- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Adjuster TTPO Claims to play your part in that transformation. It's an ... member of the team. Make your mark in TPA Claims Our Claims teams are the proven...within established evaluation. Maintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure… more
- Bank of America (Newark, DE)
- Wealth Management Fraud & Claims - Sr. Fraud Analyst Newark, Delaware;Jacksonville, Florida **To proceed with your application, you must be at least 18 years of ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/Wealth-Management-Fraud Claims Sr-Fraud- Analyst \_25028343) **Job Description:** Merrill Wealth Management… more
- Molina Healthcare (ID)
- …* Claims and SQL knowledge a plus **JOB QUALIFICATIONS** ** Required Education** Associate degree or equivalent combination of education and experience ** ... **Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the… more
- The Hartford (Hartford, CT)
- …Join our team as we help shape the future. This role is responsible for assessing Claims data needs and working with the TM1 team to build TM1 based reporting cubes ... within TM1. The Consultant will partner with multiple teams including Claims Finance, Workforce Management, Segment FP&A, Actuarial, Performance and Analytics, TM1… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... successful implementation of provider engagement programs. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims from compliance against contracts, billing, and processing guidelines… more
- TEKsystems (Deerfield Beach, FL)
- …from the shop floor to a professional office setting? We're hiring Mechanical Claims Analysts to join a growing customer contact team supporting a leading automotive ... be the expert behind the scenes, helping customers and dealerships navigate mechanical claims with confidence and clarity. What You'll Do: + Evaluate and process… more
- Molina Healthcare (Buffalo, NY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...+ Extensive experience on researching, presenting and documenting is required , + Experience with Medicare, Medicaid and Marketplace is… more
- AmeriHealth Caritas (Newtown Square, PA)
- …experience in Facets Claims System preferred. + In-depth knowledge of claims payment methodology **is required .** + Computer skills: MS Office ... Research, analyze, and process projects or correspondence for all Lines of Business .;; + Analyze complex operational claim overpayment issues and provide technical… more
- MetLife (Bloomfield, CT)
- …and processes supported. Required : * 3+ years of experience managing ADA claims . * Experience managing absence claims for a variety of customers and ... Responsibilities: * Conducts quality reviews of Americans with Disabilities Act (ADA) claims . * Identifies trends, root causes, and quality gaps from the analysis… more
- NTT DATA North America (Merced, CA)
- …when executed as part of an overall sourcing strategy NTT DATA currently seeks a DSNP Business Analyst to join our team in remote in the US. **Job Overview:** We ... are seeking a detail-oriented and experienced DSNP Business Analyst with specialized knowledge in Medicare...Analyst with specialized knowledge in Medicare and D-SNP claims processing. The ideal candidate will bring a strong… more
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