- 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
- 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 ... This challenging role involves negotiating, analyzing and resolving complex medical malpractice and GL claims at primary... senior management, underwriters, insureds and brokers. + The analyst will employ best claims handling practices,… more
- AON (Fort Wayne, IN)
- Claims Litigation Analyst K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, recreation, motorsports and events. ... succeed. What the day will look like As a Claims Litigation Analyst , you will report directly...plan; consideration for long-term incentive awards at Aon's discretion; medical , dental and vision insurance, various types of leaves… 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 ... and damages, strategy development, analysis of risk and plans to move claims to closure. **General Liability Analyst ** **Essential responsibilities will… more
- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in Claims . ... of indemnity, medical and legal aspects of highest valued, complex claims . + Reviews and analyzes TPA claim financials to ensure payments are appropriate… more
- Orlando Utilities Commission (Orlando, FL)
- **OUC - The** **_Reliable_** **One** **,** is presently seeking a ** Claims Analyst ** to join the Office of General Counsel division. At OUC, we don't just work - ... claims , ensuring accurate reporting of on-the-job injury claims to third-party adjusters, and coordinating medical ...injury claims to third-party adjusters, and coordinating medical care for injured employees. The ideal candidate will… more
- Healthfirst (CO)
- …Assist in the setup of code sets and defining pre-authorization guidelines used in claims configuration to drive application of medical policy and accurate ... Additional duties as assigned **Minimum Qualifications:** + Proficiency in medical terminology, medical coding (CPT4, ICD9 or...understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively… more
- The Cigna Group (Bloomfield, CT)
- …Lives?** EviCore, a line of business within 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 Products. You'll be the primary contact for… more
- Amazon (New York, NY)
- Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, ... The ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in transportation. As… more
- Netflix (Los Angeles, CA)
- …anywhere, and can change their plans at any time. We are seeking a Senior Analyst to assist our growing Risk Management team. In this role, you will support our ... Global Corporate and Production Casualty Claims , including workers' compensation, return to work, auto liability, and general liability claims . This role reports… more
- Rush Enterprises (New Braunfels, TX)
- The Risk and Insurance Analyst - Workers' Compensation Claims is responsible for managing WC claims with oversight of the Third Party Claims ... lost time claims , authorizing settlements, and maintaining accurate records. The Analyst serves as the primary point of contact for the day-to-day operations of… 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
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Dec 18, 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
- Jacobs (Albany, NY)
- …Construction Management-for-Fee firm, then Jacobs is where you belong. We are seeking a full-time claims analyst and cost estimator with at least 4 years of ... claims and estimating experience. Candidate must be highly proficient...national origin, ancestry, sex (including pregnancy, childbirth, breastfeeding, or medical conditions related to pregnancy, childbirth, or breastfeeding), age,… more
- Hackensack Meridian Health (Edison, NJ)
- …and serve as a leader of positive change. The **Applications Analyst III** gathers business requirements, conducts needs assessments, and develops functional ... Professional Billing Administration as well as Epic Resolute Hospital Billing Claims / Electronic Remittances and/or Resolute Professional Billing Claims … more
- Healthfirst (NC)
- …the development and configuration of new business, member benefits and products, claims editing, reference data and their enhancements including claims ... enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier… more
- Molina Healthcare (MI)
- …& ABILITIES:** + 1-3 years claims analysis experience + 5+ years medical claims processing experience across multiple states, markets, and claim types + ... **PREFERRED EXPERIENCE:** + 1-3 years claims analysis + 6+ years medical claims processing experience + Project management + Expert in Excel and PowerPoint… more
- ICW Group (San Diego, CA)
- …involving claim and account level issues.** + Analyzes and processes reinsurance claims in accordance with company policies and regulatory requirements. + Conducts ... day-to-day assessment of company's reinsurance claims and validates them for payment. + Prepares and...* We offer a competitive benefits package, with generous medical , dental, and vision plans as well as 401K… more
- Amazon (Arlington, VA)
- Description Amazon's Global Risk Management and Claims team is seeking a Risk Analyst to assist with the development and management of Amazon's corporate ... and techniques for new and existing business initiatives. Additionally, the Risk Analyst will manage the insurance programs for some Amazon owned subsidiaries. The… more
- South Central Regional Medical Center (Laurel, MS)
- Job Description: Analyst - Resolute - Hospital & Professional Billing Claims and Remittance Department: EPIC Summary Primary build and support contact for ... hospital and clinic billing and remittance applications within the electronic health record. Acts as subject matter resource for EHR application integration with other clinical applications and information systems, as necessary. Professional Responsibilities:… more
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