- AmeriHealth Caritas (Newtown Square, PA)
- …provide technical resolution.; + Consistently meets or exceeds production standards for Claims Recovery maintaining 99% financial and procedural accuracy.; + ... required. + 1 to 3 years experience in Facets Claims System preferred. + In-depth knowledge of claims... Claims System preferred. + In-depth knowledge of claims payment methodology **is required.** + Computer skills: MS… more
- AIG (Dallas, TX)
- Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex claims . Make your mark in Claims . ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Axis (Alpharetta, GA)
- …in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst is responsible for the performance, oversight, and ongoing ... supporting overall task performance. + Overseeing and reporting on Deductible Recovery performance regularly to Claims Operations management. + Identifying… more
- Amazon (New York, NY)
- …to dive deep into business challenges and loss trends, aiming to improve the claims process and enhance claims recovery . The ideal candidate will ... Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and...is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and… more
- Molina Healthcare (Grand Island, NE)
- …the Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts.** Analyzes complex business ... experience with an emphasis in claims payment accuracy and claims service recovery resolutions + 6+ years managed care experience (preferably in Payer … more
- Philadelphia Insurance Companies (Pasadena, CA)
- …with claimants and/or distributors. Arrange third party inspections. + Review and submit claims to carriers and third parties for recovery purposes, inclusive of ... negotiating and collection. + Settlement of claims up to and including their authorized recovery authority. + Conclude all claims within their settlement… more
- GEHA (Lee's Summit, MO)
- …customer experience, sustained by a nimble and efficient organization. The Business Analyst - Operations Performance serves on projects of moderate to significant ... level appeals. Determine eligibility, benefits, and prior activity related to the claims , payment, or service in question. + Provide written acknowledgment of member… more
- City of Portland (Portland, OR)
- …portal. You will need to attach a resume and cover letter. Position Summary The Claims Analyst position is housed within the Risk Management Division of the ... and focus of this position is to manage liability claims . As a Claims Analyst ,...limitations, including comparative negligence, immunities and defenses when evaluating claims for recovery . + Ability to communicate… more
- Molina Healthcare (Syracuse, NY)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… 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 ... appropriate application of coverage and damage to identify those claims with the highest amount of recovery potential for EZ Claim Total Losses ; refer timely… more