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 ...

Medicaid Claims Analyst (Remote)
By Better Health Group At Tampa, FL, United States
Work collaboratively with the internal Field Operations team to establish (remotely from the central office)
High School Diploma / GED (or higher) or equivalent work experience.
Medical Assistant, CMA, CNA or MEDIC/prior Combat Medic experience a plus.
Experienced in Excel, Google Sheets
Demonstrated STRONG organizational skills and attention to detail
Demonstrated excellent written and verbal skills
Death Claims Analyst (Remote Possible)
By Equitable At Charlotte, NC, United States
Determines appropriate beneficiary and identifies and obtains requirements needed to process the claim within state and federal guidelines.
Handles escalated requests and is considered a recognized technical resource whose knowledge encompasses a broad range of products and procedures.
2+ years of experience in financial services industry or customer service
Knowledge of the Death Claims process
Sound analytical, problem solving and decision making skills
Able to research and resolve standard issues.
Claims Business Analyst-Remote Jobs
By Sunshine State Health Plan At , , Fl

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll ...

Claims Tech Analyst Jobs
By Insurance Administrative Solutions, L.L.C. At Clearwater, FL, United States

ABOUT INSURANCE ADMINISTRATIVE SOLUTIONS Insurance Administrative Solutions (IAS) is a third-party provider of comprehensive administrative solutions for our clients in the insurance industry. We ...

Manager, Claims Jobs
By FCCI Insurance At , Sarasota, 34240, Fl
* Strong working knowledge of claim file management techniques and processes.
Support staff management of litigated cases with focus on adherence to guidelines, effective defense, and cost containment.
In exchange for your talents, FCCI offers competitive salaries and an excellent benefits package.
Manage a Commercial Litigation team that primarily handles complex and/or litigated Auto and GL claims in Florida and Georgia.
Manage exposures and ensure that reserves are appropriate at the case level for assigned team.
* Six or more years of commercial liability experience with two years in a leadership role
Claims Director Jobs
By Doctors HealthCare Plans, Inc. At Coral Gables, FL, United States
7-10 claims leadership experience in health benefits specific environment.
Knowledge of claims practices as well as technical expertise.
Excellent oral and written communication skills.
Knowledge of current Medicare Advantage operational and regulatory guidelines established by CMS, AHCA and other federal and state regulatory guidelines.
Ability to work well under pressure and difficult situations Advance knowledge of industry best practices and medical terminology
Provide strategic leadership in the development, execution and monitoring of policies, procedures and initiatives that align with corporate goals and strategy.
Claims Clerk Jobs
By Canon Business Process Services At Tampa, FL, 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