- 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
- Providence (Mission Hills, CA)
- …Full time **Job Shift:** Day **Career Track:** Business Professional **Department:** 7520 CLAIMS COMPLIANCE CA HERITAGE SERVICES **Address:** CA Mission Hills ... **Description** The Data Analyst for Regulatory Compliance Reporting ...users with reporting requirements. + 1 year Audit and compliance experience. + Recent experience working with Claims… more
- Commonwealth Care Alliance (Boston, MA)
- …experience Experience Required: + At least three (3) years of related investigative, claims , compliance or analyst experience in healthcare, data reporting ... + Utilize data mining and visualization programs to design queries and analyze claims data to detect outliers or suspicious patterns for further investigation. +… more
- Randstad US (Dublin, OH)
- claims analyst . + dublin , ohio...been met + Utilizes documented team processes to ensure compliance with departmental standards + Data entry verification + ... and administrative support occupations + referenceAB_4522959 job details Exciting Job Opportunity: Claims Analyst Are you ready to take your claims analysis… more
- Randstad US (Tampa, FL)
- claims analyst . + tampa , florida + posted 10 days ago **job details** summary + $16.99 - $17 per hour + temp to perm + associate degree + category legal ... occupations + referenceAB_4523203 job details Exciting Job Opportunity: Claims Analyst Are you ready to take...been met. + Utilizes documented team processes to ensure compliance with departmental standards + Data entry verification +… more
- Randstad US (Phoenix, AZ)
- claims analyst iii. + phoenix , arizona + posted april 25, 2024 **job details** summary + $18 - $19 per hour + temporary + high school + category office and ... support occupations + referenceAB_4522121 job details Exciting Job Opportunity: Claims Analyst Are you ready to take...been met * Utilizes documented team processes to ensure compliance with departmental standards * Data entry and verification… 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
- Randstad US (Dublin, OH)
- claims analyst . + dublin , ohio + posted april 19, 2024 **job details** summary + $16.99 - $17 per hour + temp to perm + high school + category office and ... administrative support occupations + referenceAB_4518331 job details The Claims Analyst III (Security Claims ) works on the full range of claims ,… more
- Sanofi Group (Chattanooga, TN)
- **Customer Claims Support Analyst - Imaging** + **Location: Chattanooga, TN** + **Remote Work: Hybrid** + **Travel Expected: minimal** + **Job Type: Full Time** ... in the world._ **Our Team:** The Imaging - Customer Claims Support Analyst reports to the Ci2C...their respective Service Level Agreements require. + Execute in compliance with Sanofi policies and guidelines. + Complete all… 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
- 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, ... techniques for new and existing business initiatives. Additionally, the Sr. Risk Analyst will manage the insurance programs for some Amazon owned subsidiaries. The… 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
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …help us transform healthcare? Bring your true colors to blue. The Senior Claims Testing Analyst is responsible for reviewing business requirements, developing, ... and executing comprehensive test plans, analysis of reporting, performing claims quality review, mentoring associates and ensuring department goals are met in a… 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 loss. -… more
- Health Plans, Inc. (Dallas, TX)
- …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...by another, you must report the violation to the Compliance Officer and/or Human Resources. + Attend, complete, and… more
- Elevance Health (Atlanta, GA)
- …timely manner. **How You Will Make an Impact:** + Reviews and Audits Pharmaceutical claims processed by vendors to ensure proper compliance + Conducting Data ... **Position Overview:** Responsible for handling high level pharmaceutical claim audits and reviewing claims issues from junior team to ensure claims are being… more
- Adecco US, Inc. (Beaverton, OR)
- …a highly motivated individual who is dedicated to quality and efficiency in claims processing. If you meet the qualifications listed below and are interested in ... expertise to determine processing guidelines and assess standards + Ensures compliance with departmental standards through documented team processes + Performs data… 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
- The Cigna Group (Jefferson City, MO)
- Network Operations Analyst /Provider Compliance Analyst This role will assist internal and external business partners in all aspects of pharmacy operations ... supporting tasks involving pharmacy credentialing and contracting, data analysis, and network compliance . The Network Operations Analyst role will work closely… more