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Analyst Claims Jobs in Arkansas

Logistics Claims Analyst Jobs
By Motion Recruitment At United States
3-5 years of experience working on logistics, supply chain, or 3PL teams
Experience utilizing Oracle ERP and Microsoft Excel
Investigate, triage, submit, and document information related to each individual claim including those related to customer deductions, transportation, and warehousing.
Determine parties responsible for the claim and perform chargeback(s) accordingly
Input information to Oracle ERP
Utilize High Radius and Tableau for reporting
Data Analyst (Claims) Jobs
By Molina Healthcare At United States
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Presents audit findings and makes recommendations to management for improvements based on audit results.
Topical knowledge supporting Claims or Configuration.
Support CAP’s and internal & external audits, assisting CMS and state regulators.
Analyze and interpret data to determine appropriate claims reimbursement
Works with fluctuating volumes of work and is able to prioritize work to meet deadlines and needs of department.
Claims Compliance Analyst, Medicare
By Markel At United States
Exceptional organizational and time management skills
Bachelor’s degree or equivalent work experience
10 years of relevant work experience (12 years without bachelor’s degree)
SQL Server, Visual Basic skills preferred
Advanced to expert written and oral communication skills
Advanced analytical and problem solving skills
Claims Administrator Jobs
By Sage, Sacramento At United States
Qualifications, Skills and Experience required:
Job Duties and Essential Functions include
• 3 years of disability and/or ADA administrative experience.
• Strong knowledge of MS Excel and MS Word.
• When applicable, initiate return-to-work accommodations while adhering to relevant Federal regulations.
• When required, coordinate between short term disability insurance carriers, worker’s compensation insurance providers and the employee.
Claims Analyst I Jobs
By Towne Park At United States
Six to twelve months related experience and/or training; or equivalent combination of education and experience.
Ability to manage several projects simultaneously while working under pressure to meet deadlines.
The individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully.
Excellent written communications skills to provide any necessary correspondence with internal and external customers.
Reasonable accommodations may be made to enable individuals with disabilities to perform all functions.
High school diploma or general education degree (GED)
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
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
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.
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 Analyst - Remote ($19.65 - $34.19 / Hour)
By Talentify.io At United States
Investigate, analyze, and respond to complaints from various sources, including Consumer Protection Agencies, Regulatory Agencies, Attorneys, and Upper Management
1-2 years of previous customer service experience
Bachelor's Degree or equivalent work experience
Basic mechanical, technical, and contract knowledge
Previous leadership experience desired but not required
Comprehensive benefits package including medical, dental, vision, 401k, PTO/paid sick leave, and employee stock purchase plan
Remote Claims Analyst ($18.00 / Hour)
By Talentify.io At United States
A minimum of 1 year of prior claims experience
A professional degree or equivalent experience
Strong communication skills, both written and verbal
Sharp critical thinking skills with sound judgment
Perform data entry and verification
Verify data and processing requirements and make corrections as necessary
Analyst, Claims Finance Jobs
By Branch At United States
Bachelor's degree in finance, accounting, or a related field. Advanced degrees or certifications are a plus.
Support the Claims Finance team in monthly and quarterly reporting of the claims organization's performance, including efficiency metrics and financial results.
Collaborate with finance, accounting, and data analytics teams to ensure accurate and consistent financial reporting related to claims operations.
Stay informed about industry best practices, regulatory changes, and advancements in claims finance methodologies to enhance monthly and quarterly reporting processes.
Collaborate with cross-functional teams, including claims, finance, actuarial, and operations, to drive collaboration and achieve shared reporting goals.
Strong analytical skills and proficiency in financial analysis tools, such as Excel and data visualization software, for monthly and quarterly reporting.
Claims Analyst Jobs
By Catalyst Solutions At United States
Nice to have: QNXT experience
Support day to day claims processing
Medicare, Medicaid, COB, and complex claims needed.
Will be high volume with high accuracy needed.
Claims Analyst I Jobs
By Towne Park At United States
Six to twelve months related experience and/or training; or equivalent combination of education and experience.
High school diploma or general education degree (GED)
Ability to manage several projects simultaneously while working under pressure to meet deadlines.
The individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully.
Excellent written communications skills to provide any necessary correspondence with internal and external customers.
Reasonable accommodations may be made to enable individuals with disabilities to perform all functions.
Claims Analyst - Remote
By Trustmark At United States
1 year of health insurance experience or medical terminology knowledge is a plus
Determine benefit coverage based on clinical edits, plan documents/booklets, benefit reference documents, Claim Reference Manuals and claims-related memoranda, and reports.
Effective verbal and written communication skills
Review, analyze and interpret claim forms and related documents.
Appropriately investigate, pend and refer claims based on claim procedures and guidelines.
Accurately handle correspondence, claims, and referrals in the established timeframes and/or performance guarantees.
Billing Analyst(Claims) Jobs
By VDart At United States
Skills: Billing , Excel abilities, Auditing Skills and Verbal/Writing etiquette
Good Excel skills are needed with ability
Schedule: Monday-Friday 8:00 – 5:00 EST
audits and handling research items for Consultants.
Audits of policies and cases
3. Responding to emails from customers
Data Analyst With Claims
By TEK NINJAS At United States
Analyze daily, weekly, and monthly reports and presents findings to Management. Maintains compliance with Internal Audit Reporting.
Completes special projects as assigned by business management.
Ability to provide oral and written communication regarding claims issues to various departments and levels of management.
Strong experience building complex SQL queries, prior experience working in Big Query.
Experience with dashboarding and visualization tools such as Tableau and Looker Studio.
Prior experience using Alteryx or Python is a plus.
Business Analyst, Claims Jobs
By DUAL North America At United States
Job Requirements (education, experience, skills):
· Insurance experience – requires working knowledge, casualty, terms and elements
· Insurance experience – requires working knowledge claims terms and data elements
· Other duties as assigned by manager
· College graduate and/or applicable training and/or experience
· 3+ years analyst, insurance, claims or relevant experience required

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