• Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role...reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject… more
    Commonwealth Care Alliance (11/30/25)
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  • Claims Analyst

    Panasonic North America (De Soto, KS)
    …join a team that's changing the world? Do you have a strong background as a Claims Analyst ? Then we're looking for you! Check out the job description and apply ... the future of energy and transportation. **Job Summary:** The Claims Analyst plays a key role in...through the acceleration of sustainable energy. By producing safe, high- quality lithium-ion batteries, you become part of a team… more
    Panasonic North America (12/06/25)
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  • Medical Claims Analyst

    TEKsystems (Milwaukee, WI)
    Claims Analyst II - Remote/Hybrid (Wisconsin Residents Only) Pay: $19.25/hour Schedule: Full-time, Monday-Friday, 8:00 AM-5:00 PM About the Role We're looking ... for a detail-oriented Claims Analyst II to join our team!...established policies. You'll play a key part in adjudicating claims , resolving issues, and maintaining high- quality standards.… more
    TEKsystems (12/05/25)
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  • Claims Analyst III, E&O

    AIG (New York, NY)
    Job Description Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim ... + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ensuring mitigation of indemnity… more
    AIG (12/06/25)
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  • Analyst , Claims Research

    Molina Healthcare (Tacoma, WA)
    JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... standard operating procedures (SOPs) and job aids to increase the quality and efficiency of claims processing. * Fields claims questions from the operations… more
    Molina Healthcare (12/03/25)
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  • Claims Analyst

    WTW (Miami, FL)
    **Description** We are seeking a highly motivated individual to join our Company as a Claims Analyst based in Miami. The candidate will have multiple claims ... + Maintain strong professional relationships with key parties to facilitate efficient claims resolution. **Compliance & Quality Assurance** + Ensure adherence to… more
    WTW (11/20/25)
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  • Commercial Claims Risk and Insurance…

    Banner Health (Phoenix, AZ)
    …Name:** Risk Financing & Ins Programs **Work Shift:** Day **Job Category:** Risk, Quality and Safety Great careers are built at Banner Health. There's more to ... you. Banner Health is seeking a Risk & Insurance Analyst to join the department and assist with risk...department and assist with risk identification, mitigation, transfer, and claims management to protect one of the nation's largest… more
    Banner Health (11/20/25)
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  • Medical Claims Analyst

    Robert Half Accountemps (Raleigh, NC)
    Description We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal ... high- quality results. Responsibilities: * Process and reconcile medical claims efficiently, ensuring all records are accurate and up-to-date. * Resubmit… more
    Robert Half Accountemps (11/13/25)
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  • Medicaid Claims Analyst

    Teva Pharmaceuticals (Parsippany, NJ)
    Medicaid Claims Analyst Date: Dec 4, 2025 Location: Parsippany, United States, 07054 Company: Teva Pharmaceuticals Job Id: 64915 **Who we are** Together, we're ... to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug...transactions. Document errors and perform research. + Conduct initial quality check on summary data on all claim submissions… more
    Teva Pharmaceuticals (12/06/25)
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  • Claims Data Analyst

    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
    TEKsystems (12/09/25)
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  • Business Analyst - Claims

    Insight Global (Cedar Rapids, IA)
    …and a Lead Business Analyst to work on multiple projects focused on claims modernization. You will also be working with the QA staff to create test matrices ... Approximately 5 years of xperience working as a Busines Analyst in claims , specifically in Life Insurance...to make sure all data is covered in the extract - Also covering spot checks to ensure quality more
    Insight Global (12/09/25)
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  • Systems Analyst - Expert (Epic Hospital…

    UPMC (Pittsburgh, PA)
    UPMC is hiring an Expert Senior Systems Analyst to join their highly accomplished team. This position is specifically for the Hospital Billing Claims Bridges EHR ... detail-oriented documentation for new and complex processes. Responsible for quality and validity of documentation. Extract and document customer/business… more
    UPMC (11/19/25)
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  • FNMA Claims Recovery & Loss Analysis…

    Carrington (Jackson, MS)
    …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... Respond to and make all corrections identified during the Quality Review Process within 24 hours of receipt. +...to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and… more
    Carrington (11/20/25)
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  • Business Analyst / Quality Assurance…

    Donegal Insurance Group (Marietta, PA)
    …Insurance Group has an opening for a Business Analyst / Quality Assurance Analyst . As a member of our Claims team, this position collaborates with business ... in Computer Science, Business Systems or equivalent experience + 3 years of Business Analyst and/or Quality Assurance Analyst experience with a working… more
    Donegal Insurance Group (11/08/25)
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  • Appraisal Quality Assurance Analyst

    Applied Technical Services, Inc. (Metairie, LA)
    Appraisal Quality Assurance Analyst Job Details Job...insurance claims and other purposes. The QA Analyst will be responsible for the quality ... insurance industry to provide technical experts to assist with resolving insurance claims . From the time we receive assignments until the final invoice, Forte's… more
    Applied Technical Services, Inc. (12/02/25)
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  • Performance Quality Analyst II

    Elevance Health (Louisville, KY)
    **Performance Quality Analyst II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... accommodation is granted as required by law. The **Performance Quality Analyst II** is responsible for driving...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
    Elevance Health (12/10/25)
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  • Quality Analyst

    CGI Technologies and Solutions, Inc. (Indianapolis, IN)
    ** Quality Analyst ** **Category:** Testing/ Quality Assurance **Main location:** United States, Indiana, Indianapolis **Position ID:** J0825-0830 **Employment ... . **Position Description:** CGI is looking for a skilled Quality Analyst for data testing across insurance...requirements and downstream impacts. * Serve as the data quality advocate across the personal lines business-underwriting, claims more
    CGI Technologies and Solutions, Inc. (11/24/25)
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  • Performance Quality Analyst I (US)

    Elevance Health (San Juan, PR)
    …information technology and business operations services for health plans. **Performance Quality Analyst I** **Location:** This role requires associates to ... may be necessary based on company needs. The **Performance Quality Analyst I** is responsible for driving...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
    Elevance Health (12/13/25)
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  • Quality Analyst

    Brighton Health Plan Solutions, LLC (Westbury, NY)
    About The Role We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health Plan Solutions' core ... portfolios- Claims , Provider, and Enrollment. In this role, you will...processes. You will play a key part in ensuring high- quality software delivery by validating business requirements, improving test… more
    Brighton Health Plan Solutions, LLC (12/10/25)
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  • Workers' Compensation Risk Analyst

    Ventura County (Ventura, CA)
    Workers' Compensation Risk Analyst Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5142408) Apply  Workers' Compensation Risk Analyst Salary ... The candidate must possess extensive experience in workers' compensation claims administration, rating permanent disability, developing case settlement recommendations,… more
    Ventura County (11/15/25)
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