- Molina Healthcare (Jacksonville, FL)
- …data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with ... Associate's Degree or equivalent combination of education and experience ** Required Experience** + 3-5 Years of business ...experience ** Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience +… more
- Acosta Group (Jacksonville, FL)
- …a claims analyst summary form timely and consistently. + Attend business unit claims reviews as necessary. + Monitor and oversee subrogation files, ... **DESCRIPTION** The Sr. Casualty Risk Analyst will assist the Director of Risk Management...claims reporting, investigation, and depositions. + Workers' Compensation claims resource to corporate and business unit… more
- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- Sedgwick (Jacksonville, FL)
- …years of related experience or equivalent combination of education and experience required . Experience in multi-line claims management processes and system ... of LLMs + RESTFUL APIs + Knowledge of third party administration and claims management business and technology + Oral and written communication skills… more
- Bank of America (Jacksonville, FL)
- Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, Massachusetts; ... and recommendations for improvement. **Responsibilities:** * Recommends ways to help the business achieve desired outcomes and make informed business decisions… more
- Molina Healthcare (Jacksonville, FL)
- …data analysis and database development needs. + Reviews, evaluates, and improved Company business logic and data sources. + Resource to Health Plan staff for ... mentoring, coaching, and analysis questions. + Reviews Health Plan analyst work products to ensure accuracy and clarity. + Reviews regulatory reporting requirements… more