- Providence (Mission Hills, CA)
- **Description** The Data Analyst for Regulatory Compliance Reporting Analyst will compile and analyze reports for submission for the Health Plan Audits for ... + 1 year Audit and compliance experience. + Recent experience working with Claims and Utilization Management related data . + Experience with HIPAA Regulation… more
- LA Care Health Plan (Los Angeles, CA)
- …a quantitative role as a Business Analyst , Data Analyst , Programming Analyst , Claims processing, encounter processing. Skills Required: Competent ... Business Analyst III - Encounters ... Business Analyst III - Encounters Analyst Job...departments, and/or assist IT with definition of criteria. Delegate data and reporting requests to business analysts.… more
- Guardian Life (Bethlehem, PA)
- As **Group Claims Business Analyst ,** you will serve as a Claims subject matter expert to assist in executing all claims projects and strategic ... initiatives. You will partner with the Group Claims Transformation & Reengineering team to develop project plans, create business requirements, and drive… more
- AIG (Lenexa, KS)
- GI Claims Fraud & Recovery Reporting Analyst At...and/or Claims Recovery. + Bachelor's degree in business , finance, data sciences or similar. + High ... customers to manage risk. Join us as a GI Claims Fraud & Recovery Reporting Analyst to...business stakeholders. + Manage quality control process of data for Fraud and Recovery, ie gathering, cleansing, and… more
- Equitable (Charlotte, NC)
- Employee Benefits- Technology Strategy Claims Lead Analyst ( 2400007L ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED ... that will help unlock your potential? The Technology Strategy Claims Lead Analyst will serve as a...functions to solve business problems and meet business goals. ** Data Gathering and Analysis:** Knowledge… more
- Lowe's (Mooresville, NC)
- "The primary purpose of this role is to serve as a high risk claims analyst for the Legal department, handling litigated cases and sensitive brand issues. The ... claims examiners + Develops and delivers training to business units on claims processing process and...expertise in subject area; leveraging an understanding of policies, data , and resources to support projects or initiatives; collaborating… more
- AIG (Lenexa, KS)
- …role The Technical Third-Party Oversight team is adding a growth position as a Claims Analyst and is responsible for working with TPAs in investigating, ... assets, manage risks and provide for retirement security. Get to know the business General Insurance is a leading provider of insurance products and services for… more
- Apex Health Solutions (Houston, TX)
- Summary Claims Analyst is responsible for accurate and timely research of all providers claim inquiries according to policies, process instructions and system ... processing including Texas Department of Insurance and CMS. Expert understanding health care claims data , pricing and claims editing concepts, including UB04… more
- Elevance Health (Atlanta, GA)
- …**Position Overview:** Responsible for handling high level pharmaceutical claim audits and reviewing claims issues from junior team to ensure claims are being ... Will Make an Impact:** + Reviews and Audits Pharmaceutical claims processed by vendors to ensure proper compliance +...processed by vendors to ensure proper compliance + Conducting Data analysis and issue resolution regularly + Acts as… more
- Guardian Life (Holmdel, NJ)
- …career? The next step is here with Guardian in the role of **Senior** **Financial Analyst - Disability Claims ** where you will use your knowledge and experience ... If you are ready to bring your intuition for business and innovative thinking, we will bring the support...into the future. **You will** + Work closely with Claims Examiners and Managers to support the analysis of… more
- Acosta Group (Hillsborough, 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...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- AmeriHealth Caritas (Manchester, NH)
- …services. Discover more about us at www.amerihealthcaritas.com. The Provider Network Operations Data Analyst Senior supports the business goals and ... **Provider Network Operations Claims Analyst Sr (hybrid)** Location: Manchester,...Network ID**: 34151 **Job Brief** The Provider Network Operations Data Analyst Sr. will be responsible for… more
- Trustmark (Columbus, OH)
- …+ High School diploma. + Minimum of 4 years' experience within operations (preferably Claims ) or as a business analyst with progressive responsibilities and ... to join our team, specializing in the Voluntary Benefits Claims area. The individual in this role: Serves as...and/or Voluntary Benefits industry experience + Prior experience as business analyst or software developer (CBAP or… more
- Acosta Group (Hillsborough County, 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...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- Amazon (New York, NY)
- …Global Risk Management and Claims team is seeking a Sr. Risk Analyst to assist with the development and management of Amazon's global insurance programs, ... risk management tools and techniques for new and existing business initiatives. Additionally, the Sr. Risk Analyst ...to prioritize resources. (eg RMIS, actuarial reports, and broker data ) * Assist in developing business proposals… more
- Crawford & Company (Lake Zurich, IL)
- …general direction of the Claims Data Operations Manager, the Senior Claims Analyst provides a variety of critical operational support services to the ... Claim Department, its business partners and its clients related to the handling...Departments identifying, researching and correction of indicative and financial data errors + Maintains applicable log books as well… more
- Amazon (Seattle, WA)
- …experienced Senior Risk Analyst to support Global Risk Management & Claims (GRMC). The ideal candidate will be innovative, team oriented, an effective ... submitted for underwriting, reserving, values at risk, and funding requests. - Review claims looking for trends in the data that indicate possible unexpected… more
- HNTB (Seattle, WA)
- …or willing to relocate." HNTB is seeking a highly valued Senior Scheduler with claims experience to play a crucial role in supporting WSDOT NW Region's delivery of ... local WSDOT construction offices to review schedule delays and claims and will support resolution of delay related issues...schedule. + Oversees a database or "warehouse" of scheduling data recorded and tracked from each job. + Participates… more
- Crawford & Company (Lake Zurich, IL)
- …be residing within Lake Zurich! Under the general direction of the Claims Data Operations Manager, the Claim Sys Ops Analyst provides a variety of critical ... operational support services to the Claim Department, its business partners and its clients related to the handling of returned checks, processing of refunds,… more
- Providence (CA)
- …of WA, OR, MT, CA, AK and or TX **Providence is seeking an Epic Applications Analyst - AP Claims , who will:** + Demonstrate full use and application of standard ... + Work collaboratively with clients to determine information and data requirements. Evaluate and report on a variety of...+ Work with internal teams to support and develop business solutions. Use professional knowledge, judgment and analysis in… more