- The Cigna Group (Bloomfield, CT)
- … systems ? EviCore, a line of business within the Cigna Group, is hiring a Claim Systems , Business Solutions Lead Analyst to provide focused support on ... work closely with external clients, internal stakeholders, project managers, claims systems , claims product and...or computer science highly preferred + 5+ years of Claims Adjudication System implementation/migration and/or claim… 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 ... monitor TPA's open tickets. Collaborate with TPA to ensure timely update to claims system configuration to reflect payment integrity. + Ensure accurate logging… more
- The Cigna Group (Bloomfield, CT)
- …and analytical expertise? EviCore a line of business within the Cigna group, is hiring Claim Systems , Technical Lead Analyst . For this highly technical and ... work closely with external clients, internal stakeholders, project managers, claims systems , claims product and...JSON, XML, Custom Delimited, etc. + 5+ years of Claims Adjudication System implementation/migration and/or claim… 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...and others, as necessary, for the life of the claim .* Monitor progress of claims and coordinate… 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
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst IV to play your part in that transformation. It's an opportunity to ... efficiency. How you will create an impact The Casualty Claims Analyst IV within the Lexington and...and account issues. + Maintain and manage a diary system to efficiently manage and resolve assigned claim… 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 ... and account issues. + Maintain and manage a diary system to efficiently manage and resolve assigned claim...against standards and goals. + In depth knowledge of claim handling procedures, claims performance strategies, and… more
- Highmark Health (Frankfort, KY)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim...of client reports submitted to the organization, efficiency of claim operations, and adequacy of systems and… more
- Providence (Renton, WA)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... and regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance… more
- AIG (Dallas, TX)
- …and manage a diary system to efficiently manage and resolve assigned claim inventory. + Independently negotiate high exposure claims with top plaintiff ... Management Analyst Join us as a Claims Analyst to grow your experience in...+ Effectively strategize and budget the litigation of each claim through discussions with counsel, vendors and insureds. Establish… 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 ... Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on complex… more
- AIG (Atlanta, GA)
- …and manage a diary system to efficiently manage and resolve assigned claim inventory. + Independently negotiate high exposure claims with top plaintiff ... help customers to manage risk. Join us as a Claims Management Analyst , Technical Third Party Oversight...These positions provide the opportunity to engage/work with senior claim and underwriting management, and for growth in the… more
- JBS USA (Greeley, CO)
- **Description** Imports Claims Analyst Purpose and Scope/General Summary: JBS Imports is seeking candidates for a Claims Analyst role. The Claims ... will be tasked with identifying, researching, and completing claims to vendors. The Claims Analyst...+ Collect monetary loss in the form of a claim + Research and collect backupto support claims… more
- Walmart (Bentonville, AR)
- …information received on each claim in the claim /image management system . + Handles monetary aspects of assigned claims by establishing reserves within ... reside within commuting distance of the primary job location** + Leads claim investigations by conducting ongoing medical and legal reviews; commissioning field… 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 ...following a formal governance framework. + Troubleshooting task errors, system issues, and other issues raised within the North… more
- Netflix (Los Angeles, CA)
- …compliance with claim management guidelines, claim reviews, reserve reconciliations, claim audits, and other key claims management roles. + Manage Risk ... 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
- JBS USA (Greeley, CO)
- **Description** Claims Analyst Purpose and Scope/General Summary: We are looking for a Claims Analyst to join our JBS Pork team at the Corporate office ... claims losses. It is the role of the Analyst to identify customer trends and suggest methods of...involved have provided the required information to process a claim + Gather data and relay it to sales… 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 ... on financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System )… more
- TEKsystems (Deerfield Beach, FL)
- …a leading North American provider of auto-dealership services, is looking to add Mechanical Claims Analyst to their Deerfield Beach, FL team. Description Are you ... Adhere to all established department processes and utilize company specific computer systems to maintain detailed and accurate electronic claim -related records *… more