounting (Miami, FL)
- Description We are offering an exciting opportunity for a Senior Claims Analyst to join our team in Miami, Florida. As Senior Analyst , you will play a ... leveraging your skills in areas such as Atlassian Jira, CRM, Database, EO/IR systems , and Agile Scrum. Responsibilities * Conduct Gap Analysis to identify areas of… more
- Zelis (St. Petersburg, FL)
- Position Overview: At Zelis, t he Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR ... Claims Review initiatives centered around handling of medical pre-payment and post-payment claims for accurate claim payment review through our suite of… more
- Bank of America (Newark, DE)
- Sr Claims Analyst (Credit Fraud Claims ) Newark, Delaware **Job Description:** **Start Date: 12/02/2024** **Work Schedule: Monday - Friday (8:00 AM to 5:00 ... **Job Description:** This job is responsible for resolving the day-to-day complex claims and escalations including in-depth analysis for fraud and non-fraud … more
