- 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 ... new developments, analysis and/or recommendations to the Director, Insurance and Senior Risk Management Claims Analyst for discussion. * Serve on selection… 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
- 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
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Treasury Claims Analyst Senior - Remote **Job Description** The Senior ... for providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and Government Programs.… 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
- 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 Operations team. These functions include outsourced responsibilities to an… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Management Analyst , Technical Third Party Oversight to play your part in that ... the team. Make your mark in Technical Third-Party Oversight Claims Our industry leading Claims teams are...service. These positions provide the opportunity to engage/work with senior claim and underwriting management, and for growth in… more
- Deloitte (Columbus, OH)
- …technology who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ... * Certified in Epic Hospital Billing Administration/Professional Billing Administration and Claims * Experience in performing configuration changes and system builds… 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 ... and/or store for issues which cannot be satisfactorily resolved by the Claims Examiner or Sr . Claims Examiner + Serves in a supervisory capacity to… more
- 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...**Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and… more
- Providence (Renton, WA)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims...claims environment, and respond positively to change.** **The Senior Quality Analyst performs all duties in… more
- HUB International (Brentwood, TN)
- …and organizations. The result is a one-stop source for insurance solutions **Job Summary** The Sr . Claims Assistant and Data Analyst -primary objective is to ... subsidiaries reside: + Avant Underwriters (AU + Avant Specialty Claims (ASC) + Avant Brokerage (AB) + Avant Supermarket...incoming claim calls. In addition, they will assist the claims team by performing routine clerical and administrative duties… more
- Healthfirst (NY)
- …and prevent claim denials and accurate claim adjudication + Collaborate with clinical, claims and benefits teams to clarify appropriate claim coverage and denials as ... Surgery, DME, vaccination Ambulance fee schedules + Prior experience with multiple claims scrubbers to ensure coding guidelines are followed + Prior experience in… 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
- Cognizant (Columbus, OH)
- …the Configuration and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed ... knowledge of the business unit being supported, as well as an understanding of the IT organization's systems and capabilities in order to participate in project activities and research requests on an ongoing basis; Assist in obtaining consensus by facilitating… more
- AIG (Atlanta, GA)
- Senior Claims Analyst Severity, Excess Casualty At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims ... on the same day? This Excess Casualty position may be for you. + This Senior Claims Analyst position in Excess Casualty involves handling claims for… 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 ... of errors and the creation of ongoing and ad hoc files. The Senior Analyst position will also be responsible for supporting the implementation of new clients… 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
- MTA (New York, NY)
- …: The Analyst OCIP provides varying levels of support and analysis to Senior OCIP Administration Claims Analyst , Assistant Director and Deputy Director; ... Analyst , Owner Controlled Insurance Programs Job ID: 10997...Owner Controlled Insurance Programs (OCIP) including oversight of safety, claims and administrative services provided by the insurance broker… more
- Amazon (Seattle, WA)
- …Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and data ... ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in...cargo regulations, and risk management in transportation. As a Senior Risk Analyst , you will partner with… more
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