Claims Review Analyst Jobs

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

Project management/coordination in a team environment

Experience in or knowledge of animal research/IBC regulations

project management/coordination in a team environment

Data analysis and data entry.

Advanced degree or certification in regulatory affairs

data analysis and data entry.

Retrospective utilization management case review

Knowledge, Experience, and Key Attributes needed for Success:

2+ years of clinical nursing experience

Knowledge of Utilization Review processes

Knowledge of the medical plan appeal process (preferred)

Strong experience in clinical practice with diverse diagnoses

• 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

Create and file new instruments modifying existing records consistent with the existing right of way records.

Scan documents to right of way section of P8.

Database administration, document preparation, FERC notification letters, completion package preparation, weekly reports.

Field and process phone calls directed to the department

To perform duties with high degree of accuracy.

To review, analyze, and file completion reports by targeted due dates.

Bachelor’s degree in Finance/Economics/Mathematics and/or experience in a similar position

Understand our “out of market” requirements and franchise lending requirements

Knowledge of the different loan types and the importance of selecting the correct one

Strong analytical and math skills required

Spreading and balancing an income statement and balance sheet

Developing business cash flows, personal crash flows and global cash flow analysis

Completes additional responsibilities as assigned by Management Team

Manage the Project Review team mailbox including review requests, inquiries and scenarios

Three (3) or more years of mortgage industry experience required

Prior Condo Project Processing/Mortgage eligibility experience required

Co-op documentation review and analysis experience a plus

Excellent verbal and written communication skills

• 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

• 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

· 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

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.

Strong plus if possessing a claims management background.

Finance and/or claims experience a plus but not necessary.

Knowledge of Microsoft Word and Excel.

Knowledge of Origami and other RMIS systems.

Strong analytical, communication and decision making skills.

Service focused and communication skills.

Communicate with members, providers and/or external organizations regarding appeals status or questions. Address critical inquiries from senior management through research.

Associate Degree or 2 years of job related work experience.

3 years of experience processing, researching and adjudicating claims.

Subsidized health plans, dental and vision coverage

401K retirement savings plan with company match

On-site cafeterias and fitness centers in major locations

2+ years experience in Evaluation and Management. Specifically related to 2021 AMA CPT changes.

CEMC - American Academy of Professional Coders designation as Certification Evaluation Management Coding.

2+ years of recent experience working with CPT (Current Procedural Terminology) with knowledge of (2016-2022)/ CPT Modifiers/HCPCS /ICD-9/ICD-10 coding guidelines.

Remote work experience with electronic records on a bill review platform: Smart Advisor.

Acts independently and manages own activities with minimal supervision and direction to meet customer needs using sound decision making.

3+ years experience in claims processing (original and reconsideration) for medical bill review or Clinical Code Review in Worker’s Compensation.

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.

Intellectual disability and related disabilities

intellectual disability and related disabilities

A high school diploma and two (2) years of relevant program experience.

Spinal cord injury and similar disability

spinal cord injury and similar disability

This posting seeks to fill three (3) vacancies.

Intellectual disability and related disabilities

intellectual disability and related disabilities

Spinal cord injury and similar disability

spinal cord injury and similar disability

This posting seeks to fill three (3) vacancies.

Completes additional responsibilities as assigned by Management Team

Manage the Project Review team mailbox including review requests, inquiries and scenarios

Three (3) or more years of mortgage industry experience required

Prior Condo Project Processing/Mortgage eligibility experience required

Co-op documentation review and analysis experience a plus

Excellent verbal and written communication skills

Experience reviewing and assessing information contained in documents, voicemails, and other communications.

Experience using computer programs or databases to input data, conduct analysis and review reports.

Experience reviewing information and consistently applying standards (e.g., policies, administrative rules, statutes, etc.) to aid decision making.

Experience working in a healthcare setting.

Experience investigating or triaging reports of abuse, neglect, or misappropriation.

Wisconsin residency is required for LTE positions.

Analyze performance data, interpret data trends and produce management reports for various uses including Results Minneapolis.

Ability to work with individuals from diverse backgrounds, including knowledge of cultural etiquette.

Considerable knowledge of the City of Minneapolis Police Conduct Oversight Ordinance and applicable State and Federal laws

Serve as the mediation coordinator and maintain the ADR program for the Office of Police Conduct Review.

Monitor results of the mediations and track the progress of settlement terms until all negotiated action items are completed.

Review and revise all documents formally created for the (former) Civilian Police.