Mastery of the Claims Analyst functions. Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving commercial and personal lines insurance claims, including a...

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 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...

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...

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...

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, ...

Mastery of the Claims Analyst functions. Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving commercial and personal lines insurance claims, including a...

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...

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...

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...

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...

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...

Strong claims investigation experience within managed care. Managed care or claims research experience.

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

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 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...

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...

Berkley Accident and Health team! You will perform quality review and evaluation of all claim submissions received and logged into our claims system to determine whether the amount requested is eligib...

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...

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...

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...

Responsible for ancillary functions related to bordereaus when processed, including preparation of payment requests and cash calls from Claims processing, broker & service fee payment and analysis of ...

Responsible for ancillary functions related to bordereaus when processed, including preparation of payment requests and cash calls from Claims processing, broker & service fee payment and analysis of ...

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...

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...

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...

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 Business Analyst - Payment & Claims will be responsible for analyzing, improving, and optimizing payment and claims processes. The Business Analyst will also work with cross-functional teams, incl...

The Business Analyst - Payment & Claims will be responsible for analyzing, improving, and optimizing payment and claims processes. The Business Analyst will also work with cross-functional teams, incl...

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.

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

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...

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 ...

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. Proces...

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...