- Perfected Claims (Pasadena, CA)
- Perfected Claims is looking for three Case Management Analysts to join our team in Pasadena, CA. If that sounds like you, and your qualifications are a good match, ... look forward to hearing from you! The Case Management Analyst is responsible for a docket of cases that...experts, appraisers, and contractors to validate and maximize client's claims . Submits client's case filing, and questionnaires prior to… more
- City of Minneapolis (Minneapolis, MN)
- Workers' Compensation Claims Analyst Print (https://www.governmentjobs.com/careers/minneapolismn/jobs/newprint/5047991) Apply Workers' Compensation Claims ... + Benefits + Questions Position Description The Workers' Compensation Claims Analyst is responsible for investigating and...years of experience do you have adjusting Workers' Compensation Claims ? + No Experience + 1 year… more
- NJM Insurance (Trenton, NJ)
- NJM Insurance Group's Claims & Medical Services Analytics group is seeking a Claims Insights Analyst . The Claims Insights Analyst applies a strong ... through presentations, dashboards and visualizations to drive strategic decision making. The Claims Insights Analyst is a highly motivated, creative self-thinker… more
- City of New York (New York, NY)
- …exceed 280,000 annually, totaling more than $2.04 billion dollars in expenditures. The Claims Analyst will be responsible for the below duties: Oversee the ... DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies...Only candidates under consideration will be contacted. ASSOCIATE STAFF ANALYST - 12627 Qualifications 1 . A master's… more
- Savers | Value Village (Bellevue, WA)
- **Description** Job Title: Claims Analyst (Remote, USA) Pay Range: $52,014 - $73,860 Savers Benefits Geographic & job eligibility rules may apply Healthcare ... - Approximately 2 weeks + 6 paid holidays plus 1 to 2 additional floating holidays Team member discounts...supplement our offerings. What you'll be working on: The Claims Analyst supports Saver's risk mitigation strategy… more
- Magellan Health Services (Albuquerque, NM)
- The Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively researching and ... Requirements Responsibilities Requires a BA or BS. 5-7 years' claims experience. Minimum 1 year experience of...equivalent background may be considered. General Job Information Title Claims Resolution Analyst Grade 21 Work Experience… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Fidelity Claims Analyst to play your part in that transformation. You'll work with some of ... the best claims and underwriting minds in...leaders on emerging risks. What you'll need to succeed + 1 + years of Legal or Insurance experience preferred. + Juris… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …related experience. + Prior PC experience to include advanced Excel, Word and Access. Claims Analyst I At Fifth Third, we understand the importance of ... Ohio. GENERAL FUNCTION: Responsible for completing and filing investor/insurer claims within required guidelines in order to recoup 5/3's...escrow, other advances, buydown funds, unapplied funds, up to $ 1 million per week. + Close out accounts to… more
- Bank of America (Pennington, NJ)
- Wealth Management Fraud & Claims - Sr. Fraud Analyst Pennington, New Jersey **To proceed with your application, you must be at least 18 years of age.** ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Pennington/Wealth-Management-Fraud Claims Sr-Fraud- Analyst \_25037888) **Job Description:** Merrill Wealth Management… more
- Catholic Health (Buffalo, NY)
- Salary: 74,431.50-111,637.50 USD Facility: Administrative Regional Training Cntr Shift: Shift 1 Status: Full Time FTE: 1 .000000 Bargaining Unit: ACE Associates ... and technology method of transformation. Supports the organizations Revenue Cycle claims and remittance process. Identifies and implements EPIC and/or 3rd Party… more
- CVS Health (Scottsdale, AZ)
- …get well, but help them stay well in body, mind and spirit. The Pharmacy Claims Reviewer is responsible for reviewing pharmacy claims submitted through the CVS ... Health claims processing systems. The Pharmacy Claims Auditor will identify and rectify claim inaccuracies that would result in client over-payment. In order to… more
- MTA (New York, NY)
- …Responsible for the overall management of a staff of 2 people including the Sr Claims Administrator, 1 Analyst and approximately 7 consultants. + Responsible ... and assess loss picks, ensuring accuracy in estimating future claims costs. Oversees OCIP claims and settlements and monitors third party administrators (TPA) to… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …noise, temperature, and the like. + Extended viewing of a LED/LCD computer monitor. Fraud Analyst 1 M-F 9:00 AM-6:00 PM ET At Fifth Third, we understand the ... banking at Fifth Third Bank. GENERAL FUNCTION: The Fraud Analyst I is a cross functional position within Fraud...- Responsible for processing and decisioning fraud check dispute claims . Includes working alerts, dispute cases and inbound… more
- Medical Mutual of Ohio (OH)
- …companies based in Ohio. We provide peace of mind to more than 1 .2 million members through our high-quality health, life, disability, dental, vision and indemnity ... meetings in Brooklyn, OH monthly; Ohio residents preferred. **Financials Systems Analyst III** **Job Summary:** **Under general supervision, updates and maintains… more
- Medical Mutual of Ohio (OH)
- …companies based in Ohio. We provide peace of mind to more than 1 .2 million members through our high-quality health, life, disability, dental, vision and indemnity ... fully remote opportunity. Eastern Time Zones preferred.** **Responsibilities** **HEDIS Analyst II** + Coordinates and collaborates interdepartmentally to produce the… more
- AdventHealth (Maitland, FL)
- …: Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to identify, quantify, and ... support executive decision-making regarding contract violations. The Senior Compliance Analyst will have expertise in Commercial and Governmental (Medicare,… more
- Intermountain Health (Boston, MA)
- **Job Description:** At SelectHealth, the Business Systems Configuration Analyst I is responsible to analyze, design, configure, test, implement and support Facets ... with business systems or in healthcare, with a thorough understanding of claims processing and billing + Intermediate proficiency to demonstrate skills with the… more
- Bozeman Health (Bozeman, MT)
- Position Summary: The Credit Balance Analyst is responsible for processing refunds for third party insurance, Medicare, Medicaid, and Government-Assisted Programs; ... of all insurance and/or Government rules regarding payment, credit procedures, claims submittal and appeal process. Candidate must have excellent written and… more
- NTT DATA North America (Lincoln, NE)
- …organization, apply now. We are currently seeking a HC and Insurance Operations Analyst to join our team in Lincoln, Nebraska (US-NE), United States (US). ... **Position: Medical Claims Case Manager: Remote within the Continental United States**...college degree preferred. + **Work Environment:** + At least 1 year of experience working from home with proven… more
- Mount Sinai Health System (New York, NY)
- …Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing ... to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The… more
