- LA Care Health Plan (Los Angeles, CA)
- Claims Compliance Data Validation Analyst II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Claims Compliance Data Validation Analyst II supports the collection and validation… more
- AON (Fort Wayne, IN)
- Claims Litigation Analyst K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, recreation, motorsports and events. ... succeed. What the day will look like As a Claims Litigation Analyst , you will report directly...authority level + Complete reports timely and accurately in compliance with company guidelines + Develop and implement an… more
- CBRE (New York, NY)
- Insurance, Risk Mgmt Claims Analyst Job ID 158460 Posted 14-Mar-2024 Service line Corporate Segment Role type Full-time Areas of Interest Administrative, Legal, ... CBRE? About the role: As an Insurance Risk Management Claims Analyst with CBRE, you will assist...carriers, TPAs, vendors and internal business parties to ensure claims reporting and handling standards and compliance .… more
- World Insurance Associates, LLC. (Syosset, NY)
- …the importance of professionalism and trust. Job Description: The Workers' Compensation Claims Analyst is responsible for providing superior customer service to ... of New York Workers Compensation Law. The Workers' Compensation Claims Analyst is responsible for the handling...seek out claim incurred mitigation, subrogation, proper handling, and compliance for all claims . Requirements: + Bachelor's… more
- WestRock Company (West Point, VA)
- …Customer Service group within WestRock Global Paper has an opportunity for a Board Claims Analyst who has the overall responsibility for processing claims ... member training on various topics as well as ensuring the responsibilities of Claims Analyst are understood throughout the department. * Monitoring of… more
- Santander US (East Providence, RI)
- Associate, Claims & Fraud Operations Data Analyst - East Providence, RI East Providence, United States of America The **Associate, Claims & Fraud Operations ... responding, and analyzing data and/or documentation and to ensure compliance with department service level agreements, policies, procedures, and/or regulatory… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely ... DUTIES AND RESPONSIBILITIES: + Maintain current knowledge of coding, compliance , and documentation guidelines + Resolve Charge Review and...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- USAA (Tampa, FL)
- …optimally identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:** + Bachelor's degree: OR ... 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree. + 6 years of experience in end-to-end analysis and/or operations experience, including: requirement gathering and documentation,… more
- Peak Vista (Colorado Springs, CO)
- Risk Manager (RN) and Compliance Analyst Summary Title:Risk Manager (RN) and Compliance Analyst ID:1229-4507 Department Location:3205/3207 N. Academy, ... of Compliance & Risk Management the Risk Manager/ Compliance Analyst works to ensure that Peak...identified. + Act as a resource to support the Compliance department with subpoenas, depositions, Federal Tort Claims… more
- Providence (WA)
- **Description** HR Regulatory Analyst Compliance /Auditing \*Remote- Most states eligible\* The Compliance /Auditing Analyst provides compliance and ... audit experience is a plus, but not required. + 2 years of Compliance , Claims or other Regulatory Auditing experience **Salary Range by location:** NorCal (Napa,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** This Senior Regulatory Compliance Analyst position will conduct independent analysis for complicated, high level ... and provide interpretation of regulatory rules and guidelines to demonstrate compliance with state and federal requirements related to Mental Health Parity.… more
- Ventura County (Ventura, CA)
- Risk Analyst - Generalist Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4423773) Apply Risk Analyst - Generalist Salary $84,564.81 - ... or injury. This is accomplished through effective Loss Prevention programs, Claims Management, and Financing methods such as insurance and self-funding. There… more
- UNC Health Care (Morrisville, NC)
- …logic and configuration settings for each third party administrator system to ensure compliance of claims qualification + Present compliance education topics ... of the unique communities we serve. **Summary:** The senior analyst demonstrates a high level of expertise and skill...**Responsibilities:** + Perform routine and complex audits to resolve compliance gaps while minimizing drug expense + Serve as… more
- Medical Mutual of Ohio (OH)
- …Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Provider Analyst II** Provides analytical support during contract negotiation process. ... and performs analytical review of opportunities with provider networks. Performs claims repricing, discount analyses, etc. to support group sales efforts and… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …Insurance Companies is looking to expand the State Filings Unit of the Compliance Department for the role of a State Filing Analyst . Responsibilities: ... and form filings in SERFF and other systems ensuring compliance with respective state filing requirements * Monitor and...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii,… more
- Wells Enterprises (Le Mars, IA)
- …Analyze HR data and metrics to identify trends and potential areas of non- compliance . Prepare and present reports to management on compliance status. Ensure ... accurate and comprehensive recordkeeping of HR compliance activities. Maintain documentation related to audits, investigations, and policy updates. Supports external… more
- Houston Methodist (Katy, TX)
- Medicare compliance experience is preferred** **Note: Office for this position is located at our Continuing Care Hospital:** **701 S. Fry Rd. Katy, TX 77450** **. ... (Hybrid position)** JOB SUMMARY At Houston Methodist, the CBO Regulatory Compliance Specialist is responsible for working with Houston Methodist's Corporate Central… more
- Cotton Holdings (Houston, TX)
- **Sr. Risk Analyst ** **Department:** Legal/Risk **Employment Type:** Full Time **Location:** Houston, TX **Compensation:** $80,000 - $85,000 / year **Description** ... projects, including complex work environments. **Summary** The Sr. Risk Management Analyst Professional will assist with corporate insurance and contract related… more
- Bridgestone Americas (Nashville, TN)
- …of customers and industries. **Job Category** Finance **Position Summary** The Workers Compensation Claims Analyst , is responsible for life of claim management & ... administration. This person will be instrumental in negotiating and managing claims , analyzing claims data and collaborating with our Third-Party Administrator… more
- Corewell Health (Grand Rapids, MI)
- …cooperation of the provider network community and internal departments. The operations analyst is responsible for the oversight of the provider enrollment data and ... issue resolution arising throughout the entire Priory Health eco system. Operation Analyst must possess strong attention to detail along with business acumen fueled… more