- The Cigna Group (Bloomfield, CT)
- …our business solutions? Do you have a high degree of technical expertise in claims systems? EviCore, a line of business within the Cigna Group, is hiring a ... Claim Systems, Business Solutions Lead Analyst to provide focused...work closely with external clients, internal stakeholders, project managers, claims systems, claims product and planning and… more
- Guardian Life (Bethlehem, PA)
- **Overview** As Claims Technical Analyst in Individual Markets Claims , you will play a key role in supporting the Life Insurance claims processing, ... Claims transaction processing. + Work closely with the Business and IT team to provide guidance and support...similar technology + 3+ years of experience as Life Claims Technical Analyst in Life Insurance industry.… more
- JBS USA (Greeley, CO)
- **Description** Claims Analyst Purpose and Scope/General Summary: We are looking for a Claims Analyst to join our JBS Pork team at the Corporate office ... claims losses. It is the role of the Analyst to identify customer trends and suggest methods of...balance + Keep detailed records and accounts of all claims , deductions and DSO + Acquire required … more
- JBS USA (Greeley, CO)
- **Description** Imports Claims Analyst Purpose and Scope/General Summary: JBS Imports is seeking candidates for a Claims Analyst role. The Claims ... will be tasked with identifying, researching, and completing claims to vendors. The Claims Analyst...Business , or related field is preferred but not required + Experience with Microsoft Office applications including Excel… more
- Providence (Renton, WA)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... and regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** **New** Information ... Qualifications:** + Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing Claims… 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 ... claims adjudication, clinical coding reviews for claims , settlement, claims auditing and/or utilization review required + 7+ years experience with… more
- CDPHP (Albany, NY)
- …and invites you to be a part of that experience. The Risk Adjustment Claims Analyst will be responsible for identifying, interpreting, auditing and analyzing ... assist with explanation of the findings. The Risk Adjustment Claims Analyst will interpret the needs of...Associates degree or two (2) years of equivalent experience required ; Associate's degree in accounting, finance, business … more
- Lowe's (Mooresville, NC)
- **Your Impact** The primary purpose of this role is to serve as a high-risk claims analyst for the Legal department, handling high risks/high value cases and ... process/technology for current claims examiners + Develops and delivers training to business units on claims processing process and is the subject matter… more
- Highmark Health (Frankfort, KY)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Axis (Red Bank, NJ)
- …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 ...with customer calls, queries, and redirecting claim escalations as required . + Partnering with members of the North America… more
- Fifth Third Bank, NA (Cincinnati, OH)
- … experience. + Prior PC experience to include advanced Excel, Word and Access. Claims Analyst II LOCATION -- Cincinnati, Ohio 45227 Fifth Third Bank, National ... Bank. GENERAL FUNCTION: Responsible for completing and filing investor/insurer claims within required guidelines in order to...risks of all types. DUTIES & RESPONSIBILITIES: + All Claims started within five business days of… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Apr 19, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- USAA (Phoenix, AZ)
- …service opportunities. Individuals selected will be responsible for building the Claims omni channel strategy, establishing business and technical requirements, ... Relocation assistance is not available for this position. **Several new positions within the Claims Data and Analytics team to support the build out of omni channel… more
- TEKsystems (Deerfield Beach, FL)
- …a leading North American provider of auto-dealership services, is looking to add Mechanical Claims Analyst to their Deerfield Beach, FL team. Description Are you ... shift gears in your career? We are seeking Mechanical Claims Analysts to join our expanding customer contact team....will take will be: - Dealerships calling with repairs required on car to determine if the repairs needed… more
- The Cigna Group (Bloomfield, CT)
- Ready to work with a team that improves our business solutions? Do you have a high degree of technical and analytical expertise? EviCore a line of business ... within the Cigna group, is hiring Claim Systems, Technical Lead Analyst . For this highly technical and analytical role. You'll gather requirements across several… more
- HUB International (Brentwood, TN)
- …The result is a one-stop source for insurance solutions **Job Summary** The Sr. Claims Assistant and Data Analyst -primary objective is to take the first ... and working location, as well as the specific position's business line, scope and level. HUB International is proud...bonuses, equity and commissions for some positions. \#SPG Department Claims Management Required Experience: 2-5 years of… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements ... are appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may...REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** + 1-3 years claims analysis experience + 5+ years medical claims… more
- Kemper (Henderson, NV)
- … Claims organization. **Position Responsibilities:** + Developing understanding of the P&C Claims business in order to support key claim projects with metrics ... claims organization and leadership on strategic goals and business initiatives. + Ability to maintain confidential and trust-based...required or equivalent of 3 working years in Claims , specific to Material Damage + Knowledge of specific… more
- Walmart (Bentonville, AR)
- …documenting case details; determining whether payment is warranted; and managing multiple claims related to a single event as required . + Manages ... in the claim/image management system. + Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of… more
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