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Analyst Claims Jobs in Pinellas, Florida

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 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 ...

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 ...

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
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
Claims / Demurrage Analyst Jobs
By Vitol At Houston, TX, United States
Minimum 2 years experience in demurrage / post deal analysis
Strong analytical, critical thinking, and problem-solving skills
Able to quickly learn new skills and grasp new concepts
Excellent written and oral communication skills
Strong desire for personal learning and sharing of skills with others
Monitoring of completed vessel movements in order to update budgets and create demurrage and secondary receivable claims in a timely manner
Claims Data Analyst Jobs
By Sidecar Health At , Remote
Create ad hoc reports to respond to claims-related queries from other stakeholders, including account management
Utilize data to prepare Cost/Benefit analysis for potential software enhancements
3+ years of quantitative analytics experience, with proficiency in SQL, Tableau, and Python-based analytical tools
Experience in root cause analysis
Experience in extracting and presenting data to identify areas of concern within processes
Strong problem-solving skills and ability to thrive in a fast-paced, dynamic startup environment
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 Data Analyst Jobs
By Community Medical Services At Scottsdale, AZ, United States
Bachelor’s Degree in Information Management, Healthcare Informatics, Computer Science, Business Administration, or Statistics preferred.
Proficient knowledge of contracts, benefits and pricing modules required.
Ability to manage full cycle analytical/reporting solution from requirements gathering to data modeling and report authoring required.
Manages top tier payors claim submissions and AR Reconciliation.
Minimum of 3-5 years' experience contributing to the analysis of large medical insurance claims databases required.
Extensive knowledge in Claims Systems Processes required.
Excess & Surplus - Claims Analyst
By The Cincinnati Insurance Companies At , Fairfield $65,000 - $93,700 a year
Control and manage property and casualty litigation files
Good verbal and written communication skills
Strong negotiation and reasoning skills with the ability to multi-task
control and manage property and casualty litigation files
good verbal and written communication skills
strong negotiation and reasoning skills with the ability to multi-task
Ees| Unemployment Claims Analyst (Remote)
By Experian At Costa Mesa, CA, United States
Experience in unemployment claims management industry is a plus
All Claims Analysts for Experian Employer Services are working remotely.
Competitive pay and comprehensive benefits package, with a bonus target of 5%.
Creative and Curious – willing to take risks, challenge traditional approaches, inquisitive with a penchant for seeking new opportunities
Coordinate with clients to gather all relevant information necessary to respond to an unemployment claim
Prepare and submit a comprehensive response to the unemployment claim that provides the best chance of a successful outcome
Claims Business Analyst Jobs
By Berkshire Hathaway Direct Insurance Company At , Remote
Communicating and translating requirements for the claims system from management with development teams
1+ years experience relevant experience (such as System Analyst, Business Analyst)
Insurance claims experience/exposure helpful but not required
Some Highlights of our Benefits are:
Helping to identify issue root causes
Performing analysis for internal use
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 Clerk Jobs
By Safeway Insurance At ,

This position is responsible for maintaining an efficient flow of work within the claims office by performing such tasks as processing drafts, answering the phone, taking loss reports, maintaining ...

Claims Analyst (Remote Position)
By Sun Life At , Hartford, 06101 $54,700 - $82,100 a year
Prior experience processing medical claims is essential to this position.
Basic knowledge of Stop Loss Claims and the Stop Loss Insurance industry
Excellent written and verbal communication skills
3+ years of experience processing medical claims
Determine on a timely basis, the eligibility of assigned claims
Understand where, when and how resources (both internal and external), e.g. medical, investigative and legal can add value to the process
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.
Default Fha Claims Qa Analyst I
By Vylla At , $22.00 - $26.75 an hour
Excellent written and oral communication, organizational and time management skills.
Ability to communicate effectively with all levels of staff and management both internally and externally.
Moderate knowledge of default claims processes for insurers and investors.
Strong interpersonal skills with a focus on teamwork and quality.
Ability to manage work in order to meet strict deadlines.
Review FHA Part A claims for accuracy within the investor/insurer timeframes.
Director, Claims Jobs
By New York University At , New York, 10012, Ny $135,000 - $175,000 a year

Required Skills, Knowledge and Abilities:

Preferred Skills, Knowledge and Abilities:

Claims Qa Auditor - Claims - Paramount
By ProMedica At , Toledo, 43606, Oh
Experience or strong working knowledge of benefit/pricing configuration, provider database maintenance, or related configuration experience desired.
Associates degree in Finance/auditing strongly preferred
Spreadsheet and database skills required. Demonstrated Excel at least level 2
Excellent written, verbal, and interpersonal communication skills required
Quality assurance program experience highly desirable
Good working knowledge of HCFA, State of Ohio and Michigan compliance regulations, and institutional/professional ECS submission formats highly desirable.
Claims Analyst Ii (Calhoun, Ga, Us, 30701)
By Mohawk Industries At Calhoun, GA, United States
Accurate data entry skills and the ability to calculate figures and amounts, such as discounts, interest, commissions and percentages
Communicating effectively with a wide range of individuals including members of management and other internal and external business contacts
Minimum of 2 years of Customer Service experience required. Internal candidates with at least 1 year of Claims experience preferred
Working knowledge of computers required, including AS400, SAP, Power BI, Microsoft Word, Excel and PowerPoint
Using good listening skills so that customer needs and problems are heard and addressed or resolved.
Negotiate claims and provide resolutions that satisfy our dealers/end users while creating the most favorable financial impact to our company.
Fha Claims Analyst Jobs
By U.S. Bank At Owensboro, KY, United States
Bachelor's degree, or equivalent work experience
Five or more years of mortgage experience
Thorough knowledge of Bank's operational policies, procedures, products, and services
Strong analytical and problem-solving skills
Ability to manage multiple tasks/projects and deadlines simultaneously
Strong interpersonal, verbal and written communication skills
072811-Claims Pa2 Jobs
By Capgemini At , , Tx

Visit us at www.capgemini.com . People matter, results count.

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