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Claims Review Analyst Jobs

Credit Review Analyst Jobs
By Federal Reserve Bank of San Francisco At , San Francisco, 94105, Ca From $75,900 a year
Qualifications Knowledge, Skills & Abilities:
Conduct reviews and approve BIC Program applications, and periodic certifications as required for the DIs.
Bachelor’s degree required in business, economics, finance, legal, accounting or a related field.
Minimum 3+ years of related work experience.
Knowledgeable of financial instruments, including loans and securities.
Experience with conducting financial analysis.
Contract Review Analyst Jobs
By Deloitte At , Atlanta, 30303, Ga
Create and facilitate training and education on vendor management risks to U.S. and Global A&A Products and Solutions group.
Legal or third-party risk management experience is a plus.
Provide other support as directed by the Technology Risk Management Team or TRM Leader.
Provide other support as directed by the Technology Risk Management Team or TRM team.
Create and facilitate education sessions on OSS policies to product teams.
Bachelor's degree or 3+ years experience as a paralegal.
Claims Review Specialist Jobs
By Aerotek At Hanover, MD, United States
• Bachelor’s Degree with 2 years’ work experience in insurance, workers compensation claims management or risk management
• Partners with Safety, Human Resources and Corporate Legal to drive claims management
• Initiates subrogation where appropriate with management’s authorization
and authorizes worker’s compensation settlement offers to be made by the TPA
• Makes appropriate referrals to outside vendors such as defense attorneys, nurse case managers and investigator
• Participates in communicating claims trends to Regional Safety Manager
Claims Review Analyst Jobs
By TurningPoint Healthcare Solutions At United States
Certified Coding Specialist (CCS), or Certified Coding Associate (CCA) by the American Health Information Management Association (AHIMA) Licensure, Certification
Excellent communication and customer service skills and analytical and problem-solving capabilities.
Manage all reviews and medical record requests within timeframes per service level agreements.
Minimum of 2 years’ experience in Customer Service, or applicable healthcare operations.
5+ years claim processing experience and demonstrated ability to handle multiple assignments competently, accurately, and efficiently.
Certified Coding Expertise; Knowledge of medical coding concepts and the uses of ICD10, HCPCS/CPT, and DRG coding.