- Molina Healthcare (WA)
- **JOB DESCRIPTION** **Job Summary** The Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, and ... reports. As the senior level team member, this role leads efforts to ensure the claims teams and other departments have access to quality claims data through… more
- Molina Healthcare (IA)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Molina Healthcare (UT)
- … and business systems **PREFERRED EXPERIENCE:** Medicare, Medicaid and Marketplace claims knowledge Complex SQL and Excel expert knowledge SQL query and coding ... Interfaces with the customer in developing requirements for major complex claims testing projects within Medicare, Medicaid and Marketplace; prepares system test… more
- USAA (Tampa, FL)
- …creativity, collaboration, and continuous learning in support of growing the Business Intelligence capability within the P&C Claims Analytics organization.** ... for this position will have the opportunity to support all areas of Claims operations through partnership with decision science analysts and business … more
- Prime Therapeutics (Glen Allen, VA)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization + ... It fuels our passion and drives every decision we make. **Job Posting Title** Lead Business Analyst **Job Description** The Business Systems Analyst … more
- AON (Fort Wayne, IN)
- Claims Litigation Analyst K&K Insurance is a...and effective solutions as part of our K&K Insurance Claims business group within Aon Affinity. This is ... succeed. What the day will look like As a Claims Litigation Analyst , you will report directly...and effective solutions as part of our K&K Insurance Claims business group within Aon Affinity. This… more
- AIG (Atlanta, GA)
- Senior Lead Analyst Claims Operations At AIG, we are reimagining the way we help customers to manage risk. Join us as Senior Lead Analyst Claims ... of the industry's top talent. Make your mark in Claims Our Claims teams are the proven...to lead initiatives with diverse scope and addressing complex business problems. It is critical for the Senior Lead… more
- AIG (Atlanta, GA)
- AIG is reimagining the way we help customers manage risk. Join us as a Claims JD Analyst to play your part in that transformation with opportunities to learn and ... regulatory developments, as well as industry trends impacting the business / claims area. + Maintaining best...will start on July 28, 2025. Locations Early Career Claims JD Analyst positions are in-person opportunities… more
- AIG (New York, NY)
- Claims Analyst III- Cyber, Media, & Technology Join us as a Claims Analyst to grow your experience in Claims . Make your mark in Claims Our ... and professional service with empathy and efficiency. How you will create an impact As a Claims Analyst III, you will be responsible for handling claims from… more
- Acosta Group (Charlotte, NC)
- …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
- The Cigna Group (Bloomfield, CT)
- …EviCore, a line of business within The Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst . For this **highly technical senior ... input correctly per the specifications of the provider. The Claims Configuration Quality Review Senior Analyst will...and act as a subject matter expert (SME) to business and IT for eviCore claims product… more
- City of New York (New York, NY)
- …in terms of funding stream eligibility. DFS Childcare Claims is seeking a Childcare Claims Analyst who will report to the Childcare Claims Supervisor and ... claiming system using monthly claim data. The duties and responsibilities of the Childcare Claims Analyst will include, but will not be limited to: - Conduct… more
- AIG (Atlanta, GA)
- Claims Analyst Sr. Severity Join us as a Senior Claims Analyst , Severity to grow your experience in Claims . Make your mark in Claims Our ... have forward thinking skills. + 5 years work experience in Commercial Property Claims . + Experience in General Commercial Property, Business Interruption, Real… more
- The Cigna Group (Bloomfield, CT)
- …and Change Lives?** EviCore, a division of the Cigna Group is hiring a Claims System Configuration Senior Analyst . This highly technical systems role requires ... the system per the specifications of the provider. The Claims System Configuration Senior Analyst will have...and act as a subject matter expert (SME) to business and IT for eviCore claims product… more
- The Cigna Group (Bloomfield, CT)
- …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 ... initiatives. You'll be the subject matter expert to the business and IT for eviCore claims product setups/processes, the eviCore claim system and related job… more
- Healthfirst (FL)
- …+ Assist in the on-going evaluation of configuration for new and existing claims business rules including member benefits, claims editing, reference ... requirements and provide feedback to stakeholders regarding feasibility of claims business rule and program changes. +...understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively… more
- Amazon (New York, NY)
- …- Develop program metrics, KPIs, and benchmarking that will track the global cargo claims program - Reporting business metrics to internal teams and discussing ... Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and...is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- City of New York (New York, NY)
- …seeking a Claiming Analyst who will be responsible for child-specific level claims that entail extensive research, and use of various State and City data ... staff work collaboratively to manage the ACS budget, submit monthly revenue claims , process payments to provider agencies/vendors, monitor the financial health of… more
- Orlando Utilities Commission (Orlando, FL)
- **OUC - The** **_Reliable_** **One** **,** is presently seeking a **Bilingual Claims Analyst (Spanish Preferred)** to join the Office of General Counsel ... Florida statutes to review and analyze property and liability claims for OUC. In this role, you will investigate,...high school diploma or GED; a Bachelor's degree in business administration, risk management, finance, or a related field… more