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Analyst Claims Jobs

Claims System Support Analyst
By Insurance Administrative Solutions, L.L.C. At Clearwater, FL, United States

Integrity is one of the nation’s leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving ...

Claims Data Analyst - 208554
By Medix Technology At United States
Required minimum 3 years of experience working within the Managed Care (MCO) or Managed Long-Term Care (MLTC) industry
REQUIRED QUALIFICATIONS & TECHNICAL EXPERIENCE
Required minimum 2-3 years experience in SQL
Strong knowledge of State and Federal Dept. of Health and CMS Medicare/Medicaid guidelines
DAY TO DAY RESPONSIBILITIES FOR THIS CLAIMS DATA ANALYST WILL INCLUDE
Working under the guidance of a Director of Claims
Claims Analyst Jobs
By Forrest Solutions At Dublin, OH, United States
• Experience in claims processing, data entry, and call center with escalation exposure
Utilize attention to detail and critical reasoning skills
Perform data entry and verification tasks
Verify data and processing requirements, making necessary corrections
• Professional degree or equivalent experience
• Strong written and verbal communication skills
Remote Claims Analyst (Arizona Only) $19/Hr
By Forrest Solutions At Phoenix, AZ, United States
Previous Processing and Data Entry experience.
Collaborate with claims analyst and claims qc analyst on case work, data entry, and claims reissue processing.
Utilizes documented team processes to ensure compliance with departmental standards and specific data entry.
Verify data and reissue processing requirements, while making corrections as necessary.
Strong attention to detail, with critical thinking skills.
Excellent communication skills, both written and verbal.
Claims Research Analyst- Palmetto Gba
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Required Skills and Abilities: In-depth knowledge of claims payment policies and refund policies.
Good time management skills and adaptable to change.
Three years of experience processing claims in a healthcare environment.
Two years of experience with claims systems (can be concurrent).
Division 6B - Experience must be in a Retail Pharmacy.
Previous experience working with pharmacy processing claims systems is preferred.
Senior Claims Analyst - Remote
By Trustmark At United States
Support the management, monitoring, and tracking of performance in collaboration with the Supervisor
Determine benefit coverage based on clinical edits, plan documents/booklets, benefit reference documents, Claim Reference Manuals and claims-related memoranda, and reports
Minimum three years of medical claim processing experience
Excellent verbal and written communication skills
Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
Good leadership, organizational and interpersonal skills
Unemployment Claims Analyst Jobs
By Morgan Stephens At Gaithersburg, MD, United States
Excellent verbal and written communication skills.
Excellent problem-solving, interpersonal and organizational skills.
Ability to prioritize and manage multiple tasks efficiently and within timeframes.
Act as a main contact with clients on unemployment matters.
Responsible for clients’ unemployment program which includes claims processing, appeals filing, and hearing preparation as needed.
Review and protest erroneous charges against client’s unemployment accounts.
Reinsurance Claims/Accounting Jobs
By Re- At New York, NY, United States
Successful management of workload; able to manage expectations of all Clients and Stakeholders, under regular supervision.
Analyzes Key Performance Indicators (KPIs) and other system tools to manage basic transactional processes in a regulatory compliant manner.
5 years of office experience in a related industry such as Primary Insurance, Claims or Underwriting
Demonstrated experience with Word, Outlook and Excel
Positive attitude, willingness to offer and execute ideas and solutions to enhance processes within a changing environment.
Knowledge of contract law, contract provisions, reinsurance concepts and principles, basic regulatory controls and general business trends.
Claims Editing Analyst Jobs
By MRG Search & Placement, Inc. At United States
Exceptional data, problem solving and project management skills.
Knowledge and expertise of medical benefit policies and plan designs, claims hospital and medical processing, and adjudication with data skills.
Experience with Claims Editing Software
CES (Claims Editing System) experience required.
Medical coding and understanding Optum CES, ClaimsXten, Cotiviti experience required.
Broad operational managed care background preferred.
Business Analyst - Claims Data
By Emerald Resource Group At Cleveland, OH, United States
Business Analysis / Project Management
· Works with senior management to develop strategy to align with the overall business plan.
*Local to NE Ohio --you can work from home 3 to 4 days per week
· Manages data reports in both a direct and indirect matrix basis.
· Translate business requirements into system solutions and designs.
Business Analyst - Claims Data Analytics
Claims Analyst Jobs
By Forrest Solutions At Portland, Oregon Metropolitan Area, United States
• Experience in claims processing, data entry, and call center with escalation exposure
Utilize attention to detail and critical reasoning skills
Perform data entry and verification tasks
Verify data and processing requirements, making necessary corrections
• Professional degree or equivalent experience
• Strong written and verbal communication skills
Claims Analyst/Claims Consultant I, Ii, Or Sr.
By National General At Washington, United States
Time management skills from a global case management and pending perspective (vs. transactional)
Identifies customer needs and works to meet those needs using appropriate customer service skills
Bachelor’s degree preferred or equivalent experience
0-2 years of related experience
Effective verbal and written communication skills
Problem solving and analytical skills; ability to detect differences and issue recognition from multiple sources
Claims Clerk Jobs
By Canon Business Process Services At O'Fallon, MO, United States
H.S. Diploma or equivalent No prior experience required
Requires good computational math skills. Must be familiar with personal computers and possess good keyboard skills
Must have good communication, comprehension and interpersonal skills
Must be detail oriented and have good organizational skills
Interfaces with Adjuster, Agent and insured to obtain information to assure completeness of information and update client systems
Prepares reports and insurance claim forms for damage or loss
Claims Analyst Jobs
By Forrest Solutions At Phoenix, AZ, United States
• Experience in claims processing, data entry, and call center with escalation exposure
Utilize attention to detail and critical reasoning skills
Perform data entry and verification tasks
Verify data and processing requirements, making necessary corrections
• Professional degree or equivalent experience
• Strong written and verbal communication skills
Claims Analyst Iii (Qc)
By Forrest Solutions At Arizona, United States

This position will require 1 day of training on site in one of our Arizona locations.

Claims Analyst Jobs
By KCC At El Segundo, CA, United States
· Other duties or tasks as assigned by management.
Secondary Job Duties – as needed
· Assist in Data Entry/Claim Verification
› Ability to effectively present information and respond to queries from managers, clients, customers, or the public.
A choice medical insurance plans designed to meet your needs
Flexible spending and health savings accounts
Facet Claims Workflow Analyst
By Mediant Health Resources At United States
Experience and strong understanding of workflow data models.
Experience with customer service workflow.
Facets Claims Workflow and Business Applications expertise.
Understanding of medical plan applications.
Hra Sr Claims Analyst (Remote)
By Trustmark At United States
Build HRA benefit plans in the Defined Care Platform
Research, analytical and problem-solving skills
Strong organizational skills and the ability to meet deadlines
3-5 years claims paying experience
Working knowledge of Operating System(s)used by the Claims Area
Administer HRA claim payments in accordance with policy provisions.
Claims Data Analyst Jobs
By Insight Global At United States
2 or more years of relevant work experience
Experience working with medical and pharmaceutical claims
Advanced Microsoft Excel skills (PowerPivot, functions, VBA)
Ability to manage deadlines and deliverables and communicate them to business owners.
Proficient in writing SQL queries and stored procedures on large data sets with complex data models
An analytical mind and inclination for problem-solving
Claims Clerk Jobs
By Canon Business Process Services At Marlton, NJ, United States
H.S. Diploma or equivalent No prior experience required
Requires good computational math skills. Must be familiar with personal computers and possess good keyboard skills
Must have good communication, comprehension and interpersonal skills
Must be detail oriented and have good organizational skills
Interfaces with Adjuster, Agent and insured to obtain information to assure completeness of information and update client systems
Prepares reports and insurance claim forms for damage or loss

Are you looking for an exciting opportunity to use your analytical skills to make a difference? We are looking for an Analyst to join our team and help us uncover insights that will shape the future of our business. You will be responsible for analyzing data, developing models, and providing recommendations to drive business decisions. If you are passionate about data and eager to make an impact, this is the job for you!

Overview An Analyst Claims is a professional who is responsible for analyzing and processing insurance claims. They are responsible for ensuring that claims are handled in a timely and accurate manner, and that all relevant information is collected and documented. Detailed Job Description An Analyst Claims is responsible for reviewing and processing insurance claims. This includes gathering and verifying information from claimants, reviewing and analyzing claim documents, and determining the validity of the claim. The Analyst Claims must also ensure that all relevant information is collected and documented, and that the claim is handled in a timely and accurate manner. Job Skills Required
• Knowledge of insurance policies and procedures
• Excellent communication and interpersonal skills
• Ability to analyze and interpret data
• Ability to work independently and as part of a team
• Proficiency in Microsoft Office Suite
• Ability to multitask and prioritize tasks
• Strong problem-solving skills
• Attention to detail
Job Qualifications
• Bachelor’s degree in a related field
• Previous experience in insurance claims or related field
• Knowledge of insurance policies and procedures
• Ability to analyze and interpret data
• Proficiency in Microsoft Office Suite
Job Knowledge An Analyst Claims must have a thorough understanding of insurance policies and procedures, as well as the ability to analyze and interpret data. They must also be familiar with Microsoft Office Suite and have strong problem-solving skills. Job Experience Previous experience in insurance claims or a related field is preferred for an Analyst Claims position. Job Responsibilities
• Review and process insurance claims
• Gather and verify information from claimants
• Review and analyze claim documents
• Determine the validity of the claim
• Ensure that all relevant information is collected and documented
• Handle claims in a timely and accurate manner
• Maintain accurate records of claims
• Communicate with claimants and other stakeholders
• Resolve any disputes or discrepancies
• Monitor and report on claims trends and patterns
• Assist with other tasks as needed