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 ...

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

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...

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...

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...

BAH - Stop Loss Claims Analyst. 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 whethe...

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...

BAH - Stop Loss Claims Analyst. 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 whethe...

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...

Support stakeholders in claims appeals: review and track claims appeals and grievances, prepare reports, and provide status updates to ensure timely and accurate resolution. The Claim Analyst will pla...

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

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...

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

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. Certi...

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, ...

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...

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...

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...

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...

Process an average of 5 to 7 claims per day. Review and adjudicate claims within approved authority limits. Prior experience handling first dollar payer insurance (medical healthcare claims).

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...

Senior Claims Operations Analyst – Bordereaux Management. Review claims summaries and reconcile loss fund balances. Perform analytics on MGA claims bordereau receipt, entry, and reconciliation.

Senior Claims Operations Analyst – Bordereaux Management. Review claims summaries and reconcile loss fund balances. Perform analytics on MGA claims bordereau receipt, entry, and reconciliation.

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...

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 ...

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. 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...

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...

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...

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...

The position of Epic Analyst requires an individual that possesses functional knowledge and skills in EPIC products that are used to conduct clinical operations. The Epic Analyst will be responsible f...