You’ll work with some of the best claims and underwriting minds in the industry addressing challenging claims and sophisticated coverage issues, and helping our businesses develop products to address ...

Create and conciliate claims for the massage service based on appointment type. Commercial Insurance posting: conciliate the claims based on the account/claim type and appointment profile. Follow up o...

Create and conciliate claims for the massage service based on appointment type. Commercial Insurance posting: conciliate the claims based on the account/claim type and appointment profile. Follow up o...

Consult 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...

As 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...

Position: Healthcare Business Analyst (Claims and Pre-Authorization). As a Healthcare Business Analyst specializing in claims processing and pre-authorization, you will play a critical role in optimiz...

Role: Claims Business Analyst (Workers Comp Claims). Must Have- 3+ years within the space of Workers Comp Claims. Must have a clear understanding and experience with the statutory and compliance repor...

Role: Claims Business Analyst (Workers Comp Claims). Must Have- 3+ years within the space of Workers Comp Claims. Must have a clear understanding and experience with the statutory and compliance repor...

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 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...

Under 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...

Acts under the direction and authority of the Property & Marine Claims Manager to conduct timely and thorough investigations on complex Property claims including litigation and coverage issues in acco...

In 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...

Acts under the direction and authority of the Property & Marine Claims Manager to conduct timely and thorough investigations on complex Property claims including litigation and coverage issues in acco...

Healthcare Claims Integrity Analyst – Hybrid. Innova Solutions has an immediate need for a Healthcare Claims Integrity Analyst to work hybrid in NYC:. A minimum of 5 years’ working experience within c...

Healthcare 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...

Healthcare 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...

Healthcare 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...

A claims analyst will have assigned accounts and manage claims emanating from those accounts. The claims analyst will also be involved in projects/initiatives commensurate with his/her interests and a...

The 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...

We'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...

We'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...

The Certified Corrected Claim Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi-specialty provider claims to identify and determine approp...

Title: 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...

Title: 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...

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. Process escalated claims, assesses the reason for the escalation, and provides resolution in priority order as directed by the Supervi...

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...

As a Claims Analyst III, you will be responsible for handling claims from inception through conclusion of Professional Liability matters, including Cyber, Network Security, Business Interruption, Medi...

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...

The 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...

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...

The 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...

Join us as a Senior Claims Analyst to take on key responsibilities within a world-class claims function. The ability to influence claims and non-claims stakeholders to effectively direct claims strate...

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...

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...

This position analyzes data used in settling claims to determine the validity of payment of claims and reports overpayments, underpayments and other irregularities based upon benefit configuration, co...

This position analyzes data used in settling claims to determine the validity of payment of claims and reports overpayments, underpayments and other irregularities based upon benefit configuration, co...