- 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
- Usaa (Chattanooga, TN)
- …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
- Usaa (Colorado Springs, CO)
- …reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work ... Why USAA? Ensure all your application information is up to date and in order before applying for this opportunity. At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted… more
- Usaa (Chesapeake, VA)
- …Injury Examiner , you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to include confirming coverage, determining ... liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a concierge… more
- Usaa (Los Angeles, CA)
- …guidelines and framework responsible to investigate, evaluate and appraise vehicle damage claims for both repairable and total loss vehicles to ensure estimate ... use of digital tools, evaluates and appraises highly complex auto physical damage claims in accordance with the terms and conditions of the contract, corporate… more
- Usaa (Washington, DC)
- …responsible for the investigation, negotiation, evaluation, and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate ... digital tools, evaluate and appraise simple and moderately complex auto physical damage claims in accordance with the terms and conditions of the contract, corporate… more
- Usaa (Philadelphia, PA)
- …and framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. You will confirm/analyze coverage, ... adjusting for a virtual first approach to inspections and claims handling. USAA also provides a company vehicle to...travel outside of their local territory to respond to claims in other regions when needed. This is an… more
- Usaa (Chesapeake, VA)
- …assistance is not available for this position. These positions will support Claims Litigations. What you'll do: Develop and implement strategic customer specific ... systems to collect and analyze data. What sets you apart: P&C Litigation Claims Operations and/or Optimization experience. 2+ years Manager, Claims Operations… more
- Usaa (Colorado Springs, CO)
- …card, check, deposit, digital payments, as well as in other areas such as claims and disputes. Strong candidates will be able to deploy the following work products ... and processes: Develop and continuously update internal fraud models in the transactions and payment space, demonstrating techniques ranging from statistics to highly sophisticated AI/ML techniques, to generate highly significant reduction in fraud losses and… more
- Lyric (Newtown Square, PA)
- … claims editing solution, as a payment, reimbursement or medical policy analyst , medical claims processor, chart auditor/reviewer, or claims edit/denial ... leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with...subject matter expert on CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI, LCDs, State Medicaid, MUEs,… more
- Tutor Perini (Sylmar, CA)
- …or in the future. Tutor Perini Corporation is seeking a **Risk Management Analyst ** to join our office in **Sylmar, CA** **About Tutor Perini Corporation:** ... **_Extraordinary Projects need Exceptional Talent_** **DESCRIPTION:** The Risk Management Analyst is responsible for identifying, assessing, and mitigating operational,… more
- Warner Music Group (New York, NY)
- …including, without limitation, tracking audit notifications, reviewing and analyzing the claims contained in the audit reports we receive, making recommendations to ... internal label clients regarding how to respond to those claims , facilitating settlement negotiations between the party auditing and...the audit concerned; + Review and analyze the audit claims submitted by the auditor in question, as well… more
- Morley (Saginaw, MI)
- …in a positive workplace that's close to home? As an experienced Business Analyst at Morley, you'll analyze and help implement both internal and client initiatives, ... help desk + Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will) services **_About Morley_** Our… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …**It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Data Science Analyst III, under the direction and supervision of the Director of ... our Office of Enterprise Data (OED). The Data Science Analyst III is a senior-level analyst who...healthcare, including familiarity with hospital systems, healthcare data sets ( claims , EHR, clinical data, structured and unstructured data) and… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …**It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Data Science Analyst II, under the direction and supervision of the Director of ... role in our Office of Enterprise Data (OED). The Data Science Analyst II collaborates with stakeholders across the organization to develop sophisticated analytics… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality ... relevant Network Providers, including those with delegated arrangements + Review YTD claims files on a monthly/quarterly basis to identify errors and address… more
- Somatus (Mclean, VA)
- …the leader in value-based kidney care, has an immediate opening for an Analyst , Operations & Client Analytics to create impact among Somatus' clients and leadership ... by analyzing Somatus' healthcare claims and care management data. This position will work collaboratively with the Operations, Customer Success, and Analytics teams… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …support health economic claims . **Job Duties** + Serve as a primary analyst for clinical studies and RWE research using multiple clinical trial data and ... patients. + Analytics skill set with experience in clinical studies or medical claims and other secondary data to generate patient safety, treatment efficacy and… 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 ... a meaningful impact on the future of energy and transportation. **Job Summary:** The Claims Analyst plays a key role in the insurance claims lifecycle at a… more
- AIG (New York, NY)
- Job Description Join us as a Claims Analyst III to take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim ... be responsible for handling all aspects of multi-line, financial lines claims from inception through conclusion brought against insureds. The responsibilities for… more
