- BrightSpring Health Services (Louisville, KY)
- …who are looking for career progression! Step Into a Rewarding Role as a Claims Analystwith PharMerica! The3rd Party Claims Analystis responsible for ... system, and monitoring and evaluating events related to 3rdparty claims . The 3rdparty analyst will interact with...will interact with appropriate departments to ensure integrity of third party claim information and provide pharmacy… more
- Providence (Renton, WA)
- …tort claims handling practices + Medicare Secondary Payer reporting requirements for third party liability claims + Reporting to regulatory agencies and ... databases + Medical terminology **Skills required for this position include:** + Third - party liability claims management skills, including healthcare… more
- Amazon (New York, NY)
- …transportation. As a Senior Risk Analyst , you will partner with our Third - Party Administrator (TPA) to ensure compliance through audits and key performance ... Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and...develop metrics and reporting, establish key performance indicators for third - party vendors, and deliver actionable insights to… more
- Trinity Health (Livonia, MI)
- …payment. Review paid claims for accuracy. + Resolve claim discrepancies with third - party billers. + Manage fee schedules in the software system. + ... **Employment Type:** Full time **Shift:** **Description:** ** Claims Analyst ** **Location:** Trinity Health PACE Corp Michigan, Livonia, MI **Status:** Full time… more
- AIG (Dallas, TX)
- …Must be obtained within 6 months. What you'll need to succeed + Experience with Claims Third Party Administrators preferred + 3+ years previous general and ... Claims Management Analyst Join us as a Claims Analyst to grow your experience in handling complex claims . Make your mark in Claims . Our Claims… more
- CenterLight Health System (NY)
- …+ Review and investigate claims to be adjudicated by the Third - Party Administrator (TPA), applying contractual provisions in accordance with provider ... JOB PURPOSE: The Claims and Encounter Analyst enhances the efficiency and effectiveness of the claims department by analyzing data, refining processes, and… more
- Highmark Health (Frankfort, KY)
- …counseling to clients and assists with client service programs. + Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy ... **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information effectively.… more
- CenterLight Health System (NY)
- …+ Review and investigate claims to be adjudicated by the Third - Party Administrator (TPA), applying contractual provisions in accordance with provider ... JOB PURPOSE: The Claim Analyst will play a pivotal role in enhancing...role in enhancing the efficiency and effectiveness of the claims department by evaluating and refining processes, conducting comprehensive… more
- New Jersey Resources (Wall Township, NJ)
- …development, and competitive pay and benefits. New Jersey Resources is seeking a Claims Analyst , responsible for the investigation and adjusting of property ... damage, bodily injury and other claims against New Jersey Resources and its affiliates (the...* Gather company records in response to litigation and third - party subpoenas. * Assist with the investigation… more
- TEKsystems (Earth City, MO)
- TEKsystems is looking to hire several Mechanical Claims Analysts for a large 3rd party automotive company out of STL! **If you have 4+ years of hands-on ... gears in your career? We are seeking a Mechanical Claims Specialist to join our expanding customer contact team....knowledge of vehicle mechanics to assess and process mechanical claims . This opportunity offers a refreshing change of pace,… more
- Healthfirst (NY)
- …fee schedules and claims editing policies from Medicare, Medicaid, and third - party sources. + Responsible for the overall success of implementations ... fee schedules and accurately document file changes into the claims processing system + Research and identify published updates...the on-going audit of configurations for new and existing claims business rules within the claims processing… more
- Amazon (Austin, TX)
- …businesses. The 3P Insurance and Claims Team within LCMO provides insurance and claims support for third - party companies or individuals who do business ... of leading the world in innovative technologies and services. This Business Analyst role will help business leaders make sense of complicated insurance data… more
- Walmart (Bentonville, AR)
- …for approval or guidance. + Manages negotiations with customer, customers attorney, or third party to resolve claims by sharing investigative results ... in the claim/image management system. + Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of… more
- Tucson Electric Power (Tucson, AZ)
- …established trust(s), conducts year-end reconciliation of OPEB, and coordinates with third - party vendor and accounting representatives, as needed. . Administers ... **Benefits Analyst - I, II, Senior or Lead** Company...accurate and correct. o Works closely with employees and third - party vendors to ensure all relevant completed… more
- The County of Los Angeles (Los Angeles, CA)
- …the presentation of disciplinary hearings or arbitration before a third - party neutral at the level ofHuman Resources Analyst II ... you have presenting disciplinary hearings or arbitration before a third - party neutral at the level of Human...party neutral at the level of Human Resources Analyst II? + No experience + Less than 6… more
- NextEra Energy (North Palm Beach, FL)
- …This includes processing FNOLs (First Notice of Loss), following up with TPAs ( Third Party Administrators), manage claims BDXs (Bordereau), processing ... to both affiliated and non-affiliated risks. As the Operations Analyst for Claims & Finance, you will...not** accept any unsolicited resumes or referrals from **any third - party recruiting firms or agencies** . Please… more
- AON (Fort Wayne, IN)
- …and evaluate damages and liability factors, including risk transfer opportunities and third party involvement + Demonstrate an awareness of jurisdictional ... conferences, or trials as required + Mentoring and Developing Claims Examiners & Litigation Analyst Education +...damages and liability factors, including risk transfer opportunities and third party involvement + Demonstrate an awareness… more
- San Jose State University (San Jose, CA)
- …check may be required. All background checks are conducted through the university's third party vendor, Accurate Background. Some positions may also require ... Associate College Resources Analyst Apply now (https://secure.dc4.pageuppeople.com/apply/873/gateway/default.aspx?c=apply&lJobID=547913&lJobSourceTypeID=837&sLanguage=en-us) Job no: 547913 Work… more
- AIG (Boston, MA)
- Join us as a Claims Analyst IV to take on...stakeholders. What you'll need to succeed + Experience handling third - party claims , litigation or other ... within a world-class claims function. Make your mark in Claims As a Claim Analyst IV, you will be responsible for handling all aspects of multi-line,… more
- City of Boise (Boise, ID)
- …including coordinating and tracking the division's insurance carrier contracts, third - party administration (TPA) agreements and other division contracts. ... Risk Management Analyst Print (https://www.governmentjobs.com/careers/boiseid/jobs/newprint/4951477) Apply Risk Management Analyst Salary $21.41 - $25.42… more