Evaluate disputed claims for system configuration, claims processing, and/or contractual issues to facilitate claims review. Review and analyze suspected underpaid and overpaid claims from hospital, a...

Evaluate disputed claims for system configuration, claims processing, and/or contractual issues to facilitate claims review. Review and analyze suspected underpaid and overpaid claims from hospital, a...

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

As a Healthcare Business Analyst specializing in claims processing and pre-authorization, you will play a critical role in optimizing the development of our products. Position: Healthcare Business Ana...

Insurance Company client is looking for an experienced Claims Process Analyst. This position will be an important part of the Claims project team.

Reinsurance Company Client is looking for an experienced Reinsurance Claims Professional to handle facultative and treaty claims.

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...

Process an average of 5 to 7 claims per day. Review and adjudicate claims within approved authority limits. Prior experience handling first dollar payer insurance (medical healthcare claims).

Under minimal supervision, formulates and defines Resolute Hospital Billing/Claims scope and objectives through research and fact-finding to develop or modify moderately complex information systems. B...

GGG is seeking a self-motivated and results oriented Inventory Claims Coordinator to handle all aspects of transportation, warehouse, and supplier claims. Enter and track claims in internal system. Ba...

In this role, the Claims Compliance Remediation Analyst will be responsible for supporting the Director of Claims Support to ensure claims rules, guidelines, documents, policies and procedures, report...

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, ...

In this role, the Claims Compliance Remediation Analyst will be responsible for supporting the Director of Claims Support to ensure claims rules, guidelines, documents, policies and procedures, report...

Healthcare Claims Integrity Analyst – Hybrid. Innova Solutions has an immediate need for a Healthcare Claims Integrity Analyst to work hybrid in NYC:. Identify overpayment/underpayment opportunities b...

Healthcare Claims Integrity Analyst – Hybrid. Innova Solutions has an immediate need for a Healthcare Claims Integrity Analyst to work hybrid in NYC:. A minimum of 5 years’ working experience within c...

Healthcare Claims Integrity Analyst – Hybrid. Innova Solutions has an immediate need for a Healthcare Claims Integrity Analyst to work hybrid in NYC:. Identify overpayment/underpayment opportunities b...

Healthcare Claims Integrity Analyst – Hybrid. Innova Solutions has an immediate need for a Healthcare Claims Integrity Analyst to work hybrid in NYC:. Identify overpayment/underpayment opportunities b...

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...

This claims analyst position requires a basic understanding of property and casualty claims, both primary insurance and reinsurance claim handling experience preferred. A claims analyst will have assi...

The Senior Analyst, Claims Platform Configuration supports the business by improving the consistency, accuracy, and efficiency of platforms, systems and processes. We're hiring a Senior Analyst to joi...

We're hiring a Senior Analyst to join our Claims Platform Configuration team. The Senior Analyst, Claims Platform Configuration supports the business by improving the consistency, accuracy, and effici...

The 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...

The 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...

Wealth 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...

Makes the final decision on claims validity for escalated claims. Four years of claims experience preferred. This person will also be responsible for analyzing claims and making decisions about their ...

Epic Resolute Hospital Billing Administration and/or Resolute Professional Billing Administration as well as Epic Resolute Hospital Billing Claims / Electronic Remittances and/or Resolute Professional...

Epic Resolute Hospital Billing Administration and/or Resolute Professional Billing Administration as well as Epic Resolute Hospital Billing Claims / Electronic Remittances and/or Resolute Professional...

Bachelor’s degree; 3 years of property claims adjusting experience and/or training; or equivalent combination of education and experience. Investigates, adjusts and settles claims of moderate to high ...

Investigates, 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...

The ability to influence claims and non-claims stakeholders to effectively direct claims strategy. Join us as a Senior Claims Analyst to take on key responsibilities within a world-class claims functi...

Join us as a Senior Claims Analyst to take on key responsibilities within a world-class claims function. The ability to influence claims and non-claims stakeholders to effectively direct claims strate...