- Fifth Third Bank, NA (Cincinnati, OH)
- …servicing related experience. Prior PC experience to include advanced Excel, Word and Access. Claims Analyst I At Fifth Third, we understand the importance of ... opening. GENERAL FUNCTION: Responsible for completing and filing investor/insurer claims within required guidelines in order to recoup 5/3's...of the default cycle. This results in approximately 200 claims being filed on a monthly basis and $30.0… more
- Robert Half (Raleigh, NC)
- Description We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal ... for someone with extensive experience in medical claims processing and a strong ability to manage repetitive clerical tasks effectively. The role requires a… more
- Molina Healthcare (Warren, MI)
- Job Description Job Summary The Senior Claims Research Analyst provides senior-level support for claims processing and claims research. The Sr. ... management, and strategic coordination across multiple departments to resolve systemic claims processing issues. The Sr. Analyst provides thought leadership,… more
- UMB Bank (Kansas City, MO)
- …This position will report directly to the Manager, Enterprise Fraud Claims , supporting UMB's protection against multi-channel payment fraud loss. These payment ... Wire, ACH & P2P. Responsible for managing multi-channel fraud claims . Responsible for mastering the associated systems and tools...the associated systems and tools used for managing fraud claims and non-fraud dispute claims as required.… more
- Trane Technologies (Minneapolis, MN)
- …communication on warranty and service policy to channel and customers to ensure claims are filed within guidelines Support team efforts to manage and reduce warranty ... reserves What you will bring: 3+ years of experience in customer service, claims analysis, warranty support, service or related field Customer focus and continuous… more
- UnitedHealth Group (Phoenix, AZ)
- …on a global scale. Join us to start Caring. Connecting. Growing together. A Medical Claims Analyst (MCA) is responsible for the intake processing and triage of ... with your schedule. Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing and… more
- Insight Global (St. Paul, MN)
- Job Description Insight Global is seeking a Principal level Treasury Claims Analyst . The Treasury Claims Principal is responsible for managing the claim ... payment process, working with numerous internal business partners and senior leadership to establish companywide system processes and controls to ensure the appropriate application of regulatory guidance and contractual terms, while optimizing cashflow… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary: Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, ... reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth),… more
- Banner Health (Phoenix, AZ)
- …opportunity for you. Banner Health is seeking a Senior Risk & Insurance Analyst to join the department and assist with risk identification, mitigation, transfer, and ... claims management to protect one of the nation's largest...systems. In this role you will be revieing new claims , such as property or auto, that may require… 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 ... 011250 CCA- Claims Hiring for One Year Term This position...reports. Essential Duties & Responsibilities: Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and… more
- BrightView (Blue Bell, PA)
- …where you can grow to be your brightest. We're looking for a Quality Assurance Analyst . Can you picture yourself here? Hybrid Schedule: 4 Days Onsite in Blue Bell, ... No Agency Resumes At This Time Job Summary The Claims Manager is a key leader in the Risk...in the Risk Management team, responsible for overseeing all claims -related activities across Auto Liability, Workers' Compensation, and General… more
- UMB Bank (Kansas City, MO)
- …careers here and having their voices heard. The Enterprise Fraud Data Strategy Analyst is a part of the Fraud Enterprise Operations team that supports business ... various UMB clients and internal partners to escalate, investigate, and resolve fraud claims multi payments channels and mitigate risks for our customers and for… more
- ONEOK, Inc (Tulsa, OK)
- …responsible. Employee focused. JOB SUMMARY Manages moderately complex and complex claims including first- and third-party claims , insured litigated matters, ... environmental claims , and large ONEOK property subrogation claims , as needed. Manages the entire process including investigation, evaluation, negotiation and… more
- Arkansas Children's (Little Rock, AR)
- …pm - Hybrid Additional Information: Prepares accurate and complete medical claims /billings for timely submission to third-party payers. Responsible for follow-up and ... billing requirements and software products essential to performing job duties. Analyzes claims for payment. Resolves denials. Identifies problem trends and works to… more
- Aerotek (Tempe, AZ)
- …immediate opening for an ONSITE Customer Service Representative (Intake Compliance Analyst ) at the corporate office in Tempe, AZ. Compensation: $21.63/hrs ... all incoming calls regarding new and existing workers' compensation claims . Intake new claims and act as liaison between employee and Third-Party Administrator… more
- Public Consulting Group (Lansing, MI)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Fairview Health Services (St. Paul, MN)
- …Job Overview: Fairview is looking for a Revenue Integrity Charge Description Master Analyst to join our team. The Revenue Integrity Charge Description Master ... Analyst serves as a liaison between organizational leadership, end-users,...updates to the CDM that contribute to generating clean claims , enabling the collection of expected payments. Participates in… more
- Prime Therapeutics (Boston, MA)
- …career? Come build the future of pharmacy with us. Job Posting Title Pricing Analyst - REMOTE Job Description The Pricing Analyst maintains, provides analyses, ... assists with high-complexity pricing analyses. Responsibilities Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Elevance Health (St. Louis, MO)
- Performance Quality Analyst II Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing ... is granted as required by law. The Performance Quality Analyst II is responsible for driving service quality excellence...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- UPMC (Pittsburgh, PA)
- …in healthcare reimbursement? At UPMC Health Plan, we're looking for a Senior Payment Accuracy Analyst to play a critical role in shaping how claims are processed ... to create dashboards and actionable insights Collaborate across teams: Partner with Claims Operations, Medical Policy, IT, and more to align edits with clinical… more
