- Usaa (Phoenix, AZ)
- …and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes ... on-site 3 days per week. What you'll do: Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and… more
- Usaa (Seattle, WA)
- …guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance ... investigation strategies on any questionable or suspect first or third part claims . Participates in the development of fraud prevention strategies. Applies knowledge… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …upon request of utilization or finance department. Works with UM RNs and Senior Medical Director to deny claims when appropriate. Attends IDT meetings on routine ... of quality measures and other data by the Quality Analyst for report to regulatory agencies, including CMS and...including UM/CM, Grievance and Appeals, inpatient and outpatient services, medical policy, and clinical claims review In-depth… more
- TEKsystems (Tampa, FL)
- …& Qualifications + Extensive understanding of the Revenue Cycle + Experience working as a Medical Claims Analyst + Experience and knowledge in Medical ... refund resolution. The ideal candidate will have strong analytical skills, medical claims experience, and the ability to navigate complex systems while… more
- Commonwealth Care Alliance (Boston, MA)
- …the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing ... specific to Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for claims , settlement, claims… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …will be considered. * 3 years of relevant health plan or provider office medical coding/ claims and/or Business Analyst experience in a healthcare setting ... and Blue Shield of Minnesota Position Title: Healthcare Coding Analyst Location: Hybrid | Eagan, Minnesota Career Area: Customer...claims adjudication. This includes analysis of changes to medical code sets to determine impacts to and necessary… more
- 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...stakeholders and external parties (eg, insurance carriers, TPAs, attorneys, medical providers) + Provide technical support and clarification to… more
- MyFlorida (Tallahassee, FL)
- VICTIM COMPENSATION CLAIMS ANALYST - 41000372 Date: Dec 16, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 866788 Agency: Office of the Attorney General Working Title: VICTIM COMPENSATION CLAIMS ANALYST - 41000372 Pay Plan: Career Service Position Number: 41000372… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information ... **Preferred Qualifications:** Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing … more
- Travel + Leisure Co. (Orlando, FL)
- …inspiration into exceptional experiences for millions of travelers worldwide. The **Senior Property Claims Analyst ** will play a crucial role as part of a ... high-performing, results-oriented Risk Management Team. The Senior Property Claims Analyst will be accountable for all...seasonal associates are ineligible for Paid Time Off._** + Medical + Dental + Vision + Flexible spending accounts… 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...+ Assess the classification of each claim (first aid, medical only, lost time, or controverted) and manage accordingly,… more
- Molina Healthcare (Tacoma, WA)
- … function efficiency. **Required Qualifications** * At least 3 years of medical claims processing experience, or equivalent combination of relevant education ... JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities...and experience. * Medical claims processing experience across multiple states,… more
- Highmark Health (Topeka, KS)
- … terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards....years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical… more
- Travel + Leisure Co. (Orlando, FL)
- …exceptional experiences for millions of travelers worldwide. The **Workers Compensation** ** Claims Analyst ** is responsible for supporting workers' compensation ... would consist of proactive claim administration for workers' compensation claims by providing analysis on each open claim, as...seasonal associates are ineligible for Paid Time Off._** + Medical + Dental + Vision + Flexible spending accounts… more
- 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 ... such as supporting the effective management, analysis, and resolution of claims , ensuring accurate processing and timely communication between clients, reinsurers,… more
- 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 ... and new people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… 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
- NTT America, Inc. (Little Rock, AR)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Senior Claims Business Analyst to join our team in Little Rock, Arkansas ... possess in-depth expertise in Medicaid systems, particularly in all facets of claims adjudication and demonstrate a strong ability to translate complex business… more
- Albany Medical Center (Albany, NY)
- …America) Salary Range: $38,937.60 - $50,618.88 Entry level hospital billing and claims position. Qualifications: High school diploma or GED is required. AAS degree ... in billing codes and EDI requirements. Knowledge of electronic claims processing and edits. Excellent decision-making skills, detail oriented,...timely manner. Thank you for your interest in Albany Medical Center! Albany Medical is an equal… more
- Ford Motor Company (Livonia, MI)
- **In this position ** As Business Owner of the Parts Claims System, administer claims for US Dealers and related Carrier Claims for Inbound and Outbound ... Network. This position manages the team who processes daily claims and serves as the escalation point for dealers,...work life that works for you, including: * Immediate medical , dental, vision and prescription drug coverage * Flexible… more
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