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
Remote/Hybrid Claims Analyst ($18.00 / Hour)
By Talentify.io At United States
Stay current on group contracts, provider discounts, and utilization management policies.
Identify potential coordination of benefits (COB), Workers Compensation, and Subrogation issues.
2-4 years of claims processing experience required.
Knowledge of current procedural terminology (CPT) and international classification of diseases (ICD-9 and ICD-10).
Examine and process paper and electronic claims.
Determine whether to return, pend, deny, or pay claims based on established policies and procedures.
Claims Systems Configuration Coordinator - Evicore - Remote
By The Cigna Group At United States
You'll coordinate, define, and review claims system configuration to meet change requirements as approved.
2+ years of claims and health care experience required
1+ years of experience in Claims Systems Configuration required
1+ years of Microsoft Access experience is required
Strong technical competence, proven critical thinking, and impeccable communication skills are required
Intermediate skills in MS Office Excel is required
Healthcare Data Analyst - Claims Authorizations *Remote* ($34.28 - $55.33 / Hour)
By Talentify.io At United States
2+ years' experience with data visualization in Tableau or PowerBI
2+ years' experience with SQL
We welcome 100% remote work for residents of the States of Oregon and Washington.
Required Qualifications For This Position Include
Preferred Qualifications For This Position Include
Be responsible for designing, implementing, and coordinating data analysis projects
Claims Specialist 2 - Affluent (Remote)
By Nationwide At United States
Builds and analyzes severe incident reports, reinsurance reports and other information to share with corporate office, claims management and underwriting.
3-5 years of insurance field/property claims handling or adjusting experience
Solid experience writing own estimates and handling claims start to finish
Construction background/experience - Residential, Roofing, Remodeling, Water mitigation, etc
Strong written & verbal communication skills
Maintains knowledge of other functions within subject area. This may require attending various seminars or training sessions.
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
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 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 Support Associate (Us Remote)
By Swyfft At United States
You have excellent organizational skills, attention to detail, and strong ability to multitask.
Proven working experience with 1-3 years in the insurance, customer service, or related field.
Basic math skills are required to understand, analyze, and process payments to service providers.
Experience using video and chat technology (MSTeams & Slack)
Designated quiet work from home space.
Key Responsibilities: (What you'll be asked to do)
Claims Professional - Dallas, Tx (Remote)
By Mastech Digital At United States
Six (6) years' experience with a bank that required explaining deposit insurance regulations to depositors.
A working knowledge of data processing systems
Knowledge of deposit insurance regulations and claims policies
Skill in the preparation of routine reports and forms
Ability to calmly, accurately and effectively communicate with individuals at all levels in a highly charged environment,
Ability to accurately follow oral and written instructions.
Healthcare Data Analyst: Claims / Authorizations (Remote) ($34.28 - $55.33 / Hour)
By Talentify.io At United States
2+ years' experience with data visualization in Tableau or PowerBI
We welcome 100% remote work for residents of the States of Oregon and Washington.
Required Qualifications For This Position Include
Preferred Qualifications For This Position Include
Be responsible for designing, implementing, and coordinating data analysis projects
Provide analytical support for accreditation and external regulatory agency audit activities, operational healthcare metrics
Claims Clerk - Remote Near Any Uhc Office ($16.00 - $23.13 / Hour)
By Talentify.io At United States
2+ year's data entry experience
Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary.
Calculate other insurance and re-pricing benefits
Experience working in office environment
1+ years' experience working with medical claims
Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product
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.
Remote Claims Adjustor 1 Jobs
By Coventry Workers' Comp & Auto Networks At United States
Completes all state required forms pursuant to applicable jurisdiction requirements.
Prepares and provides medical bills for repricing to the approved MCO (Managed Care Organization) vendor, where applicable.
This position is remote, however, you must be located under the Eastern Time Zone
1-2 Years Workers' Compensation Claims Experience
Contacts employees when required and provides timely and accurate information to employer.
Determines if the claim is compensable in accordance with the applicable legal jurisdiction.
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.
(Remote) Claims Assistant - Contents Evaluation
By Talentify.io At United States
Oral and written communication skills
Good comprehensive decision making skills
Applies limitations and/or exclusions on claims based on coverage afforded by the policy.
Tracks time and log file notes for daily field activity.
Performs other duties as assigned.
Supports the organization's quality program(s).
Trainer Cs & Claims I (Remote) For Or & Wa
By Moda Health At United States
Bachelor's degree in Education, Healthcare, or another relevant field. One (1) year of directly related experience may be substituted.
Experience in using Facets and other Moda software preferred.
Demonstrated knowledge of adult learning theories and methodologies.
Excellent reading, oral, and written communication skills, and ability to interact courteously, professionally, and patiently with all persons internally and externally.
Strong interpersonal and diplomacy skills; adept in conflict resolution, group dynamics, and team building.
Excellent presentation skills in a variety of settings.
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 claims analysis skills in a remote setting? We are looking for a Claims Analyst to join our team and help us process and analyze claims data. You will be responsible for reviewing and analyzing claims data, identifying trends, and providing insights to help improve our claims process. If you are a detail-oriented problem solver with a passion for data analysis, this could be the perfect job for you!

Overview A Remote Claims Analyst is responsible for analyzing and processing insurance claims from remote locations. They must be able to accurately assess the validity of claims and determine the appropriate course of action. They must also be able to communicate effectively with clients and other stakeholders to ensure that claims are handled in a timely and efficient manner. Detailed Job Description A Remote Claims Analyst is responsible for analyzing and processing insurance claims from remote locations. This includes assessing the validity of claims, determining the appropriate course of action, and communicating effectively with clients and other stakeholders. The Remote Claims Analyst must be able to accurately assess the validity of claims and determine the appropriate course of action. They must also be able to communicate effectively with clients and other stakeholders to ensure that claims are handled in a timely and efficient manner. Job Skills Required
• Knowledge of insurance policies and procedures
• Excellent communication and customer service skills
• Ability to analyze and interpret data
• Ability to work independently and remotely
• Proficiency in Microsoft Office Suite
• Ability to multitask and prioritize tasks
Job Qualifications
• Bachelor’s degree in a related field
• At least two years of experience in insurance claims processing
• Knowledge of insurance policies and procedures
• Excellent communication and customer service skills
Job Knowledge
• Knowledge of insurance policies and procedures
• Understanding of insurance claims processing
• Knowledge of relevant laws and regulations
• Understanding of customer service principles
Job Experience
• At least two years of experience in insurance claims processing
• Experience in remote working environments
• Experience in customer service
Job Responsibilities
• Analyze and process insurance claims from remote locations
• Assess the validity of claims and determine the appropriate course of action
• Communicate effectively with clients and other stakeholders
• Maintain accurate records of claims processing
• Monitor and review claims to ensure accuracy and compliance with regulations
• Provide customer service and support to clients