- Hussmann Corporation (Bridgeton, MO)
- **Overview** Provides judicious review and disposition on Hussmann labor claims and part orders. Provides data analysis for product and process continuous ... improvement efforts as related to quality . Provide customer service and support on systems, processes, and claims . Provides administrative support in TWMS… more
- Zurich NA (Stevens Point, WI)
- Claims STP Analyst 120713 **You are the...not required - Proven track record of upholding high quality standards within Travel and/or NAC claims - ... leader in our Straight Through Processing initiatives in Travel Claims . The Claims STP Analyst ,...not required - Proven track record of upholding high quality standards within Travel and/or NAC claims … more
- AIG (Chicago, IL)
- Senior Claims Analyst , Severity Join us as a Senior Claims Analyst to grow your experience in Claims . Make your mark in Claims Our Claims ... create an impact + This position will ensure high quality claim handling in the Healthcare Professional Liability ("HPL")... senior management, underwriters, insureds and brokers. + The analyst will employ best claims handling practices,… more
- Zurich NA (Stevens Point, WI)
- Claims QA Analyst 120717 Travel Guard meets...not required - Proven track record of upholding high quality standards within Travel and/or NAC claims - ... across all levels of complexity. Responsibilities include - Complete quality reviews on all files within program guidelines while...development and skill enhancement - Provide support to Complaints Analyst & Claims STP Analyst ,… 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 ... and damages, strategy development, analysis of risk and plans to move claims to closure. **General Liability Analyst ** **Essential responsibilities will… more
- Microsoft Corporation (San Antonio, TX)
- The **Senior Construction Claims Analyst ** shall work seamlessly with the Global and Regional Claims Lead to play a pivotal role in monitoring and reporting ... execution, and the EPC, Closed End Lease Agreement (CELA), Quality , Commissioning, and Business Intelligence teams. Regular updates and...We are currently looking to hire a Senior Construction Claims Analyst for the AMER region, who… 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...to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional team of application… more
- CAI (Columbus, OH)
- …**Employment Type** Full time **Worksite Flexibility** Remote **Job Summary** As a Claims Processor Analyst , you will receive, investigate, and triage expedited ... case assignments. **Job Description** We are looking for a ** Claims Processor Analyst ** , you will receive,...Medicare and Medicaid Services (CMS) and National Committee for Quality Assurance (NCQA) + Claims research and… 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...in projects with the plant engineering, packaging engineers, and quality teams to improve the packaging of units to… more
- Healthfirst (FL)
- …to production to reduce the potential for migration conflict. + Ensure the quality and integrity of claims configuration change requests using production ... easy to understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively communicate with all levels of the organization,… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **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
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025 Location: Parsippany, United States, New Jersey, 07054 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
- Molina Healthcare (Columbus, OH)
- …. Recommends updates to Claims SOP's and Job Aid's to increase the quality and efficiency of claims processing . Fields claims questions from ... **Job Description** Job Summary Serves as claims subject matter expert. Assist the business teams...subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are appropriately applied. Manages… more
- Healthfirst (NC)
- …HF operational areas in administering products and benefits. + Responsible for the quality and integrity of claims configuration change requests through the use ... the development and configuration of new business, member benefits and products, claims editing, reference data and their enhancements including claims … more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** The Sr. Systems Analyst role within IT is responsible for systems analysis, consulting with users and ... for you if you had the following certification: Resolute Professional Billing Claims and Remittance Administration. An ideal candidate would have 3+ years'… more
- Healthfirst (FL)
- **Duties & Responsibilities** : + Conducts routine assessments of current claims edits and ensures comprehensive and defensible editing across all Healthfirst ... systems and edits. + Monitors and reports on performance of current claims editing packages + Supports claims editing escalated provider disputes/appeals… more
- Public Consulting Group (Columbus, OH)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims ....related to collection of required data. + Assists with quality control projects, including case reviews to ensure the… more
- Molina Healthcare (Columbus, OH)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of application...in research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** The Senior Application PB/HB Claims Analyst role with Epic Hospital and/or Professional billing (HB and/or PB) will provide technical expertise and ... code and programs prior to releasing them to the quality assurance (QA) team. Resolve all unit test issues...members of the technology and business teams to ensure quality and minimize impact on other applications and business… more
- Catholic Health Services (Melville, NY)
- …Job Details Under minimal supervision, formulates and defines Resolute Hospital Billing/ Claims scope and objectives through research and fact-finding to develop or ... will be implemented. Builds, tests, documents and maintains the EPIC Resolute Hospital Billing/ Claims program. Is competent to work on all phases of Epic Resolute… more
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