- Chubb (Philadelphia, PA)
- …of relevant information, and then provide consultation and recommendations to VP Claims Compliance . Evaluate independently Chubb NA claim systems, processes, ... Job Description Chubb North America Claims seeks a Data Call Analyst ...respective data calls being managed for various lines of business and insurance programs. Identify gaps, weaknesses, and deficiencies,… more
- AmeriHealth Caritas (Philadelphia, PA)
- …+ Completes reporting for network compliance and adequacy + Translates data into business impact + Serves as Lead Analyst on the team, proofs work of ... Analyst ** will be part of our provider network compliance and reporting team. You will design and provide...requirements, provider engagement in value-based programs, regulatory reports and business growth. **Work Arrangement** * This is a 100%… more
- TEKsystems (Philadelphia, PA)
- …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... and research curtailment reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered from the MI… more
- Wolters Kluwer (Philadelphia, PA)
- …a month in the office **OVERVIEW** The **Legal Invoice Review Quality Assurance Analyst ("QA Analyst "** ) for Wolters Kluwer, Fulfillment Center of Excellence ... experience and/or related specialized legal expertise, + Verify the compliance to legal billing guidelines by law firms and...team members as part of critical legal expert QA Analyst "task force" that resolves ambiguities or "close judgment… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …Top 50 and rated A++ by AM Best. We are looking for a Compensation Analyst to join our team! Summary: Provides a full range of compensation analysis and program ... on competitive market data and internal comparisons and conducts exemption testing for compliance with the Fair Labor Standards Act. + Participates in salary surveys… more
- Virtua Health (Mount Laurel, NJ)
- …that the charge master and fee schedules are in accordance with government compliance policies and procedures, as well as third party payor needs. Review, identify, ... changes. Perform internal billing audits to ensure correcting coding/billing regulatory compliance and charge capture accuracy. Incumbent must develop close working… more
