- Acosta Group (Tampa, FL)
- **RESPONSIBILITIES** + Processes escalated claims , assesses the reason for the escalation, and provides resolution in priority order as directed by the ... and links invoices, contracts, and Proof of Performance to claims as needed + Uses systems, reports, and Standard...Procedures to work assigned claim steps and gather supporting claims information + Processes invalid claims in… more
- Magellan Health Services (Hodge, LA)
- The Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively ... which would provide an equivalent background may be considered. General Job Information Title Claims Analyst Grade 21 Work Experience - Required Claims Work… more
- LCEC (North Fort Myers, FL)
- JOB TITLE: Claims Analyst Location: North Fort Myers, FL Work Hours: 8:00 to 5:00, Monday through Friday Our benefits include: + Company-wide annual incentive ... Compensation claims ; and Property and Casualty insurance claims . The Claims Analyst will...all levels of employees and external customers to achieve resolution of claims . (Required) + Experience in… more
- AIG (Alpharetta, GA)
- Senior Claims Analyst Join us as a...liability assessment and quantum analysis, to timely and accurate resolution . + Your goal will be timely, accurate and ... Senior Claims Analyst to take on key... to take on key responsibilities within a world-class claims function. Make your mark in Claims ...customer-focused claim resolution , minimizing indemnity exposure and mitigating vendor and legal… more
- AIG (Jersey City, NJ)
- Senior Casualty Claims Analyst Join us as a Senior Casualty Claims Analyst to take on key responsibilities within a world-class claims function. Make ... We take a collaborative approach in handling large, complex claims , many of which implicate significant coverage issues. Team...liability assessment and quantum analysis, to timely and accurate resolution . + Your goal will be timely, accurate and… 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 Examiner + Serves in a supervisory capacity to other examiners on claims resolution + Develops and delivers training to be used for new claims … more
- AIG (Parsippany, NJ)
- …practices, and the ever-evolving legal and regulatory environment. About the role The Claims Analyst III will handle and analyze general liability claims ... claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans. Determine need for and direct independent… more
- Providence (Mission Hills, CA)
- …on a regular basis. Reports will include UM reporting activities, Provider Dispute Resolution , Re-Opening for Senior Claims , FEHBP, Claims Inventory, ... **Description** The Data Analyst for Regulatory Compliance Reporting Analyst ...across SJHH NSS and Care Integration (NSS Support Services, Claims , Claims Auditing, UM, and CM) operations.… more
- Elevance Health (Norfolk, VA)
- **Rating/ Claims System Analyst ** **Location:** This position will work a hybrid model (remote and office). An ideal candidate must live within 50 miles of one of ... Elevance Health PulsePoint locations listed here: Norfolk, VA preferred. The **Rating/ Claims System Analyst ** is responsible for providing support,… more
- Elkay (Milwaukee, WI)
- Freight Audit and Claims Analyst **_The Company_** Zurn Elkay Water Solutions Corporation is a thriving, values-driven company focused on doing the right things. ... Solutions Corporation family! **Job Description** The Freight Audit and Claims Analyst reports to the Logistics Systems...provider, paper or electronic. + Ensure timely and effective claims resolution . + Perform other duties as… more
- New York State Civil Service (Albany, NY)
- …Dormitory Authority of the State of New York Title Senior Cost Control / Claims Analyst - Albany, NY Occupational Category Other Professional Careers Salary ... analysis, estimating, bidding, contract formation, bonding, delay and dispute resolution . Experience in financial management systems, project management systems, and… more
- System One (Owings Mills, MD)
- HEALTHCARE CLAIMS ANALYST - NASCO, Mainframe Billing or Enrollment 100% Remote $42/hr. W2 Benefits available ALTA IT Services has a 100% remote, 12 month + ... contract opening for a Healthcare Claims Analyst with NASCO, Mainframe and Billing...management of open issues and assists in planning for resolution . Participates in development sessions and design reviews in… 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 ... reporting, and acts as a liaison between internal stakeholders for associated claims processes. Candidate will respond to all incoming inquiries and coordinate with… more
- Walmart (Bentonville, AR)
- …in the claim/image management system. + Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of ... significant reserve increases; monitoring reserves for all open claims ; authorizing payment for approval or facilitating denial of the claim; and reserving file for… more
- Health Plans, Inc. (Dallas, TX)
- …high-value care. Role and Responsibilities This role will be responsible for claims administration, roster management, and appeal resolution within the Network ... Operations Department. + Maintain and review all inbound claims for network and pricing accuracy. + Implement Quality...determine the root cause of pricing inaccuracies and determine resolution . + Collaborate with Network Development to ensure new… more
- Guardian Life (Pittsfield, MA)
- …experiences for you to grow and enrich your career and future as a Claims Business Systems Analyst . We believe in your aspirations for purpose, leadership, ... gathering and completion + Production Support - Ensures successful resolution of open items which includes acting as point...prior relevant work experience + Strong knowledge of IM Claims and key Corporate systems (ex. Client Manager/Cypress) +… 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 +...ensure proper compliance + Conducting Data analysis and issue resolution regularly + Acts as a resource to users… more
- HNTB (Bellevue, WA)
- …position will support local WSDOT construction offices to review schedule delays and claims and will support resolution of delay related issues between ... HNTB is seeking a highly valued Senior Scheduler with claims experience to play a crucial role in supporting...aid in pursuit development. + Provides schedule support for claims analysis (eg, using contractor claims , delay… more
- Citigroup (San Antonio, TX)
- The Assoc Ops Sup Analyst is an entry level position responsible for providing operations support services, including but not limited to; record/documentation ... with the Operations - Core Team. Additionally, the Assoc Ops Sup Analyst serves as the liaison between operations staff, relationship managers, project managers,… more
- Ebenezer (Minneapolis, MN)
- **Overview** M Health Fairview is a hiring a Sr Application Analyst in Professional Billing - Epic! This position is involved with building in Epic. This role will ... support and resolves issues. Interacts with vendors on problem determination, resolution , issue tracking, upgrades and fixes. + Participates in after-hours support… more