Helps to evaluate the adjudication of claims using standard principles and state specific policies and regulations to identify incorrect coding, abuse and fraudulent billing practices, waste, overpaym...

Helps to evaluate the adjudication of claims using standard principles and state specific policies and regulations to identify incorrect coding, abuse and fraudulent billing practices, waste, overpaym...

Helps to evaluate the adjudication of claims using standard principles and state specific policies and regulations to identify incorrect coding, abuse and fraudulent billing practices, waste, overpaym...

Helps to evaluate the adjudication of claims using standard principles and state specific policies and regulations to identify incorrect coding, abuse and fraudulent billing practices, waste, overpaym...

What You'll Do: * Manage multiple, concurrent implementation and enhancement projects with a high degree of complexity and system analysis * Lead implementation, enhancement, and p...

The 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...

What You'll Do: * Manage multiple, concurrent implementation and enhancement projects with a high degree of complexity and system analysis * Lead implementation, enhancement, and p...

The 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...

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...

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...

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 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, ...

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 researching inquiries received via Payor, correspondence, e-mail or escalation from upper management pertaining to denied, rejected or underpaid claims for services rendered by partici...

Responsible for researching inquiries received via Payor, correspondence, e-mail or escalation from upper management pertaining to denied, rejected or underpaid claims for services rendered by partici...

Insurance 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.

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

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

You will lead strategy on complex auto claims, handling pre-litigation disputes and resolving litigated claims with cross-functional partners. Develop strategy and action plans for claims in tandem wi...

You will lead strategy on complex auto claims, handling pre-litigation disputes and resolving litigated claims with cross-functional partners. Develop strategy and action plans for claims in tandem wi...

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...

A claims analyst will have assigned accounts and manage claims emanating from those accounts. This claims analyst position requires a basic understanding of property and casualty claims, both primary ...

The Certified Corrected Claim Resolution Analyst is responsible for processing, escalating, routing, and responding to complex incoming Client and Provider corrected claims and inquiries. The Certifie...

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...

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...

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.

Wealth Management Fraud & Claims associates will handle inbound calls from clients, branch offices, banking centers, and various internal associates.

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...

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 ...

Join us as a Claims Analyst III to grow your experience in Claims. Claims Analyst III, EPL and D&O. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technic...

As a Claims Analyst III, you will be responsible for handling claims from inception through conclusion of Professional Liability matters, including Cyber, Network Security, Business Interruption, Medi...

As a Claims Analyst III, you will be responsible for handling claims from inception through conclusion of Professional Liability matters, including Cyber, Network Security, Business Interruption, Medi...

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...

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...

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...

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...