This role is a highly analytical and detail-oriented position within our Claims Operations team, with a specialized focus on Bordereaux Management. This role requires strong problem-solving skills, pr...

The first level claims managers will be in-house MGA or Programs claims teams or Third-Party Administrators. You will report directly to the Head of Claims for MGU and Programs Claims. Have an interes...

The 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, ...

This role is a highly analytical and detail-oriented position within our Claims Operations team, with a specialized focus on Bordereaux Management. This role requires strong problem-solving skills, pr...

Mastery of the Claims Analyst functions. Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving commercial and personal lines insurance claims, including a...

Mastery of the Claims Analyst functions. Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving commercial and personal lines insurance claims, including a...

Payment Integrity Analyst - Hybrid role (2 to 3 days in the Manhattan office and 2 to 3 days remote). Identify overpayment/underpayment opportunities by data mining, investigation, and quality review ...

The Business Analyst will be responsible for leading the business and functional requirements definition for Policy / Billing / Claims administration as well as downstream systems and reporting. The b...

The Business Analyst will be responsible for leading the business and functional requirements definition for Policy / Billing / Claims administration as well as downstream systems and reporting. The b...

The Claims Quality Analyst is responsible for reviewing claims to determine if payments have been made correctly. This position analyzes data used in settling claims to determine the validity of payme...

Insurance Claims Financial Analyst – Business Loss Consulting (Full-Time | Melville, NY). Financial Analyst specializing in insurance claim valuations. Training and exposure to complex claims and prop...

The Claims Quality Analyst is responsible for reviewing claims to determine if payments have been made correctly. This position analyzes data used in settling claims to determine the validity of payme...

You will be the Senior Reinsurance Claims Analyst. In this capacity, you will be responsible for managing an assigned workload of global Property and Casualty reinsurance claims, ensuring all claims a...

As a Claims Analyst IV, this role will be responsible for handling Directors & Officers Liability Claims with opportunity to handle Employment Practices Liability claims, identifying, investigating, a...

You will be the Senior Reinsurance Claims Analyst. In this capacity, you will be responsible for managing an assigned workload of global Property and Casualty reinsurance claims, ensuring all claims a...

Insurance Claims Financial Analyst – Business Loss Consulting (Full-Time | Melville, NY). Financial Analyst specializing in insurance claim valuations. Training and exposure to complex claims and prop...

Insurance Claims Financial Analyst – Business Loss Consulting (Full-Time | Melville, NY). Financial Analyst specializing in insurance claim valuations. Training and exposure to complex claims and prop...

Develops an understanding of VNS Health Plans strategic business objectives and business unit operations, along a pa Business Analyst, Claims, Business, Analyst, Operations, Healthcare, Business Servi...

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...

The Claims Quality Analyst is responsible for reviewing claims to determine if payments have been made correctly. This position analyzes data used in settling claims to determine the validity of payme...

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...

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 ...

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 ...

Senior Reinsurance Claims Analyst. You will be the Senior Reinsurance Claims Analyst. In this capacity, you will be responsible for managing an assigned workload of global Property and Casualty reinsu...

Previous 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...

Maintain analysts’ library of resources, including pertinent books and articles on information systems. Act as liaison between claims, providers, and internal departments. Identify and create global c...

Maintain analysts’ library of resources, including pertinent books and articles on information systems. Act as liaison between claims, providers, and internal departments. Identify and create global c...

In 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...

Previous 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...

Previous 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...

The 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, ...

The 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...

The 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...

As a Claims Analyst IV, this role will be responsible for handling Directors & Officers Liability Claims with opportunity to handle Employment Practices Liability claims, identifying, investigating, a...

Act as liaison between claims, providers, and internal departments. Identify and create global claim projects and review claims disputes within SLA. Maintain analysts’ library of resources, including ...

Act as liaison between claims, providers, and internal departments. Identify and create global claim projects and review claims disputes within SLA. Maintain analysts’ library of resources, including ...

Role: Business Analyst with Guidewire Claims. Proven track record for claims system implementation and support. Required Skills: Business Analysis, Guidewire, Claims.

Senior Financial Analyst - Disability Claims. Work closely with Claims Examiners and Managers to support the analysis of disability claims with a financial component. Prepare detailed reports and summ...

Senior Financial Analyst - Disability Claims. Work closely with Claims Examiners and Managers to support the analysis of disability claims with a financial component. Prepare detailed reports and summ...

Compliance, Regulatory or Controls Experience as a business or compliance analyst at a carrier Track record of working with senior stakeholders Track record of leading smaller projects and initiatives...