Experience in Claims or Data processing / testing. Intermediate Level knowledge of PCs and spreadsheet applications. Working... knowledge of Claims Adjudication, Payments/Billing, and Data Reporting systems. Strong communication, problem solving, teamwork...
Experience in Claims or Data processing / testing. Intermediate Level knowledge of PCs and spreadsheet applications. Working... knowledge of Claims Adjudication, Payments/Billing, and Data Reporting systems. Strong communication, problem solving, teamwork...
Job Description: A Claim Analyst in the Coverage Claim Triage Unit (CCTU) will be responsible for intake, triage... and segmentation of a variety of complex, long tail exposure claims as well as lawsuits and arbitrations naming Chubb issuing companies...
Overview: American Foods Group, LLC is searching for a Claims Analyst to join our accounting team in Green Bay, WI.... As our Claims Analyst, you will be involved in the processing of customer claims and refused product. This includes, but not limited...
Overview: MBP is looking for Claims Analyst/Lead Claims Analyst/Senior Claims Analyst * in Tampa, FL, Raleigh, NC..., or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims...
but saving them. Together. The Configuration Analyst, specializing in claim editing software, is responsible for configuring... system edits, and rules and workflows to ensure efficient claims processing. This role will work closely with stakeholders...
Managed Care Provider Network Resolution Analyst is responsible for configuration updates, resolution of claims inquiries..., and all other system changes needed to facilitate timely and accurate payment of claims for par and non-par providers in our network. The...
Overview: The Claims Analyst is responsible for supporting the Claims Manager with reviewing claims across multiple... property and casualty lines of business to ensure effective and optimal handling. Analyst will also have claim data integrity...
, and we provide equal opportunity to participate and grow. Job Description Job Summary: The Claims Analyst will investigate... Escalate to assigned Variance Analyst any claims not resolved within 25 days and any high dollar amount Understand end to end...
organization structure. We offer a menu of management and business services that will leverage economies of scale across provider... groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner...
and business services that will leverage economies of scale across provider types and geographies and will lead the effort... with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving...
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees... And Processes Short Term Disability Claims. Provides Timely And Accurate Support To Claimants, Policyholders, And The Claims...
position within our Claims Operations team, with a specialized focus on Bordereaux Management. The ideal candidate... to collaborate effectively with cross-functional teams to drive process improvements and enhance claims management efficiency...
Job Description: Pay Range: $45.68hr - $51.68hr Responsibilities: Implement and maintain EDI solutions for claims..., and test APIs, ensuring they meet business and technical requirements. Perform API testing to validate functionality...
and value inside and outside the exam room for all patients. Job Description As a Claims Analysts you will play a key role... in Guidehealth’s expansion and growth. You will be responsible for the adjudication of claims that require high level review...
-to-day work. About the role As an operations member for claims, you will be working with claims reports for all the... to learn reinsurance, line of business, procedures and guidelines that support our operation work quality. About the team...
's degree in Business or related field highly desired. Experience in multi-line (personal and commercial lines) casualty claims... damage claims filed by the Company or against the company within prescribed claims authority limits. Gather evidence...
ceded and assumed reinsurance claims. Works within specific limits of authority. Utilizing policies and guidelines, reviews..., and financial reconciliation skills. This role works closely with other internal business units, including Reinsurance Accounting...
with the systems department to create edits/audits and other related changes for the claims system. Maintains and monitors... existing edits/audits and requests all maintenance for the claims system. Position requires specific area knowledge and may...
Business Services Group (BSG) Claims team supports the claims operations of the Commercial Lines division at C&F. We strive... strength rating of "A" (Excellent) by AM Best and is proud of our superior customer service platform. Our claims and risk...