Key ResponsibilitiesAnalyze contract terms and document changes in the claims processing systemDevelop and maintain reporting tools, databases, and processes for claims configurationEnsure successful ...

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...

The 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...

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...

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...

All candidates must also have no less than 12 years of working on construction projects (infrastructure preferred but not required) - and no less than 7 years of experience with change orders and cons...

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, ...

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...

Senior 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...

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. This person will also be responsible for analyzing claims and making decisions about their validity. Process escalated claims, assesse...

Join us as a Claims Analyst III to grow your experience in Claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our ...

The Claims Analyst III will handle and analyze general liability claims under general supervision and moderate exposure claims involving litigation. Analyze and process third-party property damage cla...

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 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...

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...