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, ...

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...

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...

Amazon's Global Risk Management and Claims team is seeking a Risk Analyst to assist with the development and management of Amazon's corporate insurance programs, including supporting insurance program...

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 will be responsible for leading the business and functional requirements definition for Policy / Billing / Claims administration as well as downstream systems and reporting. Stron...

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...

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...

Amazon's Global Risk Management and Claims team is seeking a Risk Analyst to assist with the development and management of Amazon's corporate insurance programs, including supporting insurance program...

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...

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

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

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...

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...

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...

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 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, ...

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...

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...

Partner with Claims team on future developments. Review IRIS instruction sheets to input claims summary. Responsible for the daily/weekly/monthly controls over claims entry and reconciliation.

Join us as a Claims Analyst III to grow your experience in handling complex claims. As a Claims Analyst III, you will be responsible for handling Employment Practices Liability with opportunity to han...

As a Claims Analyst III, you will be responsible for handling Employment Practices Liability with opportunity to handle Director & Officers Claims, identifying, investigating, and resolving multiple 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...

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...

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...

Reporting to the Assistant Manager- Operations, the Claims Operations Assistant shall be responsible for, but not limited to, processing all aspects of claims information in our risk and accounting sy...

Reporting to the Assistant Manager- Operations, the Claims Operations Assistant shall be responsible for, but not limited to, processing all aspects of claims information in our risk and accounting sy...

The Business Analyst - Payment & Claims will be responsible for analyzing, improving, and optimizing payment and claims processes. Minimum of 3-5 years of experience as a Business Analyst in the payme...

The Business Analyst - Payment & Claims will be responsible for analyzing, improving, and optimizing payment and claims processes. Minimum of 3-5 years of experience as a Business Analyst in the payme...

Identify and create global claim projects and review claims disputes within SLA. Maintain analysts’ library of resources, including pertinent books and articles on information systems. Act as liaison ...

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...

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.

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. Corrects and resolves claims “clean passed” in error. Reviews claims dashboard for actionable items on a frequent basis.

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...

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...

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...