- 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...JBS USA is a leading global provider of diversified, high- quality food products, including a portfolio of well-recognized brands… more
- Guardian Life (Bethlehem, PA)
- **Overview** As Claims Technical Analyst in Individual Markets Claims , you will play a key role in supporting the Life Insurance claims processing, ... similar technology + 3+ years of experience as Life Claims Technical Analyst in Life Insurance industry....various business and IT stakeholders. + Issue Management and Quality Assurance + Good Communication skills **Location:** + Three… more
- CDPHP (Albany, NY)
- …and invites you to be a part of that experience. The Risk Adjustment Claims Analyst will be responsible for identifying, interpreting, auditing and analyzing ... graphs) or summaries to assist with explanation of the findings. The Risk Adjustment Claims Analyst will interpret the needs of the department and will serve… 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 ...performance metrics, including Task Volumes, adherence to Service Levels, Quality , and Exception rates. + Performing Quality … 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 ... reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards.… more
- AIG (Atlanta, GA)
- …experience, and judgement, along with a risk mindset to investigate, evaluate, and negotiate claims , ensuring high quality claims handling and a high ... the way we help customers to manage risk. Join us as a Claims Management Analyst , Technical Third Party Oversight to play your part in that transformation. It's… 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
- Brookfield Properties (Chicago, IL)
- …real estate to life around the globe every day. We are seeking a Risk Management and Claims Analyst to join our team in Chicago, IL. The Risk Management and ... Claims Analyst will assist with general liability and auto claims for other Brookfield Properties sectors including Office, Multifamily, Hospitality and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **_Roles & Responsibilities:_** The Health Plan Claims Analyst I is responsible for multiple components of specific health plan operations. ... abilities, and involves making recommendations to program leadership for quality improvement. The position will also require coordination of...+ 2 years experience in medical billing or health claims , with experience in IDX billing systems in a… more
- Molina Healthcare (Columbus, OH)
- …+ Recommends updates to Claims SOP's and Job Aid's to increase the quality and efficiency of claims processing + Fields claims questions from ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are appropriately applied. Manages… more
- AIG (Dallas, TX)
- Join us as a Claims Adjuster to grow your experience in handling complex claims . Make your mark in Claims Our Claims teams are the proven problem solvers ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Treasury Claims Analyst Senior - Remote **Job Description** The Senior Treasury Claim ... Analyst is responsible for supporting the claim payment process,...providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and… more
- TEKsystems (Detroit, MI)
- …to look up: CMAX, Venderscape, Docuware, Assurant, Safegaurd, Meta, GFX Wires, USDA claims site, Moveit, Synergy, Quality Claims , and iDesk application, ... Minimum 4+ years of experience in the mortgage industry conducting Default Servicing, claims filing, quality assurance or compliance filing - Must have… more
- Deloitte (Columbus, OH)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... configuration and builds by maintaining industry and client standards ensuring build quality and timeline adherence as well as debugging and resolving any… more
- Adecco US, Inc. (Phoenix, AZ)
- …The Claims Analyst III works on the full range of claims , correspondence, quality assurance and escalations to ensure the satisfaction of the goals ... and priorities of the team. The CAIII also does their part to meet expectations of internal and external clients with respect to claim handling and Service Level Agreements. **Location:** AZ, Remote **Compensation:** $21/hr **Top 5 Required Skills** * Strong… more
- System One (Baltimore, MD)
- ALTA IT Services is staffing a remote contract opportunity for a Claims Analyst to support a leading health insurance customer. The individual will provide ... Advanced Excel/Microsoft experience Power BI/SharePoint knowledge Familiarity with Geno Tables Claims Experience #M2 Ref: #850-Rockville (ALTA IT) System One, and… more
- Healthfirst (NY)
- …and prevent claim denials and accurate claim adjudication + Collaborate with clinical, claims and benefits teams to clarify appropriate claim coverage and denials as ... policies, and industry regulations + Support audits, compliance checks, and quality assurance initiatives to ensure coding accuracy + Provide coding guidance… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Under minimal supervision provide assistance to the Claims Project Analyst to support medical coding (ICD-9, ICD-10, HCPCS, CPT, DRG, and DSM) ... secondary contact for ClaimsXten including providing medical coding expertise, quality assurance, education and training initiatives for the Claim...+ Provide project support under the direction of the Claims Project Analyst for the claims… more
- Motion Recruitment Partners (Memphis, TN)
- Lead Software Quality Analyst -Remote Memphis, TN **Open to Remote** Contract $61.29/hr - $61.29/hr Our client is looking for a IT Software QA Advisor on a ... 20,000 employees at this global company specializing in technology-enabled claims and risk management solutions. You will be part...for project completion. + Provide guidance and training to Quality Assurance Analyst I colleagues. + Become… more
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