• Claims Business Systems

    Guardian Life (Pittsfield, MA)
    …We create experiences for you to grow and enrich your career and future as a Claims Business Systems Analyst . We believe in your aspirations for purpose, ... with prior relevant work experience + Strong knowledge of IM Claims and key Corporate systems (ex. Client Manager/Cypress) + Strong knowledge of Excel, Microsoft… more
    Guardian Life (04/10/24)
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  • Employee Benefits Claims Business…

    Equitable (Charlotte, NC)
    …business to define required features across claims process, claims intake and claims systems . A business analyst works closely with the IT team and ... Employee Benefits Claims Business Analyst II ( Claims...analyze and document business needs and requirements for the claims process and systems . Translate business requirements… more
    Equitable (04/18/24)
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  • Claims System Configuration Quality Review…

    The Cigna Group (Franklin, TN)
    …Lives? EviCore, a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst . This role requires the review of our ... input correctly per the specifications of the provider. The Claims Configuration Quality Review Senior Analyst will... will have in depth knowledge of the eviCore claims systems and products. As the Subject… more
    The Cigna Group (04/17/24)
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  • Employee Benefits- Technology Strategy…

    Equitable (Charlotte, NC)
    …The Technology Strategy Claims Lead Analyst will serve as a lead analyst for claims processes and systems , helping to ensure that our technology ... Employee Benefits- Technology Strategy Claims Lead Analyst ( 2400007L )...to define required features across claims process, claims intake and claims systems .… more
    Equitable (04/10/24)
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  • Claims Compliance Data Validation…

    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 ... to support the safety net required to achieve that purpose. Job Summary The Claims Compliance Data Validation Analyst II supports the collection and validation… more
    LA Care Health Plan (03/21/24)
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  • Business Analyst IV, Group Claims

    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 ... + Build and maintain an in-depth knowledge of our Group Claims products, processes, and systems , which may include both legacy and modern applications, and use… more
    Guardian Life (04/17/24)
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  • Board Claims Analyst

    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
    WestRock Company (03/09/24)
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  • Freight Audit and Claims Analyst

    Elkay (Milwaukee, WI)
    …Water Solutions Corporation family! **Job Description** The Freight Audit and Claims Analyst reports to the Logistics Systems & Analytics Manager and will be ... Freight Audit and Claims Analyst **_The Company_** Zurn Elkay Water Solutions Corporation is a thriving, values-driven company focused on doing the right things.… more
    Elkay (03/13/24)
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  • Healthcare Claims Analyst - NASCO,…

    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...+ NASCO Group Enrollment & Billing/Finance experience + Mainframe systems navigation PURPOSE: The Business Analyst will… more
    System One (04/04/24)
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  • Claims Analyst

    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
    Apex Health Solutions (04/05/24)
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  • Special Claims Analyst

    Equitable (Charlotte, NC)
    Special Claims Analyst ( 2400001Z ) **Primary Location** : UNITED STATES-NC-Charlotte **Organization** : Equitable **Schedule** : Full-time **Description** At ... will help unlock your potential? Responsibilities of the Special Claims Analyst include: + Responsible for the...for the processing of the claim in our administrative systems . + Prepares monthly reports for audit and bookkeeping.… more
    Equitable (01/29/24)
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  • Claims Reconsideration Analyst

    Centers Plan for Healthy Living (Staten Island, NY)
    Claims Reconsideration Analyst 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #11868 Monday, March 4, 2024 Centers Plan for Healthy Living's goal is to ... on department workflows and identifies opportunities for redesign. Performs claims testing to ensure that systems are...redesign. Performs claims testing to ensure that systems are designed efficiently based on the Plan's benefit… more
    Centers Plan for Healthy Living (03/05/24)
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  • Claims Resolution Analyst - Remote

    Acosta Group (Tampa, FL)
    …Supervisor + Searches for and links invoices, contracts, and Proof of Performance to claims as needed + Uses systems , reports, and Standard Operating Procedures ... **RESPONSIBILITIES** + Processes escalated claims , assesses the reason for the escalation, and...to work assigned claim steps and gather supporting claims information + Processes invalid claims in… more
    Acosta Group (04/06/24)
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  • Risk Management & Claims Analyst

    Brookfield Properties (Chicago, IL)
    …Position Summary Brookfield Properties has an immediate need for a Risk Management & Claims Analyst at the corporate office in Chicago, IL. Our company is ... In addition, this role will assist with general liability and auto claims for other Brookfield Properties sectors including Office, Multifamily, Hospitality and… more
    Brookfield Properties (04/02/24)
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  • Senior Claims Operations Analyst

    Crawford & Company (Lake Zurich, IL)
    …the general direction of the Claims Data Operations Manager, the Senior Claims Analyst provides a variety of critical operational support services to the ... as subject matter experts for the analysis and evaluation of claim systems , software, equipment and programs and provides recommendations for implementation. +… more
    Crawford & Company (04/18/24)
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  • Operations Analyst - Claims

    Crawford & Company (Lake Zurich, IL)
    …direction of the Claims Data Operations Manager, the Claim Sys Ops Analyst provides a variety of critical operational support services to the Claim Department, ... uploads and maintains required State forms in various claim systems . + Creates, tags, formats testes all templates in...forms, letters, templates and state attachments in various claim systems and on public drives + Monitors and reports… more
    Crawford & Company (04/09/24)
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  • Claims Repricing Analyst (Remote)

    Health Plans, Inc. (Dallas, TX)
    …with occasional after-hours or weekend duties. Required Education and Experience + Understanding of claims processing systems + 2+ years of healthcare claims ... care. Role and Responsibilities This role will be responsible for claims administration, roster management, and appeal resolution within the Network Operations… more
    Health Plans, Inc. (04/10/24)
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  • Epic Applications Analyst - AP…

    Providence (Renton, WA)
    …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 ... requirements or procedures. + Analyze user requirements, develop and implement systems for moderately complex processes. + Coordinate activities of project team… more
    Providence (03/21/24)
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  • Analyst -Applications Access & Revenue…

    Baptist Memorial (Memphis, TN)
    …Minimum: Proven combination of experience that demonstrates knowledge of healthcare issues, systems issues, software design and integration. Minimum of five years of ... Proficiency in communicating and performing the techniques of information systems assessment and implementation. Proficiency in communicating and performing… more
    Baptist Memorial (04/04/24)
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  • Revenue Cycle Systems Analyst

    Carle (Urbana, IL)
    Revenue Cycle Systems Analyst + Department: Revenue Cycle - CFH_10_19 + Entity: + Job Category: + Employment Type: Not Indicated + Job ID: 38584 + Experience ... Save Save Apply Now Position Summary: The Revenue Cycle Systems Analyst position implements, modifies, tests and...Epic modules and applications related to Revenue Cycle, the Claims Manager System, and other systems , interfaces,… more
    Carle (01/26/24)
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