- WelbeHealth (Los Angeles, CA)
- …Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and ... accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. **Essential Job… more
- Under Armour, Inc. (Sparrows Point, MD)
- Logistics Compliance & Claims Analyst **Logistics Compliance & Claims Analyst ** **Values & Innovation** At Under Armour, we are committed to empowering ... (https://performancemanager8.successfactors.com/sf/careers/jobsearch?bplte\_company=ua&\_s.crb=aNMP8gWoYkBDFn%252bz2BldysgcgQHZpVs6tHzE9smSuXE%253d) **Purpose of Role** The Logistics Compliance & Claims Analyst (Baltimore Distribution House) leads… 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 ... the future of energy and transportation. **Job Summary:** The Claims Analyst plays a key role in...compliance, reviewing reportable vs. recordable classifications + Enter and audit injury and illness records and assist with annual… 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 ... + You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit... Claims by supporting Quality Assurance / Regional Audit processes, ensuring mitigation of indemnity and expense exposure… more
- Travel + Leisure Co. (Orlando, FL)
- …exceptional experiences for millions of travelers worldwide. The **Workers Compensation** ** Claims Analyst ** is responsible for supporting workers' compensation ... cost management role would consist of proactive claim administration for workers' compensation claims by providing analysis on each open claim, as well as devising… more
- Ford Motor Company (Livonia, MI)
- …and Ford Finance on monthly freight payment alignment as well as MCRP and GAO audit support. As the claims SME, there will be opportunities to interact with ... **In this position ** As Business Owner of the Parts Claims System, administer claims for US Dealers and related Carrier Claims for Inbound and Outbound… more
- Warner Music Group (New York, NY)
- …the contractually-defined scope) of the audit concerned; + Review and analyze the audit claims submitted by the auditor in question, as well as the relevant ... recommendations for the WMG label client(s) concerned regarding how to respond to the audit claims in a given audit ; + Facilitate the settlement of each … more
- Jacobs (Buffalo, NY)
- …the Contract, determine validity * Day-to-day tracking, review, and management of delay claims assigned to the successful candidate * Audit contractor's claim ... is where you belong. This candidate will work in the claims department, analyzing delay claims brought against the State within a geographic region. The… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Clinical Auditor/ Analyst Intermediate! The Clinical Auditor/ Analyst Intermediate is an integral part of the ... and revises better best practice within the department. The Clinical Auditor/ Analyst Intermediate creates, maintains and analyzes auditing reports related to their… more
- USAA (San Antonio, TX)
- …through one or more of the following activities: processes death claims , administers reinsurance, account reconciliations, audit support and coordination, ... team in the Life Actuarial department as a Reinsurance Analyst II!** This is an exciting opportunity to play...play a vital role in supporting reinsurance processes, from claims processing and treaty administration to financial reporting and… more
- Ventura County (Ventura, CA)
- Workers' Compensation Risk Analyst Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5142408) Apply Workers' Compensation Risk Analyst Salary ... The candidate must possess extensive experience in workers' compensation claims administration, rating permanent disability, developing case settlement recommendations,… more
- Rush University Medical Center (Chicago, IL)
- …the circumstances of each case. **Summary:** Reporting to the Manager of Compliance audit , the Corporate Compliance Regulatory Analyst plays a critical role in ... with federal and state regulations as well as Rush's internal policies. The Analyst collaborates closely with hospital departments and Rush Medical Group (RMG) to… more
- AIG (Lenexa, KS)
- …succeed + Proven claim adjudication or claim operations experience for multi-line commercial claims . Claim Audit or file review experience is desirable. + ... to manage risk. Join us as a Claim Governance Analyst to play your part in that transformation. It's...valued member of the team. Make your mark in Claims . Our Claims teams are the proven… more
- The City of Rochester, MN (Rochester, MN)
- Senior Financial Analyst - RPU Print (https://www.governmentjobs.com/careers/rochester/jobs/newprint/5147764) Apply Senior Financial Analyst - RPU Salary ... POSITION DESCRIPTION The City of Rochester invites applications for: Senior Financial Analyst Rochester Public Utilities www.rpu.org Our vision is based on six core… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and claims processing platform. . Manages case volumes and review/ audit schedules, prioritizing case load as assigned by Management. . Consistently demonstrates ... Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical… more
- PRGX (Bentonville, AR)
- … audit and analyze the client's business operations. + Finds, supports, and documents audit and claims operations. + Produces claims using appropriate ... audit concepts for writing claims , updating claims management system, and billing claims to client. + Provides vendors with claim back-up information. May… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659553) Apply HEALTH CARE ... FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $76,615.68 - $103,240.32...for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations… more
- The County of Los Angeles (Los Angeles, CA)
- …assessment will be considered for permanent appointment to Health Care Financial Analyst . DEFINITION: Prepares reimbursement claims for health and/or mental ... HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4722417) Apply HEALTH CARE… more
- NJM Insurance (Trenton, NJ)
- …opportunities for improvement to present to management. + Collaborate with the BPU, claims management, law and regulation, and internal audit to ensure the ... Training and Quality Assurance Management Supervisor, the WC Quality Assurance/Compliance Analyst is responsible for ensuring adherence to state and federal… more
- Sharp HealthCare (San Diego, CA)
- …and provides data and financial analysis for its providers. The Contracts Analyst is responsible for operational support to respond to contract informational needs; ... analyzes contractual claims processing and compensation terms of Primary Care, Specialty,...is communicated and coordinated to appropriate internal departments and audit is performed to ensure accurate contract claim/encounter pricing… more