Argo Group does not treat our claims or our claims professionals as a commodity. Our entire claims team works in a collaborative nature to expeditiously resolve claims. We are looking for a highly cap...
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 moreReview and adjudicate claims within approved authority limits. Prior experience handling first dollar payer insurance (medical healthcare claims). Ability to use mathematics to adjudicate claims.
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...
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 moreAmazons Global Risk Management and Claims team is seeking a Risk Analyst to assist with the development and management of Amazons corporate insurance programs, including supporting insurance program m...
read moreInsurance Claims Financial Analyst Business Loss Consulting (Full-Time | Melville, NY). Insurance Claims Financial Analyst Business Loss Consulting (Full-Time | Melville, NY). Insurance Claims Finan...
read moreComplex Claims Analyst will proactively investigate, evaluate, and negotiate resolution of assigned primary and excess EPL claims, in accordance with established best practices. Evaluating claims that...
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 moreDevelops 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...
read moreSenior 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 moreYou will report directly to the Head of Claims for MGU and Programs Claims. Provide oversight claims advocacy of Management and Professional Liability excess claims. The first level claims managers wi...
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 moreJoin us as a Claims Analyst III to grow your experience in handling complex claims. As a Claims Analyst III, you will be responsible for handling Employment Practices Liability with opportunity to han...
read moreIn this capacity, you will be responsible for managing an assigned workload of global Property and Casualty reinsurance claims, ensuring all claims are handled in accordance with regulatory guidelines...
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 moreAct 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 ...
read morePartner with Claims team on future developments. Review IRIS instruction sheets to input claims summary. Responsible for the daily/weekly/monthly controls over claims entry and reconciliation.
Claims 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 moreMastery 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...
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 moreInsurance Company client is looking for an experienced Claims Process Analyst. This position will be an important part of the Claims project team.
Insurance Company client is looking for an experienced Claims Process Analyst. This position will be an important part of the Claims project team.
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...
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 Casualty Claims Analyst IV is responsible for investigating, evaluating, and negotiating general and auto liability claims while maintaining a high standard of customer service. The Complex Claims...
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 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 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.
A claims analyst will have assigned accounts and manage claims emanating from those accounts. The claims analyst will also be involved in projects/initiatives commensurate with his/her interests and a...
read moreThe Certified Corrected Claim Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi-specialty provider claims to identify and determine approp...
read moreSenior Financial Analyst - Disability Claims. Work closely with Claims Examiners and Managers to support the analysis of disability claims with a financial component. Conduct complex routine and non-r...
read moreWealth Management Fraud & Claims associates will handle inbound calls from clients, branch offices, banking centers, and various internal associates.
Makes the final decision on claims validity for escalated claims. Recognizes and provides solutions for operational obstacles that delay work completion on claims issues. This position will be respons...
read moreEpic Resolute Hospital Billing Administration and/or Resolute Professional Billing Administration as well as Epic Resolute Hospital Billing Claims / Electronic Remittances and/or Resolute Professional...
read moreInvestigates, adjusts and settles claims of moderate to high complexity. Investigate, adjust and settle claims of moderate to high complexity within a pre- determined authority level. Bachelor’s degre...
read moreInvestigates, adjusts and settles claims of moderate to high complexity. Investigate, adjust and settle claims of moderate to high complexity within a pre- determined authority level. Bachelor’s degre...
read moreAs a Senior Process, Controls & Compliance Analyst, you will be part of the operations function, supporting continuous and process improvement projects and initiatives to support US Claims with a focu...
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