- CVS Health (Hartford, CT)
- …to respond, manage, and resolve escalated and complex global issues for Claims /Calls, PSS, and health plan back-office operations. The PSL role has responsibility ... updates to the Plan Sponsor Profile Pages for their book of business . **A Brief Overview** Controls daily communication between departments or individual… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …in all that we do, providing the best professional service to our business partners, allowing them to achieve their goals. Our talented team delivers actuarial, ... + Provides incident support during emergencies, which may occur outside of standard business hours and require extended shifts depending on the severity and duration… more
- Raymond James Financial, Inc. (St. Petersburg, FL)
- …+ of required insurance documents. + Develops and maintains an understanding of business areas, its products, and general functions. + Assists with the monitoring of ... claims . + Supports colleagues with gathering the data collection...skills. . Fundamental concepts of insurance policy renewals and claims handling. + Insurance industry and terminology. . Fundamental… more
- Newell Brands (Sandy Springs, GA)
- …environment where you can be your best, every day. The **Front-End Innovation (FEI)** Business Model Analyst **Manager / Sr. Manager** will play a key role ... proposition, from inception of the core idea (including benefits, claims , branding) to the business model recommendation....on the core job to be done. The FEI Business Model Analyst (Manager / Sr. Manager)… more
- Centene Corporation (Jefferson City, MO)
- …and provides quality assurance oversight (data error detection and correction) on business processes where data is collected, stored, transformed, or used. Examines ... being collected, resolves complex data quality problems, and collaborates with the business and ETL database developers to improve systems and database designs. +… more
- CVS Health (Hartford, CT)
- …regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education need. **Required Qualifications** ... * Working knowledge of business segment specific codes, products, and terminology. * 3-5...and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of… more
- Ventura County (Ventura, CA)
- Workers' Compensation Risk Analyst Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5142408) Apply Workers' Compensation Risk Analyst Salary ... The candidate must possess extensive experience in workers' compensation claims administration, rating permanent disability, developing case settlement recommendations,… more
- Highmark Health (Richmond, VA)
- …:** enGen **Job Description :** **JOB SUMMARY** This job performs complex Business Systems testing and analysis tasks on business system implementation, ... independent judgment. The incumbent reviews the work of other Business Systems Testing/Quality Analysts. Acts as a subject matter...in a Call Center environment + 3 years with Claims Administration + 3 years with Enrollment + 3… more
- AIG (Jersey City, NJ)
- …impact Covering the Trade Credit line of business , the Trade Credit Complex Claims Analyst role is a key position responsible for supporting and delivering ... manage risk. Join us as a Trade Credit Complex Claims Adjuster to play your part in that transformation....an important market-facing role which serves as the primary analyst for some of AIG Trade Credit's most valuable… more
- CUNY (Staten Island, NY)
- Business Data and Reporting Analyst , Level...(CSI) is a City University of New York (CUNY) senior College organized around two academic divisions and three ... software programming and networking, systems planning, and/or technological troubleshooting while a Business Data and Reporting Analyst is a highly skilled… more