- Acosta Group (Jacksonville, FL)
- DESCRIPTION The Claims Analyst will assist the Manager of Risk Management in the implementation of the corporation's property and casualty risk management ... communication of programs to business units, and departmental accounting. RESPONSIBILITIES The Claims Analyst will support the Risk Management team in… more
- Health Care Service Corporation (Chicago, IL)
- …part of a purpose-driven company that will invest in your professional development. Job Summary CLAIMS ANALYST The Claims Analyst is responsible for the ... adjudication and processing of medical, dental, vision, or other related claims , including related correspondence and/or electronic inquiries for assigned groups.… more
- Osmose Utilities Services (Atlanta, GA)
- Summary of position: The Claims Analyst will play a key role in supporting the Company's multi-jurisdictional workers' compensation program by managing, ... tracking, and analyzing employee injury claims . This position will ensure timely reporting, investigation, and...position will ensure timely reporting, investigation, and resolution of claims in compliance with state laws and Company policies.… more
- Morley (CA)
- …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... client outside counsel to support the client's defense strategies, including lemon law claims + Serve as the "Person Most Knowledgeable" (PMK) on the client's… more
- TEKsystems (Moorestown, NJ)
- …are seeking a highly analytical and detail-oriented professional to join our team as a Claims Data Analyst . This role is ideal for someone who thrives on digging ... services in the Accident & Health space. They specialize in claims processing, enrollment, compliance, and data-driven solutions that help clients navigate… more
- Molina Healthcare (Cleveland, OH)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... with appropriate departments, developing and tracking remediation plans, and monitoring claims reprocessing through resolution. Essential Job Duties Serves as … more
- Molina Healthcare (Dallas, TX)
- …for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and claims systems and ... experience and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system update(s) as necessary. Works with fluctuating volumes… more
- Deloitte (Philadelphia, PA)
- …work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to share new ... ideas and collaborate on projects without the extensive demands of travel. The Project Delivery Talent Model is designed for professionals with specialized skills that align to a current client need. Team members focus on delivering services to clients,… more
- UnitedHealth Group (Tampa, FL)
- …on a global scale. Join us to start Caring. Connecting. Growing together. A Medical Claims Analyst (MCA) is responsible for the intake processing and triage of ... with your schedule. Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and… more
- Fifth Third Bank, NA (Grand Rapids, MI)
- …ensuring compliance with Uniform Commercial Code (UCC) and Regulation E and Regulation Z claims . The Analyst uses various bank and vendor systems to research ... Third Bank. GENERAL FUNCTION Under general supervision, the Dispute Intake Analyst provides outstanding customer service while capturing accurate customer account… more
- Carrington (Madison, WI)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Lyric (Newtown Square, PA)
- … claims editing solution, as a payment, reimbursement or medical policy analyst , medical claims processor, chart auditor/reviewer, or claims edit/denial ... leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with...subject matter expert on CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI, LCDs, State Medicaid, MUEs,… more
- University of Pennsylvania (Philadelphia, PA)
- …and wellness programs and resources, and much more. Posted Job Title Statistical Analyst A/B (Department of General Internal Medicine) Job Profile Title Statistical ... Analyst A Job Description Summary The Statistical ...programming skills to create analytical datasets from health care claims , administrative databases, clinical trials, and surveys to construct… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- Overview Senior Acquisition Program Cost Analyst /Estimator(SIOP-2025-23096): Bowhead seeks an experienced Senior Cost Analyst /Estimator to join our Shipyard ... will be performed on-site in Washington DC. Responsibilities The Senior Cost Analyst /Estimator will develop, review, and comment on the accuracy, integrity, and… more
- Sedgwick (Fort Worth, TX)
- …Place to Work Fortune Best Workplaces in Financial Services & Insurance Bill Review Analyst | Professional Liability | Remote PRIMARY PURPOSE : The Bill Review ... Analyst plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and defensibility. This position… more
- Elevance Health (Cerritos, CA)
- Title: Grievance/Appeals Analyst I Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... law. * Shift hours: Tuesday - Saturday 8:30am - 5:00pm EST The Grievance/Appeals Analyst I is an entry level position in the Enterprise Grievance & Appeals… more
- Fairview Health Services (St. Paul, MN)
- …Job Overview: Fairview is looking for a Revenue Integrity Charge Description Master Analyst to join our team. The Revenue Integrity Charge Description Master ... Analyst serves as a liaison between organizational leadership, end-users,...updates to the CDM that contribute to generating clean claims , enabling the collection of expected payments. Participates in… more
- Prime Therapeutics (Hartford, CT)
- …Come build the future of pharmacy with us. Job Posting Title Clinical Research Analyst , Senior - Remote Job Description The Senior Clinical Research Analyst ... the synthesis of data findings in support of clinical claims and programs. Responsibilities Synthesizes a wide variety of...various levels within the organization Serves as the lead analyst in producing reports, scorecards, or other data using… more
- Elevance Health (Grand Prairie, TX)
- Performance Quality Analyst II Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... is granted as required by law. The Performance Quality Analyst II is responsible for driving service quality excellence...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Prime Therapeutics (Providence, RI)
- …career? Come build the future of pharmacy with us. Job Posting Title Pricing Analyst - REMOTE Job Description The Pricing Analyst maintains, provides analyses, ... assists with high-complexity pricing analyses. Responsibilities Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
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