- Commonwealth Care Alliance (Boston, MA)
- …the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective ... 011250 CCA- Claims **Position Summary:** Working under the direction of...the request based on business needs and requirements, provider resolution option based on financial ability and forecasting for… more
- Netflix (Los Angeles, CA)
- We are seeking a Senior Analyst to assist our growing Risk Management team. In this role, you will support our Global Corporate and Production Casualty Claims ... compensation, return to work, auto liability, and general liability claims . This role reports to a Senior ... Management + Manage all Workers' compensation and Auto/GL claims from inception to resolution , ensuring compliance… 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 ...Claims ' offshore team to convey process changes, query resolution , feedback, and other important updates critical to ongoing… more
- CVS Health (Scottsdale, AZ)
- …Transmission (CET Files) on behalf of our Clients and their vendors. The Senior Analyst will have primary responsibility and ownership of the administration ... to clients and vendors and the timely and complete resolution of related issues and requests including the monitoring...the creation of ongoing and ad hoc files. The Senior Analyst position will also be responsible… more
- Prime Therapeutics (Eagan, MN)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Business Systems Analyst **Job Description** The Sr . Business Systems ... project team and various levels of management. With consistent Senior Leadership visibility, the Sr . BSA is...assignments within project + Educate and advance business systems analyst practice within the Claims IT team… more
- BayCare Health System (Clearwater, FL)
- …respect, responsibility and clinical excellence. **Responsibilities:** + The Managed Care Financial Analyst Sr . performs financial analyses of patient data for ... working remotely?Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Mgd Care Financial Analyst Sr **Location** Clearwater:BayCare Sys Office West |… more
- Dart Container (Mason, MI)
- Sr Procurement Business Process & Systems Analyst Apply now " Date: May 1, 2025 Location: Mason, MI, US Company: Dart Container Are you a procurement pro with a ... and support the maintenance and communication of goods discrepancies, resolution , returns, claims , insurance certificates, lead-times, acknowledgements, shipping… more
- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in ... Claims . Our Claims teams are the proven problem solvers of choice...on establishing appropriate reserves within assigned authority and in recognition AIG's of exposure above the deductible. Continually evaluates… more
- Molina Healthcare (Columbus, OH)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... claim payment system and other applicable systems. + Participates in defect resolution for assigned component + Assists with development of configuration standards… more
- Cardinal Health (Columbus, OH)
- This Sr . Analyst will support the Metro Medical Pharmacy Claims & Reconciliations. Open to remote candidates in Tennessee and Ohio! **_What Finance ... services rendered to policyholders, identifying errors or overpayments. + Claims Reconciliation: This involves comparing claims submitted...ability to identify issues and able to recommend a resolution . + Clean up Project - AR Aging Research… more
- Molina Healthcare (Columbus, OH)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... claim payment system and other applicable systems. + Participates in defect resolution for assigned component + Assists with development of configuration standards… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office ... and/or construction complexity, environmental issues and other non-traditional project variables. Senior Cost Control Analyst also reviews and provides comments… more
- 3M (IN)
- …general guidance within customer service areas, such as customer inquiries, claims and complaints, customer training, call center(s), invoicing and order management, ... to improve his/her own performance as CSR 5. Customer Issues Resolution : Accountable for ensuring Customer queries and complaints are resolved satisfactorily… more
- 3M (IN)
- …general guidance within customer service areas, such as customer inquiries, claims and complaints, customer training, Portal Management, invoicing and order ... to improve his/her own performance as CSR 5. Customer Issues Resolution : Accountable for ensuring Customer queries and complaints are resolved satisfactorily… more
- Walmart (Bentonville, AR)
- …in the claim/image management system. + Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of ... significant reserve increases; monitoring reserves for all open claims ; authorizing payment for approval or facilitating denial of the claim; and reserving file for… more
- Axis (Princeton, NJ)
- …This role is a highly analytical and detail-oriented position within our Claims Operations team, with a specialized focus on Bordereaux Management. The ideal ... effectively with cross-functional teams to drive process improvements and enhance claims management efficiency. *Preferred candidates will be able to commute to… more
- New York State Civil Service (Albany, NY)
- …and per DASNY procedures. Communicate the client's response to the Director, Insurance, Senior Risk Management Claims Analyst , Counsel's Office, outside ... regarding new developments, analysis and/or recommendations to the Director, Insurance and Senior Risk Management Claims Analyst for discussion. *… more
- Capital One (Mclean, VA)
- …Record (CSOR) and Fraud Reporting Service (FRS), core data products associated with the resolution of credit card Fraud and Dispute claims . This Product Manager ... Sr . Associate, Product Management - Customer Services & Strategy...will partner closely with the Business Analyst team that utilizes CSOR data and the Tech teams… more
- Ascension Health (Austin, TX)
- …insured and defense counsel. + Investigate and process general and professional liability claims from first notice of loss through resolution including coverage, ... the time of the offer._ **Responsibilities** Oversee medical professional liability claims and litigation for the Ascension Health Alliance Professional Liability… more
- Prime Therapeutics (Columbus, OH)
- …as appropriate + Identify accounts that are subject to collections; coordinate with Senior Recovery and Resolution Analyst to support driving collections ... our passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst… more
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