Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex... claim to ensure accuracy of financial exposure. Identifies and makes reserve recommendations to management on claims...
Claims Management Analyst Join us as a Claims Analyst to grow your experience in handling complex claims. Make... your mark in Claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical...
Business Analyst with Workers Compensation Claims Location : Charlotte, NC; Chicago, IL; Colorado Springs, CO... handling. Strong experience with claims management and medical bill review solutions. Experience with iterative and agile...
) preferred - Associate in Risk Management (ARM) preferred - Associate in Claims (AIC) preferred - Associate in Underwriting...Industry/Sector Insurance Specialism Guidewire Management Level Manager Job Description & Summary At PwC...
. Strong experience with claims management and medical bill review solutions. 5. Experience with iterative and agile methodologies...Position- Lead Business Analyst Location- Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken, PA; Dallas...
in Actuarial Analyst positions. Responsibilities include: Assist with pricing studies to evaluate the profitability of company.... Perform trend analysis to understand changes in the frequency and severity of insurance claims. Lead state and product rate...
of Collections, Claims Management, and customer satisfaction, which includes backing up others, communication and providing cross... an inclusive, growth-driven work environment. Ready to bring your best? The Rebills Analyst is responsible for ensuring accurate...
. Three years of experience in medical claims systems, medical management, managed care organization compliance and regulatory... Community Health Plan’s (PCHP’s) Senior Complaint and Appeals Analyst is responsible for intake, investigation, distribution...
on data and exports. Responsible for informing and providing insights to Management using available data resources... with payer requirements, to identify third party monies available through claims or settlement mechanisms. 4. Coordinates data...
and business processes. These efforts impact inbound encounters and the misdirected claims data exchanges between UHC... Clearinghouse to Optum Insight to the multiple front-end and backend applications and claims platforms Applies analytical...
in various claims adjudication systems. This team member will work directly with Tenet Managed Care Operations Director... its footprint as the leading national ambulatory surgery management platform. Responsibilities: Loading contract reimbursement...
. The position will be involved in the day-to-day implementation and maintenance of contract terms in various claims... leading national ambulatory surgery management platform. Responsibilities: Loading contract reimbursement terms in various...
1,700 restructuring transactions with aggregate debt claims in excess of $3.5 trillion. With more than 275 dedicated restructuring... within the Financial Restructuring business, including creditor- and debtor-side restructurings, liability management, capital...
). Handles some outbound email or fax requests Handles inbound calls (queries) for status in general on claims they initiated... required Maintains production standards and production requirements Assist co-workers, supervisor or management to accomplish product...
management, FMLA and ADA Claims and case reviews. Experience with Oracle HR Information Technology preferred; advanced computer... of the total leave of absence management program providing performance results based on key performance indicators. Develop...
strong partnerships with carriers and actuarial teams to drive successful outcomes for Alera Group clients. Work with Benefits Analyst... for compliance, and resolve service issues like eligibility, billing, and claims with account managers. Qualifications: Bachelor...
Required Education Bachelor's Degree In business or healthcare administration, regulatory compliance, consulting, project management...'s Degree In business or management Licenses and Certifications Current certifications in hospital and physician coding...
, one amazing career at a time. Job Summary The Senior Coordinator, Risk Management reports claims to third-party administrators... administrator (TPA) and the company for insurance claims management. To be successful in this role, individuals must be able...
the HCHB Revenue Cycle Management Operations Team and customers through payor setup management, claims management..., and rejected claims management. The Challenge At Homecare Homebase, we help home health and hospice organizations across the...
Industry/Sector Insurance Specialism Guidewire Management Level Manager Job Description & Summary At PwC... - Chartered Property & Casualty Underwriter (CPCU) preferred - Associate in Risk Management (ARM) preferred - Associate...