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 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...

Reporting to the Manager of Health Fund Operations on an interim basis, the Claims Dispute Resolution Analyst will be responsible for reviewing healthcare claims flagged under the "lesser of terms" pa...

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, ...

Consult with Claims management and the Claims Review Committee, as required, in the evaluation and management of assigned claims. As requested, provide advice and guidance to other claims professional...

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...

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...

Consult with Claims management and the Claims Review Committee, as required, in the evaluation and management of assigned claims. As requested, provide advice and guidance to other claims professional...

As requested, provide advice and guidance to other claims professionals within the Claims Division in the evaluation and management of claims, analysis of coverage issues and in the research and revie...

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

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

Role: Claims Business Analyst (Workers Comp Claims). Must Have- 3+ years within the space of Workers Comp Claims. Must have a clear understanding and experience with the statutory and compliance repor...

Role: Claims Business Analyst (Workers Comp Claims). Strong experience with claims management and medical bill review solutions. Must Have- 3+ years within the space of Workers Comp 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. Stron...

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 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...

Builds, tests, documents and maintains the EPIC Resolute Hospital Billing/Claims program. Is competent to work on all phases of Epic Resolute Hospital Billing/Claims analysis and implementation activi...

Builds, tests, documents and maintains the EPIC Resolute Hospital Billing/Claims program. Is competent to work on all phases of Epic Resolute Hospital Billing/Claims analysis and implementation activi...

Acts under the direction and authority of the Property & Marine Claims Manager to conduct timely and thorough investigations on complex Property claims including litigation and coverage issues in acco...

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...

Innova Solutions has an immediate need for a Healthcare Claims Integrity Analyst to work hybrid in NYC:. Healthcare Claims Integrity Analyst – Hybrid. 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. This claims analyst position requires a basic understanding of property and casualty claims, both primary ...

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...

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...

Makes the final decision on claims validity for escalated claims. Reviews claims dashboard for actionable items on a frequent basis. Searches for and links invoices, contracts, and Proof of Performanc...

Makes the final decision on claims validity for escalated claims. This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person ...

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 ...

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 ...

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...

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...