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

Payment Integrity Analyst - Hybrid role (2 to 3 days in the Manhattan office and 2 to 3 days remote). Identify overpayment/underpayment opportunities by data mining, investigation, and quality review ...

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, ...

This role is a highly analytical and detail-oriented position within our Claims Operations team, with a specialized focus on Bordereaux Management. This role requires strong problem-solving skills, pr...

Claims adjudication and understanding of claims PPS is strongly preferred. Support stakeholders in claims appeals: review and track claims appeals and grievances, prepare reports, and provide status u...

Support stakeholders in claims appeals: review and track claims appeals and grievances, prepare reports, and provide status updates to ensure timely and accurate resolution. Claims adjudication and un...

Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving commercial and personal lines insurance claims, including analysis of coverage issues, establishment...

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 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 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...

Insurance Claims Financial Analyst – Business Loss Consulting (Full-Time | Melville, NY). Financial Analyst specializing in insurance claim valuations. Training and exposure to complex claims and prop...

You will be the Senior Reinsurance Claims Analyst. In this capacity, you will be responsible for managing an assigned workload of global Property and Casualty reinsurance claims, ensuring all claims a...

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

Insurance Claims Financial Analyst – Business Loss Consulting (Full-Time | Melville, NY). Financial Analyst specializing in insurance claim valuations. Training and exposure to complex claims and prop...

Prior experience handling first dollar payer insurance (medical healthcare claims). Ability to use mathematics to adjudicate claims. Berkley Accident and Health team! You will perform quality review a...

New York, to help find a Claims Analyst for their White Plains office. This company has been around for over 75 years and this person will be sitting out of their healthcare claims department. File an...

Develops 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...

Complex Claims Analyst will proactively investigate, evaluate, and negotiate resolution of assigned primary and excess EPL claims, in accordance with established best practices. We are looking for a F...

The Claims Quality Analyst is responsible for reviewing claims to determine if payments have been made correctly. This position analyzes data used in settling claims to determine the validity of payme...

In 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...

Senior 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...

Perform 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...

Senior Reinsurance Claims Analyst. You will be the Senior Reinsurance Claims Analyst. In this capacity, you will be responsible for managing an assigned workload of global Property and Casualty reinsu...

Senior Reinsurance Claims Analyst. You will be the Senior Reinsurance Claims Analyst. In this capacity, you will be responsible for managing an assigned workload of global Property and Casualty reinsu...

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...

In 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...

In 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...

Previous 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...

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, ...

The Business Analyst - Payment & Claims will be responsible for analyzing, improving, and optimizing payment and claims processes. Role: Business Analyst - Payment & Claims. Minimum of 3-5 years of ex...

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...

Act 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 ...

Act 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 ...

Role: Business Analyst with Guidewire Claims. Proven track record for claims system implementation and support. Required Skills: Business Analysis, Guidewire, Claims.

Role: Business Analyst with Guidewire Claims. Proven track record for claims system implementation and support. Required Skills: Business Analysis, Guidewire, Claims.

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. Uses systems, reports, and Standard Operating Procedures to work assigned claim steps and gather supporting claims information. Review...

Makes the final decision on claims validity for escalated claims. Four years of claims experience preferred. This position will be responsible for processing and handling any claims that are incomplet...

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...