- UMB Bank (Kansas City, MO)
- **Duties & Responsibilities :** Open to hybrid or remote working schedule The Sr Card Fraud Claims Analyst will be a member of the UMB Card Operations team ... of business as well as clients. Assessment, submission and resolution of fraud and non-fraud claims (chargebacks and disputes) using the card processor claims… more
- HUB International (Brentwood, TN)
- …and organizations. The result is a one-stop source for insurance solutions **Job Summary** The Sr . Claims Assistant and Data Analyst -primary objective is to ... subsidiaries reside: + Avant Underwriters (AU + Avant Specialty Claims (ASC) + Avant Brokerage (AB) + Avant Supermarket...1st contact with the insured. + Provide First Call Resolution + Problem Solve, deescalate calls. + New Loss… 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 ...Claims ' offshore team to convey process changes, query resolution , feedback, and other important updates critical to ongoing… more
- Bank of America (Chandler, AZ)
- Wealth Management Fraud & Claims - Sr . Fraud Analyst Pennington, New Jersey;Chandler, Arizona; Newark, Delaware **Job Description:** Merrill Wealth ... Job expectations include performing functions related to research and resolution of fraudulent activity, service support, and delivering practical, innovative… more
- TEKsystems (Chicago, IL)
- …providers (eg Lawyers, Independent Adjusters, Experts). + Manage a portfolio of complex E&O claims from initial report to final resolution + Oversee and direct ... investigations and report findings and recommendations. + Negotiate and bring claims to resolution , both directly and through defense attorneys. + Analyze and… more
- Molina Healthcare (IA)
- …understanding of Molina claims life cycle and all processes that affect claims payment + Participates in defect resolution for assigned component + ... review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution… more
- Prime Therapeutics (Eagan, MN)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Business Systems Analyst **Job Description** The Sr . Business Systems ... project team and various levels of management. With consistent Senior Leadership visibility, the Sr . BSA is...assignments within project + Educate and advance business systems analyst practice within the Claims IT team… more
- AIG (Atlanta, GA)
- Senior Claims Analyst Severity, Excess Casualty At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims ... Excess Casualty position may be for you. + This Senior Claims Analyst position in...manage expectations. + Proper documentation of exposure evaluation and resolution strategy. + Direct the litigation, attend mediations and… more
- University of Miami (Miami, FL)
- …of Miami Health System, "UHealth", IT Department has an exciting opportunity for a Full-time Epic Sr . Analyst - Quality and Population Health. The Epic Sr . ... them. + Supports junior staff members in the evaluation and resolution of service tickets, identification and implementation of application changes, retrieval… more
- Prime Therapeutics (Montgomery, AL)
- …decision we make. **Job Posting Title** Sr . Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst ... reporting + Proactively investigates and builds recommendations for enhancements or resolution regarding key drivers of benefit performance, trends and obstacles in… more
- Gilead Sciences, Inc. (Foster City, CA)
- …and help create possible, together. **Job Description** Gilead Sciences is seeking a Senior Analyst , Risk Management to join its Risk Management & Insurance ... activities, aimed at minimizing risks to our business. The Senior Analyst will provide critical support across...exposure review and data collection, risk analysis, policy procurement, claims resolution , and payment compliance. This is… more
- Honeywell (Charlotte, NC)
- As a ** Senior Benefits Analyst ** here at Honeywell, you will play a crucial role in managing and enhancing our employee benefits programs. Your expertise will ... might be leading to increased volume of escalations or issues. + Manage the claims and appeals process ensuring timely and accurate responses back to participants. +… more
- TEKsystems (Roanoke, VA)
- …in PB Admin (charge router, charge sourcing, Credits, WQs, etc) or PB Claims highly desired Responsible for performing Epic application system analysis and design to ... to planning implementations and maximizing application benefits. Mentors teammates in resolution of issues, tracking issues and providing updates to peers,… more
- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in ... Claims . Our Claims teams are the proven problem solvers of choice...on establishing appropriate reserves within assigned authority and in recognition AIG's of exposure above the deductible. Continually evaluates… more
- Exelon (Carneys Point, NJ)
- …+ Monitor and support system operation processes and issues and drive resolution with business partners ensuring platform and processes meet stakeholder needs. (5%) ... + Provide performance input, career development feedback and recognition as required. Establish positive team environment by proactively assisting and training less… more
- Molina Healthcare (Louisville, KY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... claim payment system and other applicable systems. + Participates in defect resolution for assigned component + Assists with development of configuration standards… more
- 3M (IN)
- …general guidance within customer service areas, such as customer inquiries, claims and complaints, customer training, Portal Management, invoicing and order ... to improve his/her own performance as CSR 5. Customer Issues Resolution : Accountable for ensuring Customer queries and complaints are resolved satisfactorily… more
- DATAMAXIS (IL)
- …for Operations Guide + Assist with analysis of Medicaid enrollment, provider and claims data, and document requirements, use cases + Assist with identifying and ... documenting data anomalies and collaborate with cross functional teams for effective resolution + Share use cases to data analysts for profiling, review results and… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr . Analyst plays a critical role in ensuring accurate, ... resolution of complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr . Analyst serves as a subject matter expert… 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
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