The Senior Claims Analyst is responsible for the handling of California jurisdiction medical only Workers Compensation claims to ensure timely and accurate processing and superior customer service. Do...
read moreThe Senior Claims Analyst is responsible for the handling of California jurisdiction medical only Workers Compensation claims to ensure timely and accurate processing and superior customer service. Do...
read moreThe Sr Claims Coding Analyst's primary responsibilities require independent judgement in making complex coding-based decisions on claims and appeals to maintain and enhance Healthfirst's claims editin...
read moreRole: Business Analyst with Guidewire Claims. Required Skills: Business Analysis, Guidewire, Claims. Proven track record for claims system implementation and support.
Role: Business Analyst with Guidewire Claims. Required Skills: Business Analysis, Guidewire, Claims. Proven track record for claims system implementation and support.
The Sr Claims Coding Analyst's primary responsibilities require independent judgement in making complex coding-based decisions on claims and appeals to maintain and enhance Healthfirst's claims editin...
read moreReviews claims disputes and pends within departmental SLA. Maintains analysts’ library of resources. Acts as a liaison between the claims department, providers and other internal departments.
Maintains analysts’ library of resources. Acts as a liaison between the claims department, providers and other internal departments. Reviews claims disputes and pends within departmental SLA.
Maintains analysts library of resources. Acts as a liaison between the claims department, providers and other internal departments. Reviews claims disputes and pends within departmental SLA.
Maintains analysts library of resources. Acts as a liaison between the claims department, providers and other internal departments. Reviews claims disputes and pends within departmental SLA.
Responsible for ancillary functions related to bordereaus when processed, including preparation of payment requests and cash calls from Claims processing, broker & service fee payment and analysis of ...
read morePerform analytics on MGA claims bordereau receipt, entry and reconciliation. This role is a highly analytical and detail-oriented position within our Claims Operations team, with a specialized focus o...
read moreHave an interest in knowledge sharing within the claims team and a willingness to support a global effort to support our business as subject matter experts in claims. The first level claims managers w...
read moreClaims adjudication and understanding of claims PPS is strongly preferred. Support stakeholders in claims appeals: review and track claims appeals and grievances, prepare reports, and provide status u...
read moreClaims adjudication and understanding of claims PPS is strongly preferred. The Claim Analyst will play a pivotal role in enhancing the efficiency and effectiveness of the claims department by evaluati...
read moreDirectly handles and/or assists in monitoring, reviewing, and coordinating the activities involving commercial and personal lines insurance claims, including analysis of coverage issues, establishment...
read moreHave an interest in knowledge sharing within the claims team and a willingness to support a global effort to support our business as subject matter experts in claims. The first level claims managers w...
read moreThe Senior Claims Analyst is responsible for the handling of California jurisdiction medical only Workers Compensation claims to ensure timely and accurate processing and superior customer service. Do...
read moreThe claims analyst is responsible for supporting the claims specialists/adjusters with a variety of tasks to assist them with the handling of claims to ensure timely and accurate processing while deli...
read moreThe Senior Claims Analyst is responsible for the handling of California jurisdiction medical only Workers Compensation claims to ensure timely and accurate processing and superior customer service. Do...
read moreIn the absence of the Claims Assistant or Examiner entering data into computer claim system, creating files, preparing form acknowledgement letters, summarizing new claims, process claims corresponden...
read moreThe Senior Claims Analyst is responsible for the handling of California jurisdiction medical only Workers Compensation claims to ensure timely and accurate processing and superior customer service. Do...
read moreThe claims analyst is responsible for supporting the claims specialists/adjusters with a variety of tasks to assist them with the handling of claims to ensure timely and accurate processing while deli...
read moreThe Senior Claims Analyst is responsible for the handling of California jurisdiction medical only Workers Compensation claims to ensure timely and accurate processing and superior customer service. Do...
read moreIn the absence of the Claims Assistant or Examiner entering data into computer claim system, creating files, preparing form acknowledgement letters, summarizing new claims, process claims corresponden...
read moreThe Business Analyst - Payment & Claims will be responsible for analyzing, improving, and optimizing payment and claims processes. Role: Business Analyst - Payment & Claims. The Business Analyst will ...
read moreThe Claims Data Analysts mission will be to provide support to the IA Claims Analytics Team, the Claims Departments Operations and Management Teams and Departments as needed. Work with the Claims Depa...
read moreThe Claims Data Analysts mission will be to provide support to the IA Claims Analytics Team, the Claims Departments Operations and Management Teams and Departments as needed. Work with the Claims Depa...
read moreThe Business Analyst - Payment & Claims will be responsible for analyzing, improving, and optimizing payment and claims processes. The Business Analyst will also work with cross-functional teams, incl...
read moreSenior Claims Operations Analyst – Bordereaux Management. Partner with Claims team on future developments. Review claims summaries and reconcile loss fund balances.
Senior Claims Operations Analyst – Bordereaux Management. This role is a highly analytical and detail-oriented position within our Claims Operations team, with a specialized focus on Bordereaux Manage...
read morePrevious claims and claims processing experience essential. Reporting to the Assistant Manager- Operations, the Claims Operations Assistant shall be responsible for, but not limited to, processing all...
read moreReporting to the Assistant Manager- Operations, the Claims Operations Assistant shall be responsible for, but not limited to, processing all aspects of claims information in our risk and accounting sy...
read moreThe Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating, verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, ...
read moreThe Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating, verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, ...
read moreSpecialist knowledge of marine claims technical claims topics is preferred. Join us as a Claims Adjuster to grow your experience in handling complex claims. Our Claims teams are the proven problem sol...
read moreRole: Business Analyst with Guidewire Claims. Required Skills: Business Analysis, Guidewire, Claims. Proven track record for claims system implementation and support.
Role: Business Analyst with Guidewire Claims. Proven track record for claims system implementation and support. Required Skills: Business Analysis, Guidewire, Claims.
The position of Epic Analyst requires an individual that possesses functional knowledge and skills in EPIC products that are used to conduct clinical operations. The Epic Analyst will be responsible f...
read moreThe position of Epic Analyst requires an individual that possesses functional knowledge and skills in EPIC products that are used to conduct clinical operations. The Epic Analyst will be responsible f...
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