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...
read moreThe Claims Transformation Analyst partners with the company’s Claims and IT leadership to facilitate the execution of the strategy, development, implementation, governance, and administration of strat...
read moreAs an experienced professional, in this role you’ll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Covera...
read moreAs an experienced professional, in this role you’ll deal with sophisticated litigation and coverage issues, including long-tail bodily injury and property damage exposures, claims arising under Covera...
read moreAs 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...
read moreConsult 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...
read moreAs 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...
read moreReinsurance 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.
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...
read moreBerkley 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...
read morePrior 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...
read moreThe 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...
read moreUnder minimal supervision, formulates and defines Resolute Hospital Billing/Claims scope and objectives through research and fact-finding to develop or modify moderately complex information systems. B...
read moreThe 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, ...
read moreIn 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...
read moreThe 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, ...
read moreHealthcare 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...
read moreInnova 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...
read moreThe claims analyst will also be involved in projects/initiatives commensurate with his/her interests and abilities as it relates to claim and/or claims operations. A claims analyst will have assigned ...
read moreThe claims analyst will also be involved in projects/initiatives commensurate with his/her interests and abilities as it relates to claim and/or claims operations. This claims analyst position require...
read moreWe'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...
read moreWe'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...
read moreTitle: Medicaid Claims Analyst. The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating, verifying, disputing when necessary, and remitting payment for as...
read moreWealth 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. Process escalated claims, assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervi...
read moreMakes the final decision on claims validity for escalated claims. Proactively managers client and customer target dates to ensure claims are processed in a timely manner. Recognizes and provides solut...
read moreMakes the final decision on claims validity for escalated claims. Process escalated claims, assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervi...
read moreEpic Resolute Hospital Billing Administration and/or Resolute Professional Billing Administration as well as Epic Resolute Hospital Billing Claims / Electronic Remittances and/or Resolute Professional...
read moreJoin us as a Claims Analyst III to grow your experience in Claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our ...
read moreJoin us as a Claims Analyst III to grow your experience in Claims. Claims Analyst III, EPL and D&O. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technic...
read moreInvestigate, adjust and settle claims of moderate to high complexity within a pre- determined authority level. Bachelor’s degree; 3 years of property claims adjusting experience and/or training; or eq...
read moreThe Claims Analyst III will handle and analyze general liability claims under general supervision and moderate exposure claims involving litigation. Analyze and process third-party property damage cla...
read moreInvestigates, 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...
read moreThe 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...
read moreThe ability to influence claims and non-claims stakeholders to effectively direct claims strategy. Join us as a Senior Claims Analyst to take on key responsibilities within a world-class claims functi...
read moreThe ability to influence claims and non-claims stakeholders to effectively direct claims strategy. Join us as a Senior Claims Analyst to take on key responsibilities within a world-class claims functi...
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