• Claims Operations Business

    Centene Corporation (Atlanta, GA)
    …flexibility. **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. + Support business ... processes + Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations + Identify ways to enhance… more
    Centene Corporation (06/14/25)
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  • Claims Analyst

    Brink's (Atlanta, GA)
    …equal opportunity to participate and grow. Job Description Job Summary: The Claims Analyst will investigate reconciliation discrepancies to reduce claim ... institutions, retailers, government agencies, mints, jewelers, and other commercial operations . Our network of operations in 52...VA team for support + Escalate to assigned Variance Analyst any claims not resolved within 25… more
    Brink's (05/07/25)
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  • Senior Stop Loss Claims Analyst

    Highmark Health (Atlanta, GA)
    …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
    Highmark Health (04/26/25)
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  • Epic Billing and Claims Sr. Analyst

    Deloitte (Atlanta, GA)
    …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 ideas and ... clients sell products, deliver services, generate growth, and execute mission-critical operations . We deliver integrated business expertise with scalable,… more
    Deloitte (05/22/25)
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  • Business Process Analyst

    Highmark Health (Atlanta, GA)
    …+ Bachelor's Degree **EXPERIENCE** **Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience ... improvement meetings and/or discussions. + Analyze the functions and operations of a business area/function and identify...in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
    Highmark Health (06/14/25)
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  • Claims Adjuster- TPA Claims

    AIG (Atlanta, GA)
    …AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst TTPO Claims to play your part in that transformation. It's an ... member of the team. Make your mark in TPA Claims Our Claims teams are the proven...and continuing education requirement. + Communicate with all internal business partners including underwriters to make sure underwriting is… more
    AIG (05/16/25)
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  • Recovery & Resolution Analyst

    Prime Therapeutics (Atlanta, GA)
    …combined pharmacy and PBM experience to include:##1 year of work experience in claims processing in an operations , audit or quality assurance environment##1 year ... and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst is responsible for… more
    Prime Therapeutics (04/18/25)
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  • Sr Analyst , Specialty Performance…

    Evolent (Atlanta, GA)
    …a Senior Analyst , Performance Analytics to join our Performance Suite business unit. Our mission is to improve and innovate Evolent's capabilities driving ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...healthcare. By working closely with Data Science, Product, and Operations , you'll help identify opportunities to further Evolent's mission… more
    Evolent (05/22/25)
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  • Customer Information Services Analyst II

    Zurich NA (Atlanta, GA)
    …brokers, and internal business partners with consultation, strategic needs, and business performance of claims and exposure data + Responsible for the ... Customer Information Services Analyst II 123803 Zurich North America is currently...to address customer needs and identify trends and assess business impact + Serve as a liaison between the… more
    Zurich NA (06/04/25)
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  • Senior Analyst , Healthcare Analytics…

    Evolent (Atlanta, GA)
    …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides...team provides a unique opportunity to collaborate with key business , analytics, product, and operational leaders to deliver client-specific… more
    Evolent (06/06/25)
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  • Privileged Access Management Technical…

    AIG (Atlanta, GA)
    …help customers to manage risk. Join us as a Privileged Access Management Technical Analyst to play your part in that transformation. It's an opportunity to grow your ... is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the latest tools to… more
    AIG (06/14/25)
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  • Global A&H Actuarial Analyst

    AIG (Atlanta, GA)
    Senior Claims Analyst Severity At AIG, we are reimagining the way we help customers to manage risk. Join us as a Global Accident & Health Analyst to play ... product development analytics and performance measurement. They collaborate with Marketing, Operations and Financial Management. How you will create an impact +… more
    AIG (04/25/25)
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  • Senior Manager, Decision Science Analyst

    Otsuka America Pharmaceutical Inc. (Atlanta, GA)
    …with Product Owners ( Business Owners), Delivery Lead (Product Development), Business Operations , Scrum Teams and External partners + Work across ... Delivery Team serves as a key partner between the business and technical teams to ensure the all intake...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (06/10/25)
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  • Sr Analyst , Performance Suite Analytics

    Evolent (Atlanta, GA)
    …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... opportunity to support the evolution of value-based care across all lines of business by collaborating directly with our health plan partners. We are advocates for… more
    Evolent (06/03/25)
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  • Senior Data and Reporting Analyst

    Humana (Atlanta, GA)
    …requested or required data elements + Provide analysis and support to region operations and tracking of key metrics + Derive observations and insights from metrics ... to support and improve clinical operations + Conduct independent research necessary to fully understand...portals or resources + May create reports based on business requests and understanding of needs and changes to… more
    Humana (06/14/25)
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  • Auto Fraud Investigator BL Risk Analyst II

    Ally (Atlanta, GA)
    …fraud risk services in support of the Automotive Finance Line of Business . Position is responsible for investigating external financial crimes; reviewing current ... procedure. Possess a strong solid understanding of an automotive line of business operating practices and policies; and maintain strong working relationships with… more
    Ally (06/14/25)
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