- Guardian Life (Bethlehem, PA)
- … Claims , you will play a key role in supporting the Life Insurance claims processing , product and system configuration on Claims management platform and ... **Overview** As Claims Technical Analyst in Individual Markets...will offer a depth and breadth of knowledge of claims processing systems including integration points, data… more
- New York State Civil Service (Albany, NY)
- …- Dormitory Authority of the State of New York Title Property-Casualty Insurance Claims Administrator (Risk Managment Claims Analyst ) Occupational Category ... Zip Code 12207 Duties Description Primary PurposeThe Risk Management Claims Analyst guides all aspects of the...* Serve on committees/teams as directed.* Review and recommend claims -related invoices and/or payments for processing and… more
- CenterLight Health System (NY)
- …+ Validate Diagnosis-Related Group (DRG) grouping and (re)pricing outcomes presented by the claims processing vendor to ensure accuracy. + Attend Joint Operating ... JOB PURPOSE: The Claim Analyst will play a pivotal role in enhancing...in MS Excel, Word, PowerPoint, and experience using a claims processing system or comparable database software.… 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 ... and identifying areas of opportunity as it relates to claims processing and encounter submission. They may...assist with explanation of the findings. The Risk Adjustment Claims Analyst will interpret the needs of… 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 ... claims examiners + Develops and delivers training to business units on claims processing process and is the subject matter expert + Serves as a subject… more
- Commonwealth Care Alliance (Boston, MA)
- …Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing System **Required Knowledge, Skills & Abilities (must have):** ... of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective … more
- Molina Healthcare (Columbus, OH)
- …claims projects + Assists with reducing re-work by identifying and remediating claims processing issues + Locate and interpret regulatory and contractual ... standard principles and applicable state specific policies and regulations to identify claims processing errors + Applies claims processing and technical… 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
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Apr 16, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 61400 **Who we are** ... people to make a difference with. **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which… 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 ... + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health insurance claims + 3… 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 ...inefficiencies in process through reporting, feedback, or hands on processing , and working through potential process and/or technology solutions… more
- New Jersey Resources (Wall Township, NJ)
- …development, and competitive pay and benefits. New Jersey Resources is seeking a Claims Analyst , responsible for the investigation and adjusting of property ... and customer complaints, maintains department files, assists with the investigation and processing of automobile claims , and provides assistance on special… more
- AmeriHealth Caritas (Washington, DC)
- …Network Resolution Analyst is responsible for configuration updates, resolution of claims inquiries, and all other system changes needed to facilitate timely and ... accurate payment of claims for par and non-par providers in our network.;...in our network.; The Managed Care Provider Network Resolution Analyst ensures that each provider's status with the health… more
- Aston Carter (Auburn Hills, MI)
- Job Title: Global Claims AnalystJob Description The Global Claims Analyst is responsible for claims billing, filing, and follow-up. The role focuses on ... dealer chargebacks. + Review and submit damage reporting. Essential Skills + Claims processing + Data entry + Customer service + Proficiency in Microsoft Office… more
- New York State Civil Service (Albany, NY)
- …DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office Occupational Category ... State NY Zip Code 12208 Duties Description Primary PurposeSenior Cost Control Analyst reviews and recommends approval of construction change orders, analyzes … 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 ... Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability to navigate multiple software systems… more
- Acosta Group (Tampa, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...change to provide continuous improvements. **RESPONSIBILITIES** + Process escalated claims , assesses the reason for the escalation, and provides… more
- TEKsystems (Earth City, MO)
- …Growth: Opportunities for professional development and advancement Key Responsibilities: + Claims Processing : Utilize your in-depth knowledge of vehicle ... Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , with the ability to navigate multiple software systems and monitors… more
- Adecco US, Inc. (Phoenix, AZ)
- **Position Summary** The Claims Analyst III works on the full range of claims , correspondence, quality assurance and escalations to ensure the satisfaction ... and productivity * Contributes subject area expertise to determine processing guidelines and assess if standards have been met...claimants by phone or email * Verifies data and processing requirements and makes corrections as necessary * Other… more
- Axis (Princeton, NJ)
- …bordereau's when processed, including preparation of payment requests and cash calls from Claims processing , broker & service fee payment and analysis of ... This role is a highly analytical and detail-oriented position within our Claims Operations team, with a specialized focus on Bordereaux Management. The ideal… more
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