- Acosta Group (Tampa, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position..., assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervisor.… 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, compliant, ... of complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid… 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...up to complete timely and accurate reserves and claim resolution . Key Responsibilities include: + Prompt contact and follow… 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 . ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- 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 and ... 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
- CenterLight Health System (NY)
- JOB PURPOSE: The Claims and Encounter Analyst enhances the efficiency and effectiveness of the claims department by analyzing data, refining processes, and ... Subrogation conditions. + Coordinate with Finance on check runs, provider payments, and resolution of over/underpayments. + Review and investigate claims to be… 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 ... guidelines. This position requires a working knowledge of Government Programs medical claims payment system and configuration with strong focus on data review and… 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
- Teva Pharmaceuticals (North Wales, PA)
- Medicaid Claims Analyst Date: Jun 9, 2025 Location: North Wales, United States, Pennsylvania, 19454 Company: Teva Pharmaceuticals Job Id: 62333 **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
- 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 ... to claimants, under the direction of AGC, and notify of resolution for individual claims . * Prepare draft easements, locate property deeds in county title… more
- Alight (IN)
- …and provisions to resolve the participants' issues. We strive for first-call resolution while adhering to service level agreements, ensuring a positive participant ... through effective solutions and personal service. **Responsibilities** + Handling claims related to FMLA, disability (STD/LTD), parental leave, personal leave,… 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
- HUB International (Brentwood, TN)
- …The result is a one-stop source for insurance solutions **Job Summary** The Sr. Claims Assistant and Data Analyst -primary objective is to take the first ... 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
- Healthfirst (NY)
- …medical coding (CPT4, ICD10, and HCPCS), provider contract concepts and common claims processing/ resolution practices. + Experience in Microsoft Excel creating ... terms, prepare fee schedules and accurately document file changes into the claims processing system + Research and identify published updates to payment… more
- NJM Insurance (Trenton, NJ)
- Join NJM Insurance Group's Medical Claim Services (MCS) team as a Business Process Analyst , where you will play a key role in driving process improvement and support ... expertise (SME) in Personal Injury Protection (PIP), Workers' Compensation, and/or General Claims . The ideal candidate will have a strong understanding of current… 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
- 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
- Bank of America (Chandler, AZ)
- Wealth Management Fraud & Claims - Sr. Fraud Analyst Pennington, New Jersey;Chandler, Arizona; Newark, Delaware **Job Description:** Merrill Wealth Management is ... Job expectations include performing functions related to research and resolution of fraudulent activity, service support, and delivering practical, innovative… more
- Prime Therapeutics (Lansing, MI)
- …our passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst ... accounts that are subject to collections; coordinate with Senior Recovery and Resolution Analyst to support driving collections activities conducted by a… more
- Tucson Electric Power (Tucson, AZ)
- **Benefits Analyst - I, II, Senior or Lead** Company...; meets regularly with the HRBP team to review claims ' status and develops strategies for resolution . ... employees,here (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Benefits Analyst - I, II, Senior or Lead** **Position Overview**… more