- Acosta Group (Tampa, 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..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… more
- Acosta Group (Lewisville, TX)
- **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..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… more
- Acosta Group (Charlotte, NC)
- **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..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… more
- Acosta Group (Lewisville, TX)
- **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..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… more
- AmeriHealth Caritas (Washington, DC)
- …Provider Network Resolution Analyst is responsible for configuration updates, resolution of claims inquiries, and all other system changes needed to ... facilitate timely and accurate payment of claims for par and non-par providers in our network.;...providers in our network.; The Managed Care Provider Network Resolution Analyst ensures that each provider's status… more
- New York State Civil Service (Albany, NY)
- …- Dormitory Authority of the State of New York Title Property-Casualty Insurance Claims Administrator (Risk Managment Claims Analyst ) Occupational Category ... Zip Code 12207 Duties Description Primary PurposeThe Risk Management Claims Analyst guides all aspects of the...broker contact(s), and others as necessary. * Facilitate the resolution of property and/or builders' risk insurance claims… more
- AIG (Atlanta, GA)
- …with empathy and efficiency. How you will create an impact The Casualty Claims Analyst IV is responsible for investigating, evaluating, and negotiating general ... Make your mark in AL/GL Claims Our Claims teams are the...up to complete timely and accurate reserves and claim resolution . Key Responsibilities include: + Prompt contact and follow… more
- AIG (Atlanta, GA)
- …with empathy and efficiency. How you will create an impact The Casualty Claims Analyst IV is responsible for investigating, evaluating, and negotiating general ... Make your mark in AL/GL Claims Our Claims teams are the...up to complete timely and accurate reserves and claim resolution . + Prompt contact and follow up to complete… 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 . ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- CenterLight Health System (NY)
- JOB PURPOSE: The Claim Analyst will play a pivotal role in enhancing the efficiency and effectiveness of the claims department by evaluating and refining ... guidelines. This position requires a working knowledge of Government Programs medical claims payment system and configuration with strong focus on data review and… more
- Netflix (Los Angeles, CA)
- …role: Claims Management + Manage all Workers' compensation and Auto/GL claims from inception to resolution , ensuring compliance with internal and external ... We are seeking a Senior Analyst to assist our growing Risk Management team....you will support our Global Corporate and Production Casualty Claims , including workers' compensation, return to work, auto liability,… 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
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- Adecco US, Inc. (Las Vegas, NV)
- We are looking for a Compensation Claims Analyst For a company that supports and administers claims adjustments for self-insured companies that do not have ... negotiate settlements. **Essential Functions and Responsibilities:** + Investigate and process complex claims . + Develop action plans for timely resolution . +… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Apr 19, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Apr 16, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 61400 **Who we are** ... people to make a difference with. **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which… more
- New Jersey Resources (Wall Township, NJ)
- …development, and competitive pay and benefits. New Jersey Resources is seeking a Claims Analyst , responsible for the investigation and adjusting of property ... to claimants, under the direction of AGC, and notify of resolution for individual claims . * Prepare draft easements, locate property deeds in county title… more
- New York State Civil Service (Albany, NY)
- …DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office Occupational Category ... State NY Zip Code 12208 Duties Description Primary PurposeSenior Cost Control Analyst reviews and recommends approval of construction change orders, analyzes … more
- Mount Sinai Health System (New York, NY)
- **Job Description** **_Roles & Responsibilities:_** The Health Plan Claims Analyst I is responsible for multiple components of specific health plan operations. ... + 2 years experience in medical billing or health claims , with experience in IDX billing systems in a...billing guidelines. + Communicates outcome to care teams on resolution status of patient bills. + Communicates outcome to… 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 Operations ... 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