- TEKsystems (Earth City, MO)
- …expertise in a professional setting, helping customers and dealerships navigate vehicle repair claims . As a Mechanical Claims Analyst , you'll use your ... knowledge of engines, transmissions, and electrical systems to evaluate mechanical claims , communicate with customers and repair facilities, and ensure accurate… more
- Robert Half Accountemps (Flint, MI)
- Description We are looking for a meticulous Medical Claims Analyst to join our team in Flint, Michigan. In this role, you will play a pivotal part in ensuring ... Contract-to-Permanent opportunity for individuals with a strong background in medical claims and coding. Responsibilities: * Assign accurate medical codes to… 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 ... and claim data using Excel, SQL, Access, Tableau, and other data management systems . * Monitor existent metrics, identify and develop new metrics, and analyze them… more
- NJM Insurance (Trenton, NJ)
- Join NJM Insurance Group's Medical Claim Services (MCS) team as a Business Process Analyst , where you will play a key role in driving process improvement and support ... expertise (SME) in Personal Injury Protection (PIP), Workers' Compensation, and/or General Claims . The ideal candidate will have a strong understanding of current… 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
- 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
- TEKsystems (Omaha, NE)
- …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered...Excel, Power Point, and ability to learn industry related systems Soft Skills: Able to work both independently and… more
- Guardian Life (Pittsfield, MA)
- …diploma with prior relevant work experience + Strong knowledge of Financial Protection Claims and key Corporate systems (ex. Client Manager/Cypress) + Strong ... for you to grow and enrich your career and future as a Business Analyst . We believe in your aspirations for purpose, leadership, and achievement in your professional… more
- DXC Technology (Des Moines, IA)
- …DXC Technology (NYSE: DXC) helps global companies run their mission critical systems and operations while modernizing IT, optimizing data architectures, and ensuring ... learn new payment processes and/or other processes within death claims depending on where the need is on any...worked + Ensure transactions are processed on our administrative systems accurately and in a timeframe considered suitable by… 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 ... each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements.… more
Recent Jobs
-
Vans: Designer, Skate Footwear
- VF Corporation (Costa Mesa, CA)
-
Administrative Associate - Labor and Delivery- 36 hours/week, night shift
- Beth Israel Lahey Health (Beverly, MA)
-
Customer Service Manager
- WestRock Company (Forney, TX)