- Advocate Aurora Health (Charlotte, NC)
- …Monday-Friday position offering some remote, work from home opportunity. The Workers Compensation Claims Analyst Assoc is a critical thinker who manages ... They are responsible for the adjudication of medical only claims and provides superior customer service to achieve the...and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine… more
- Allied World Assurance Company Holdings, Ltd (New York, NY)
- …Jersey, or Farmington, CT Job Summary: Investigate, evaluate, and resolve claims asserted against the Company's environmental policies. Engage in collaborative ... internal or external. Job Responsibilities: *Efficiently manage a vigorous load of claims involving a broad spectrum of accounts and coverages. Promptly analyze… more
- QED Enterprises Inc (Curtis Bay, MD)
- …customers have come to expect of QED. Position Title: Sr. Management Analyst Duty Location: Baltimore, MD Employer: QED Enterprises, Inc. Employment Type: Full-time, ... Date: Immediately, Upon Completion of Background Check Summary/Description: The Management Analyst serves a primary role in monitoring the metrics established by… more
- TEKsystems (Dallas, TX)
- …of the servicer and/or client *Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits *Reviews MI claim ... Explanation of Benefits (EOB) or Insurer Advice of Payments (AOP) and research curtailment reasons for potential rebuttal *Files Appeal or Supplemental Claims … more
- County of Los Angeles, CA (Los Angeles, CA)
- …is defined as: work performed to assist and support administration by doing research , analysis, and making recommendations to the line managers on matters such as: ... moving through the process. DEPARTMENT CONTACT: Tanisha Buggs, Exam Analyst ### CALIFORNIA RELAY SERVICES PHONE: ### COUNTY OF...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- Neora (Dallas, TX)
- …South Korea, Hong Kong, Australia, and New Zealand. Position Objective A Compliance Analyst will be responsible for ensuring the company and its network of ... schemes. Review Marketing Materials : Analyze and approve marketing materials, product claims , and online content used by distributors to ensure compliance with… more
- Magellan Health, Inc. (Albuquerque, NM)
- …5-7 years' claims experience. Minimum 1 year experience of complex claims research and/or issue resolution or analysis of reimbursement methodologies within ... The Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively researching and… more
- City of Riverside, CA (Riverside, CA)
- …City of Riverside Police Department is accepting applications for the position of Crime Analyst The department is looking to fill (1) position at this time and the ... close any time after without prior notice. Under general supervision, the Crime Analyst performs a wide variety of professional level analytical, statistical and … more
- Berkley (Morristown, NJ)
- …Berkley One! We will consider candidates with experience working as a Claims Analyst , Underwriting Associate, Actuarial, or general insurance knowledge looking ... sophisticated individuals and families who require world-class risk and claims management customized to their needs, a team of...We have an exciting opportunity for a Product Management Analyst to join our Berkley One Product Management team!… more
- Peapod Digital Labs (Salisbury, NC)
- …Legal Job Requisition: 439819 Address: USA-NC-Salisbury-2110 Executive Drive Store Code: Claims Management (5157500) Ahold Delhaize USA, a division of global food ... the timely, good faith adjustment and disposition of self-administered casualty claims in multiple jurisdictions. Responsibility extends to all aspects and phases… more
- Data Intelligence LLC (Dahlgren, VA)
- Data Intelligence is looking for a Senior Data Analyst to support the Naval Surface Warfare Center Dahlgren Division (NSWCDD) in Dahlgren,VA. This is an onsite ... detailed analysis of large datasets, including administrative data, insurance, billing claims , and other relevant data. Develop and maintain analytical models to… more
- Torrance Memorial Medical Center (Torrance, CA)
- …of the Director, Revenue Cycle and guidance from the Denials Management Senior Analyst , the Denials Patient Account Rep is responsible for reviewing denied claims ... to contracts and to the appeals process. Assists the Denials Management Senior Analyst with reports and provides ongoing support and maintenance to the Revenue Cycle… more
- Blue Cross and Blue Shield of Minnesota (St. Paul, MN)
- …also evaluate appropriateness of code submission on facility and professional claims and complete unspecified code and modifier code reviews. Your Responsibilities ... Applies clinical experience, health plan benefit structure and claims payment knowledge to pre- service and retrospective reviews by gathering relevant and… more
- County of Los Angeles, CA (Los Angeles, CA)
- …studies, as necessary. Injects contrast for certain hybrid imaging procedures. Performs research under the supervision of a nuclear medicine physician or a ... filing or email the required evidence to the exam analyst at within 7 calendar days from the date...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- County of Los Angeles, CA (Los Angeles, CA)
- …and agencies concerned with disaster planning and operations. Conducts research concerning developments and trends in disaster/emergency preparedness programs. ... administrative support. Work includes assisting and supporting administration by doing research , analysis, and making recommendations to line managers on matters… more
- Equifax, Inc. (Columbus, OH)
- …agencies requires excellent verbal and written communication skills. In addition, the Analyst is responsible for the accuracy of client account information on ... comprehend and complete Change of Status (COS) form and lay-off/ claims impact study with a Manager's assistance You will...to be resourceful, with the ability and initiative to research issues and escalate as necessary You have experience… more
- Simmons Foods (Siloam Springs, AR)
- …Collaborates with the team on customer and sales requests to support label and market claims . Research and validate claims on new product launches. Remains ... processes. Directs Regulatory Compliance. Directs regulatory team members in validating claims on new product launches. Directs team member's activities with label… more
- CVS Health (Woonsocket, RI)
- …and for successfully implementing this newly defined process. With respect to analytical research , this Claims Analyst would work with service requesters ... join and to grow with our finance operations team. This Senior Financial Analyst , Adjustment Reporting and Research position focuses on claim adjustment… more
- NJM Insurance (Trenton, NJ)
- NJM Insurance Group's Claims & Medical Services Analytics group is seeking a Claims Insights Analyst . The Claims Insights Analyst applies a strong ... through presentations, dashboards and visualizations to drive strategic decision making. The Claims Insights Analyst is a highly motivated, creative self-thinker… more
- Axis (Alpharetta, GA)
- …in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst is responsible for the performance, oversight, and ongoing ... improvement of Claims support activities performed within our North America ...include support around several claim financial transactions, including payment research , reporting, expense allocations, and payment validations. + Fast… more
