Claims Management Analyst Join us as a Claims Analyst to grow your experience in handling complex claims. Make... your mark in Claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical...
Senior Claims Management Analyst Join us as a Senior Claims Analyst to grow your experience in handling complex... claim to ensure accuracy of financial exposure. Identifies and makes reserve recommendations to management on claims...
Claims Management Analyst Join us as a Claims Analyst to grow your experience in handling complex claims. Make... your mark in Claims. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical...
Compliance Analyst primary responsibility is to review, analyze and investigate claims performance, in an effort to ensure... compliance as it relates to all regulatory guidelines including but not limited to CMS. The Claims Compliance Analyst...
to assist the Company in managing aggregate stop loss coverage on behalf of our clients. A Surest Stop Loss Claims Examiner... Sponsors. A Surest Stop Loss Claim Examiner will partner with the Stop Loss Claims Operations Team to drive continuous...
) preferred - Associate in Risk Management (ARM) preferred - Associate in Claims (AIC) preferred - Associate in Underwriting...Industry/Sector Insurance Specialism Guidewire Management Level Manager Job Description & Summary At PwC...
: Dallas, TX or Columbia, SC We are seeking an experienced Mainframe Security Analyst to join our team! Researches, analyzes... management and users regarding security procedures and compliance policies. Utilizing technologically advanced software...
an experienced Mainframe Security Analyst to join our team! Researches, analyzes and troubleshoots information systems compliance..., containment and correction of information security breaches. Assists in advising management and users regarding security...
preferred. Proven experience in risk management, insurance, or claims management within the construction industry or a related.... Job Description The Risk Analyst will manage and provide training for the organization’s COI tracking system (NetVendor); compile incident...
preferred. Proven experience in risk management, insurance, or claims management within the construction industry or a related.... Job Description The Risk Analyst will manage and provide training for the organization's COI tracking system (NetVendor); compile incident...
in Actuarial Analyst positions. Responsibilities include: Assist with pricing studies to evaluate the profitability of company.... Perform trend analysis to understand changes in the frequency and severity of insurance claims. Lead state and product rate...
of Collections, Claims Management, and customer satisfaction, which includes backing up others, communication and providing cross... an inclusive, growth-driven work environment. Ready to bring your best? The Rebills Analyst is responsible for ensuring accurate...
. Three years of experience in medical claims systems, medical management, managed care organization compliance and regulatory... Community Health Plan’s (PCHP’s) Senior Complaint and Appeals Analyst is responsible for intake, investigation, distribution...
-live support. The preferred candidate must have worked primarily in PB claims, Charge router, and SBO. Experience... prioritization. Must be certified in any combination of the following Epic modules: Epic Resolute PB Admin, SBO, Epic Claims, Epic HB...
. The position will be involved in the day-to-day implementation and maintenance of contract terms in various claims... leading national ambulatory surgery management platform. Responsibilities: Loading contract reimbursement terms in various...
on data and exports. Responsible for informing and providing insights to Management using available data resources... with payer requirements, to identify third party monies available through claims or settlement mechanisms. 4. Coordinates data...
and business processes. These efforts impact inbound encounters and the misdirected claims data exchanges between UHC... Clearinghouse to Optum Insight to the multiple front-end and backend applications and claims platforms Applies analytical...
in various claims adjudication systems. This team member will work directly with Tenet Managed Care Operations Director... its footprint as the leading national ambulatory surgery management platform. Responsibilities: Loading contract reimbursement...
1,700 restructuring transactions with aggregate debt claims in excess of $3.5 trillion. With more than 275 dedicated restructuring... within the Financial Restructuring business, including creditor- and debtor-side restructurings, liability management, capital...
). Handles some outbound email or fax requests Handles inbound calls (queries) for status in general on claims they initiated... required Maintains production standards and production requirements Assist co-workers, supervisor or management to accomplish product...