- Colorado Housing and Finance Authority (CO)
- …advanced to the sub-servicer for loans in loss mitigation, which includes partial claims and foreclosure claims . Monitor receipt of all loan modification ... (exceptions) in securities backed by first mortgages. * Analyzing data to prioritize risk associated with a pool of...funds advanced to sub-servicer as it relates to partial claims and loan modifications. * Monitors the portfolio of… more
- LA Care Health Plan (Los Angeles, CA)
- …Degree Experience Required: 1 year of experience in healthcare insurance coordination, claims processing, or data validation . Experience in Customer ... Data Validation - Review and validate coordination of benefits data , including insurance policies, coverage details, and claims information. Identify… more
- Trinity Health (Farmington Hills, MI)
- …of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates ... objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and...payers determining the cause for delay and supplying additional data as required. May prepare special reports as directed… more
- Trinity Health (Farmington Hills, MI)
- …of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates ... objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and...and determining the cause for delay and supplying additional data as required. May prepare special reports as directed… more
- USAA (Phoenix, AZ)
- …which include the evaluation of the business problem, analytical methodology, validation , documentation and presentation of findings and recommendations. + Monitors, ... approaches, to drive fact-based decision-making. + Maintains and innovates knowledge of data analysis tools, data visualization, developing analysis queries and… more
- Citigroup (San Antonio, TX)
- …infrastructure and processes. **Responsibilities:** + Assist with the creation, execution, and validation of User Acceptance test plans and scripts to ensure all ... as needed + Research and interpret standard information and identify inconsistencies in data or results + Assist in training team members on loan resources as… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …specific issues for all lines of business. + Excellent analytical, research, documentation, data validation and report preparation skills with the highest degree ... to support business requirements. + Independently and comprehensively develops data validation tools, data quality...data , reports, and file extracts and to ensure compliance with departmental and corporate expectations. + Assists Lead… more
- BeiGene (San Mateo, CA)
- …includes rules to manage key business processes for customer alignment, channel data (3PL/SP/SD/Voucher/Copay), patient journey, patient claims , VA sales & ... partner closely with Sales, Marketing, Market Access, Medical Affairs, Compliance , GTS, Business Planning & GTS organizations. This position... data , Patient Hub data , VA data , CRM, Digital, MCM & Claims is… more
- Point32Health (Canton, MA)
- …who can deliver meaningful insight on business performance. This role uses claims data and other supporting information to evaluate provider-specific ... + 5-7 years' related experience in a payer/provider role, with health insurance claims data experience + Demonstrated experience with complex data … more
- Guidehouse (Mclean, VA)
- …assistance and State engagement conversations. + Collaborates with cross-functional team using data validation tools to identify issues and discrepancies with ... claims , encounters, financials, etc.) and process to coach stakeholders on data compliance . + Maintains, tracks, and collaborates on multiple distinct user… more
- FM Global (Johnston, RI)
- …team, the Data Engineer is responsible for ensuring the highest standards of data quality, security and compliance . Additionally, the Data Engineer will ... 100 countries, in a variety of challenging roles. The Data Engineer III is responsible for analysis, data...journey (Underwriting and Risk; Client Service, Sales and Marketing; Claims ; Account and Location Engineering) as well as emerging… more
- City of Lacey (Lacey, WA)
- …panels to ensure a fair and consistent process across the organization. Manages applicant data to ensure compliance with DEI industry best practices, and ensures ... selection processes; training and organizational development; HR policy and rules compliance ; risk management; workers' compensation and safety; and coordination of… more
- Alight (IN)
- …Leader in establishing standardized policies and procedures for the administration of insurance claims related to leave absence | Ensure compliance with industry ... and external stakeholders. . Risk Management: | Mitigate risks associated with claims processing errors, fraud, and non- compliance . | Implement preventive… more
- Trinity Health (Farmington Hills, MI)
- …appeal letters to resolve payment rejections and/or denials. + Updates and refiles timely, accurate claims . + Reports and maintains data on types of claims ... resolves payment delays and/or variances resulting from rejected and/or denied claims and/or overpayments and underpayments with direction from the Supervisor… more
- Trinity Health (Farmington Hills, MI)
- …appeal letters to resolve payment rejections and/or denials. + Updates and refiles timely, accurate claims . + Reports and maintains data on types of claims ... resolves payment delays and/or variances resulting from rejected and/or denied claims and/or overpayments and underpayments. Processes payments as appropriate in… more
- Travelers Insurance Company (Columbus, OH)
- …supervision, this position is responsible for handling first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal ... claim resolution for personal or business claims of moderate severity and complexity. This position is a dedicated Claim Professional who is a first responder to… more
- Travelers Insurance Company (Madison, WI)
- …this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim ... resolution for personal or business claims of moderate severity and complexity. Handles claims and other functional work involving one or more lines of business… more
- Travelers Insurance Company (Glen Burnie, MD)
- …supervision, this position is responsible for handling first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal ... claim resolution for personal or business claims of high severity and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts,… more
- MyFlorida (Miami Lakes, FL)
- …for performing duties related to customer service, sales of Lottery products, validation and payment of winning claims , preparation of promotional book ... representative for calls made to the district office. + Pay/ validation operator and assists players in completing claims...moving up to 50 lbs. + Compiles and analyzes data for administrative decisions. + May occasionnlay be required… more
- MyFlorida (Fort Myers, FL)
- …for performing duties related to customer service, sales of Lottery products, validation and payment of winning claims , preparation of promotional book ... representative for calls made to the district office. + Pay/ validation operator and assists players in completing claims...moving up to 50 lbs. + Compiles and analyzes data for administrative decisions. + May occasionally be required… more
