- 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
- The Cigna Group (Bloomfield, CT)
- …management? Then read on EviCore, a division of The Cigna Group is hiring a ** Claims Systems Configuration Senior Analyst .** For this senior level role, ... Improve Lives? Do you have **advanced** **technology skills with Claims Systems Configuration,** SQL querying, MS Access,...team members + Analyze complex business requirements to configure claim rules within the functionality of the system… more
- City of New York (New York, NY)
- …in terms of funding stream eligibility. DFS Childcare Claims is seeking a Childcare Claims Analyst who will report to the Childcare Claims Supervisor and ... reports to supervisors and managers, and entering the actual claim into the State claiming system using... data. The duties and responsibilities of the Childcare Claims Analyst will include, but will not… 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
- 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
- Robert Half Accountemps (Sterling Heights, MI)
- …paperwork, and conducting member interviews. Responsibilities: * Accurately process and adjust disability claims in the claim system . * Review disability ... a short term contract employment opportunity for a Medical Claims Analyst in STERLING HEIGHTS, Michigan. This...track claims . * Successfully operate within multiple systems for claim processing. * Demonstrate a… 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
- The Cigna Group (Bloomfield, CT)
- …line of business within The Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst . For this **highly technical senior ... configuration** 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
- 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: Nov 19, 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
- New York State Civil Service (Albany, NY)
- …DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office Occupational Category ... Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on complex… 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 ... beneficiary and group relationships at point of claim . This position will be supporting the beneficiary in...supporting an employer or service provider in understanding the claims provisions of their coverage along with being the… more
- TE Connectivity (Berwyn, PA)
- Claims , Risk, and Insurance Management Analyst (Hybrid) **At TE, you will unleash your potential working with people from diverse backgrounds and industries to ... controls. Duties include but are not limited to: + Claim Management - Responsible for all insured claims...systems . Strong knowledge of the US worker's compensation system and disability management in multiple jurisdictions with a… more
- Netflix (Los Angeles, CA)
- …compliance with claim management guidelines, claim reviews, reserve reconciliations, claim audits, and other key claims management roles. + Manage Risk ... any time. The Role 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
- City of New York (New York, NY)
- …seeking a Claiming Analyst who will be responsible for child-specific level claims that entail extensive research, and use of various State and City data ... systems . The duties and responsibilities of the Claiming Analyst will include, but will not be limited to:...why or why not it will qualify for certain claims ) - Assist with training new claim … more
- AIG (Atlanta, GA)
- Senior Lead Analyst Claims Operations At AIG, we are reimagining the way we help customers to manage risk. Join us as Senior Lead Analyst Claims ... of the industry's top talent. Make your mark in Claims Our Claims teams are the proven...business problems. It is critical for the Senior Lead Analyst to understand the challenges stakeholders experience on an… more
- Healthfirst (VA)
- **Duties & Responsibilities** : + Conducts routine assessments of current claims edits and ensures comprehensive and defensible editing across all Healthfirst ... with other departments to ensure proper integration with existing systems and edits. + Monitors and reports on performance...edits. + Monitors and reports on performance of current claims editing packages + Supports claims editing… 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