- LA Care Health Plan (Los Angeles, CA)
- Claims Compliance Data Validation Analyst II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Claims Compliance Data Validation Analyst II supports...(ICD-10) and revenue codes required. Must be familiar with medical terminology. Familiarity in working with and interpreting Provider… more
- Equitable (Charlotte, NC)
- Employee Benefits Claims Business Analyst II ( Claims Experience Required) ( 2400007M ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** ... an organization that will help unlock your potential? The Claims Business Analyst is a member of...Equitable provides a full range of benefits. This includes medical , dental, vision, a 401(k) plan, and paid time… more
- Equitable (Charlotte, NC)
- Employee Benefits- Technology Strategy Claims Lead Analyst ( 2400007L ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED ... that will help unlock your potential? The Technology Strategy Claims Lead Analyst will serve as a...Equitable provides a full range of benefits. This includes medical , dental, vision, a 401(k) plan, and paid time… more
- Elevance Health (Norfolk, VA)
- …you a check, or ask you for payment as part of consideration for employment. **Rating/ Claims System Analyst ** + Job Family: IFT > IT Bus Systems Solutions ... Date:May 06, 2024 + Reference: JR111007 **Location:** + VA, NORFOLK **Description** **Rating/ Claims System Analyst ** **Location:** This position will work a… more
- The Cigna Group (Bloomfield, CT)
- …and Change Lives? EviCore, a division of the Cigna Group is hiring a Claims Systems Configuration Senior Analyst . For this crucial senior level role, you'll ... client implementations, internal integration/migration efforts, and large scope projects. The Claims Systems Configuration Senior Analyst will be responsible for… more
- LCEC (North Fort Myers, FL)
- JOB TITLE: Claims Analyst Location: North Fort Myers, FL Work Hours: 8:00 to 5:00, Monday through Friday Our benefits include: + Company-wide annual incentive ... plan + Medical , vision and dental insurance + 401(k) plan with...Compensation claims ; and Property and Casualty insurance claims . The Claims Analyst will… more
- World Insurance Associates, LLC. (Syosset, NY)
- …the importance of professionalism and trust. Job Description: The Workers' Compensation Claims Analyst is responsible for providing superior customer service to ... of New York Workers Compensation Law. The Workers' Compensation Claims Analyst is responsible for the handling...responsible for the handling of complex New York Compensation claims , including but not limited to: lost-time, medical… more
- Lowe's (Mooresville, NC)
- "The primary purpose of this role is to serve as a high risk claims analyst for the Legal department, handling litigated cases and sensitive brand issues. The ... role will also serve as an escalation point for the Claims Management department to transfer cases that, through development, meet specific triggers, also to consult… more
- Elkay (Milwaukee, WI)
- Freight Audit and Claims Analyst **_The Company_** Zurn Elkay Water Solutions Corporation is a thriving, values-driven company focused on doing the right things. ... Zurn Elkay Water Solutions Corporation family! **Job Description** The Freight Audit and Claims Analyst reports to the Logistics Systems & Analytics Manager and… more
- Equitable (Charlotte, NC)
- Special Claims Analyst ( 2400001Z ) **Primary...and Living Benefits Rider (LBR). + Read and interpret medical records in connection with claims filed ... will help unlock your potential? Responsibilities of the Special Claims Analyst include: + Responsible for the...the insured qualifies for claim approval based on the medical condition and the terms and provisions of the… more
- System One (Owings Mills, MD)
- HEALTHCARE CLAIMS ANALYST - NASCO, Mainframe Billing or Enrollment 100% Remote $42/hr. W2 Benefits available ALTA IT Services has a 100% remote, 12 month + ... contract opening for a Healthcare Claims Analyst with NASCO, Mainframe and Billing...full-time employees health and welfare benefits coverage options including medical , dental, vision, spending accounts, life insurance, voluntary plans,… more
- Bank of America (Phoenix, AZ)
- Senior Claims Analyst (Small Business Automated Clearing House) Phoenix, Arizona **Job Description:** At Bank of America, we are guided by a common purpose to ... This job is responsible for resolving the day-to-day complex claims and escalations including in-depth analysis for fraud and...company also prohibits discrimination on other bases such as medical condition, marital status or any other factor that… more
- Elevance Health (Atlanta, GA)
- …check, or ask you for payment as part of consideration for employment. **Business Analyst III (Pharmaceutical Claims Audit)** + Job Family: BSP > Business ... **Position Overview:** Responsible for handling high level pharmaceutical claim audits and reviewing claims issues from junior team to ensure claims are being… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Reconsideration Analyst 75 Vanderbilt Ave,...a dispute claim and initiate a solution + Interpret medical decision related to disputed claims and ... the timely and accurate adjudication of all provider disputes (reconsiderations) or claims for Centers Plan for Healthy Living (CPHL) products. Reviews and resolves… more
- State of Indiana (Indianapolis, IN)
- Compensation Claims Analyst Date Posted: Apr 19, 2024 Requisition ID: 442549 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... + Communicate via telephone, US mail, and e-mail with medical providers, prosecutors, law enforcement, victim service providers and...a professional, friendly, and timely manner. + Prepare a claims file for each application that is submitted and… more
- Amazon (New York, NY)
- …Global Risk Management and Claims team is seeking a Sr. Risk Analyst to assist with the development and management of Amazon's global insurance programs, ... techniques for new and existing business initiatives. Additionally, the Sr. Risk Analyst will manage the insurance programs for some Amazon owned subsidiaries. The… more
- Walmart (Bentonville, AR)
- …primary job location** + Leads claim investigations by conducting ongoing medical and legal reviews; commissioning field investigators, reconstructionists, and cause ... in the claim/image management system. + Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …help us transform healthcare? Bring your true colors to blue. The Senior Claims Testing Analyst is responsible for reviewing business requirements, developing, ... years of business and/or systems area specific knowledge + Strong knowledge of claims , medical coding/billing, and NASCO, Jira, BlueSquared, MHK, and data… more
- Guardian Life (Pittsfield, MA)
- …experiences for you to grow and enrich your career and future as a Claims Business Systems Analyst . We believe in your aspirations for purpose, leadership, ... school diploma with prior relevant work experience + Strong knowledge of IM Claims and key Corporate systems (ex. Client Manager/Cypress) + Strong knowledge of… more
- Albany Medical Center (Albany, NY)
- …Shift: Day (United States of America) Salary Range: $18.00 - $21.60 Albany Medical Center is currently looking for motivated, positive, and energetic individuals to ... billing codes and EDI requirements. * Knowledge of electronic claims processing and edits. * Excellent decision-making skills, detail...timely manner. Thank you for your interest in Albany Medical Center! Albany Medical is an equal… more