- Crawford & Company (Boise, ID)
- …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)
- …The Cigna Group, is hiring a Claims System Configuration Lead Analyst . This **highly technical systems ** role acts as the Subject Matter Expert (SME) ... for the 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
- Sharp HealthCare (San Diego, CA)
- …for the position, and employer business practices. **What You Will Do** The Sr. Systems Analyst role within IT is responsible for systems analysis, ... Qualifications** 5 Years healthcare or related subject matter experience. 3 Years system analyst role. Project Management experience. Six Sigma Yellow Belt… more
- Percepta (Melbourne, FL)
- …Lincoln Protect policy guidelines. o If all policy guidelines are met, the Claims Analyst is responsible for paying the claim to the dealer. o If claim ... satisfaction of being part of a unique culture. The claims payment analyst is responsible for the...received in assigned sort groups via Ford Motor Company's claim payment system (MCA) to determine if… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025 Location: Parsippany, United States, New Jersey, 00000 Company: Teva Pharmaceuticals Job Id: 59984 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Flynn Restaurant Group (Independence, OH)
- **Position Description** The Liability Claims Analyst / Bodily Injury Analyst is responsible for assuring the quality and cost-effectiveness of the general ... liability claim investigation process including investigating facts of loss, making...strategy development, analysis of risk and plans to move claims to closure. **General Liability Analyst ** **Essential… more
- Travelers Insurance Company (Alpharetta, GA)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... the Opportunity?** Under moderate supervision this position, in partnership with claim professionals and leadership is responsible for ensuring accurate financial… 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... performance. * Develop and implement strategies to optimize claims outcomes. * Identify claim trends to… more
- Acosta Group (Charlotte, NC)
- …and + recommendations pursuant to best practices and account instructions. + Maintain a diary system and complete a claims analyst summary form timely and ... risk management programs with an emphasis on Workers' Compensation claims . In addition to providing technical claim ...Windows environment, Word, Excel, software and use of on-line claims data systems . + Ability to learn… 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
- 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
- Wolters Kluwer (Riverwoods, IL)
- …highly skilled Business Analyst to join the Mediregs team focusing on claims processing and the RCM process. The ideal candidate will have a strong understanding ... proficient in analyzing CMS rules as it relates to claims and processes. The candidate will be able to...on changes. + Conduct data analysis to ensure our systems provide accurate and timely claim submission… more
- Netflix (Los Angeles, CA)
- …compliance with claim management guidelines, claim reviews, reserve reconciliations, claim audits, and other key claims management roles. + Manage Risk ... 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
- 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
- XPO, Inc. (North Richland Hills, TX)
- Associate Analyst , Claims - Hybrid Requisition Id: 376916 Business Unit: LTL Location: North Richland Hills, TX, US, 76180 **What you'll need to succeed as an ... Associate Analyst , Claims at XPO** Minimum qualifications: +...contracts and agreements and the National Motor Freight Classification system + Knowledge of risk reduction and claims… more
- ICW Group (San Diego, CA)
- …and maintains accurate records of claims activity and findings in the claims management system . + Ensures that all Assumed Reinsurance claims /payments ... **ESSENTIAL DUTIES AND RESPONSIBILITIES** **Manages and oversees Assumed Accounts involving claim and account level issues.** + Analyzes and processes reinsurance … 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 ... Component claims , related to damage and overs, shorts, and wrong...Customer Service to provide information proactively relative to damage claim trends; serve as point of escalation with Customer… more
- Robert Half Accountemps (Flint, MI)
- …a healthcare organization based in Flint, Michigan, United States, currently seeking a Medical Claims Analyst . In this role, you will be responsible for tasks ... of experience in a similar role as a Medical Claims Analyst * Proficiency in using Cerner...Analyst * Proficiency in using Cerner Technologies for claim administration * Familiarity with CMS Platform operations *… more
- Publix (Lakeland, FL)
- …data entry of all QRE's designated as a level one event into the Risk Master claims system . Primary duties include: + retrieving all reported QRE's on a daily ... **31050BR** **Position Title:** Pharmacy Quality Related Event Analyst , Customer Claims - Risk Mgmt...data entry of all QRE's into the Risk Master claims system and editing existing information in… more
- Catholic Health Services (Melville, NY)
- …is one of Long Island's finest health and human services agencies. Our health system has over 16,000 employees, six acute care hospitals, three nursing homes, a home ... Job Details Under minimal supervision, formulates and defines Resolute Hospital Billing/ Claims scope and objectives through research and fact-finding to develop or… more