- Lowe's (Mooresville, NC)
- "The primary purpose of this role is to serve as a high risk claims analyst for the Legal department, handling litigated cases and sensitive brand issues. The ... for issues which cannot be satisfactorily resolved by the Claims Examiner or Sr . Claims ...Serves in a supervisory capacity to other examiners on claims resolution + Develops and delivers training… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on ... in conjunction with management team in providing the best resolution under general directions with substantial latitude to improve...to completion that falls within the scope of the Claims Recovery & Analysis Department. + Prepare Claims… more
- Universal Health Services (Reno, NV)
- …from various vendors in order to support the goals and mission of PHP. The Application Analyst Sr . is a senior role that will possess extensive experience ... patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Application Analyst Sr . position leads the support, configuration, testing,… more
- Hartford Steam Boiler Inspection and Insurance Company (Hartford, CT)
- Underwriting Portfolio Risk Analyst Sr **Company** HSB **Location** Hartford , United States The Senior Underwriting Portfolio Risk Analyst has overall ... new product implementations and performance management of existing client companies. The Senior Underwriting Portfolio Risk Analyst is responsible for acting as… more
- Honeywell (Charlotte, NC)
- We are looking for an experienced, data-driven Sr . Benefits Analyst to manage our defined benefit (DB) administration and oversight for the Honeywell Retirement ... to ensure the calculations are accurate. Will manage cases supporting the resolution of inquiries, escalations, errors, and requests from participants, such as… more
- Bank of America (Phoenix, AZ)
- Sr Fraud Analyst II (Fraud Detection...you have + Prior experience in Retail Fraud Servicing, Claims or Fraud Detection. + Experience working in an ... and relationships that may require differentiated treatment or specialized resolution + Complies with industry regulations, bank procedures, integrity levels… more
- Universal Health Services (Richmond, VA)
- …talented Variance Analyst - Central. The primary responsibility of the Variance Analyst is the resolution of over and underpayment discrepancies on paid ... denials, revenue opportunities and revenue leakage and works towards resolution and improvement of the Finish revenue cycle process....Finish revenue cycle process. + Reviewing all high dollar claims over 25k as well as working closely with… more
- CVS Health (Hartford, CT)
- …make health care more personal, convenient and affordable. Position SummaryAs a Senior Litigation Adjuster in Risk Management, you will be responsible for managing ... manage complex lawsuits against CVS from the initiation of suit through resolution , including pharmacy, healthcare and premises lawsuits. - Analyzing case files and… more
- AIG (Concord, CA)
- Senior Claims Analyst Join...liability assessment and quantum analysis, to timely and accurate resolution . + Your goal will be timely, accurate and ... us as a Senior Claims Analyst to take on key responsibilities within a world-class...customer-focused claim resolution , minimizing indemnity exposure and mitigating vendor and legal… more
- Henry Ford Health System (Detroit, MI)
- …appropriate. + Oversees service providers to ensure the completion of assignments, resolution of outstanding claims and administrative disputes, and the ... applies benefits related Total Rewards practices and guidelines; provides problem resolution as needed. + Assists in overall benefits program management activities.… more
- BrightSpring Health Services (Longmont, CO)
- …Overview TheSr Collections Analystis responsible for the research, collection and/or resolution of an assigned account portfolio in accordance with PharMerica's ... can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in… more
- Academy Sports + Outdoors (Katy, TX)
- …existing product and provides recommendations to internal business partners for resolution . + Maintains database of relevant product incident information; analyzes ... to ensure necessary warnings are present and all product claims have been substantiated. + Partners with e-commerce team...are present on the Academy website and all product claims have been substantiated; periodically audits product pages. +… more
- CVS Health (Hartford, CT)
- …identification to closure through thedelivery phases. Actively participates in resolution ; proposes and designs retest cases/scripts/data to retest defects; Provide ... 2 years experience working in Health care Industry. Knowledge of Medicaid Claims and Payments processing Experience working in Healthcare EDI files Be able… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** M Health Fairview is a hiring a Sr Application Analyst in Professional Billing - Epic! This position is involved with building in Epic. This role ... support and resolves issues. Interacts with vendors on problem determination, resolution , issue tracking, upgrades and fixes. + Participates in after-hours support… more
- Ramsey County (St. Paul, MN)
- Claims Analyst Print (https://www.governmentjobs.com/careers/ramsey/jobs/newprint/4536137) Apply Claims Analyst Salary $63,652.00 - $94,277.52 Annually ... in the department or County. To perform the daily claims management function for resolution of tort,...Training and Experience Rating = 100% The examination for Claims Analyst will consist of a training… more
- TEKsystems (O Fallon, MO)
- Description: Sr . Complex Claims Analyst : Proactively investigate, evaluate and negotiate resolution of assigned primary and excess Insurance Agents and ... Brokers errors and omissions claims in accordance with established... in accordance with established best practices and assure claims are handled within granted autonomy limits. Develop and… more
- CVS Health (Scottsdale, AZ)
- …CVS Health is currently looking for a dynamic individual to join our team in an Sr . Analyst role. This is a client facing project management / auditor position ... initiated by CMS / States. In this position, the Sr . Analyst will work closely with Anthem... will be responsible for the timely and satisfactory resolution of exceptions identified during the audit process, specifically… more
- VHC Health (Arlington, VA)
- Senior Epic Resolute Hospital Billing Analyst II Job Description Purpose & Scope: This position is responsible for leading, coordinating, and supporting the ... upgrade needs; and overall coordination of team activities. The Senior Resolute Hospital Billing Analyst provides deep...thorough understanding of hospital operations in assigned area. The Sr . Epic Hospital Billing Analyst works with… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Sr . Data Analyst will be responsible for driving strategy and delivery of two key analytic tools that will be built ... using provider and claims data. The Analyst will sit on...business decisions and sales enablement. The purpose of a Sr . Data Analyst is to find meaning… more
- The Cigna Group (Tucson, AZ)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr . Supervisor, Sr . Manager, Director, and ... initiatives + Perform financial analysis & participate in market financial review with senior management. + Trouble shoot claims issues for providers +… more