- Molina Healthcare (Bellevue, WA)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements + Communicate… more
- TEKsystems (West Hartford, CT)
- …setup). + Accurately set up claim files, including assigning the claim to a claims analyst , attaching policy documents from the underwriting system, and issuing ... Summary: To perform various administrative and technical tasks that will assist the claims department in handling claims . The successful candidate will enjoy… more
- TYLin (Philadelphia, PA)
- …Summary** Our Construction Management team is seeking an experienced Senior Delay and Claims Analyst to support various infrastructure, rail, water, airport, and ... the primary responsibilities include schedule review and analysis, producing delay and claims review reports, and contractual compliance support, the role is part of… more
- Providence (OR)
- …retain the best people, we must empower them._** **Providence is calling a Senior Business Analyst - Risk, Liability & Claims who will:** + Be responsible for ... reports and analysis to stakeholders on scheduled basis. + Serve as risk/ claims data consultant/subject matter expert. + Be an excellent communicator + Synthesize… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, ... reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth),… more
- Allied Solutions (Plano, TX)
- …applicability of insurance coverage to certain claim types prior to the assignment to a Claims Adjuster or Analyst . The key responsibilities of this job are both ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim… more
- Amazon (New York, NY)
- Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, ... The ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in transportation. As… more
- CVS Health (Woonsocket, RI)
- …and key performance metrics for reconciliation, revenue cycle, and adjudication/ claims processes analysis. Facilitate effective solutions related to adjudication and ... processing of pharmacy and vaccine/medical claims , maintaining current services, support optimalization of existing vendor product portfolio, provide continual… more
- USAA (Chesapeake, VA)
- …candidate selected for this position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of P&C Data Science. They be ... responsible for delivering insights to the Claims organization related to all things Service to better...The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes,… more
- Amazon (Bellevue, WA)
- …of leading the world in innovative technologies and services. This Business Analyst role will help business leaders make sense of complicated insurance data ... Research and implement cost reduction opportunities. About the team Logistics Claims Management and Operations (LCMO) provides insurance and risk expertise,… more
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