Claims Analyst Jobs

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1000+ Claims Analyst jobs found on Monster.

Jobs 1 to 20 of 6146
Description: No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm) We are seeking candidates that can lead claims system ...
Description: No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm) We are seeking candidates that can lead claims system ...
Description: No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm) We are seeking candidates that can lead claims system ...
Job Description / Duties: Our Exton, PA client has an immediate need for a Claims Processor / Claims Analyst for a long term temp assignment. The chosen candidate will be assigned to examine /process and research claims for the Death Master Audit (DMA) project. He/she will review the State lists of clients who potentially have or had policies with company to determine the status of the beneficiar...
Description: No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm) We are seeking candidates that can lead claims system ...
Description: No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm) We are seeking candidates that can lead claims system ...
Description: No industry is moving faster than health care. And no organization is better positioned to lead health care forward. We need attention to every detail with an eye for the points no one has considered. The rewards for performance are significant. You'll help improve the health of millions. And you'll do your life's best work.(sm) We are seeking candidates that can lead claims system ...
JOB SUMMARY Investigate, evaluate, and resolve claims made against the Company’s mental health and psychiatry program business including psychiatrists, psychologists, social workers and other mental health care providers’ liability. Engage in collaborative projects in support of other areas including underwriting, finance and accounting, actuarial, operations, and technology. Provide superior ser...
Description: Position Description: This position will be responsible for providing technical support and troubleshooting expertise to a healthcare claims platform, customers and systems administrators. The candidate will be handling incoming phone calls and emails from technical end users, researching technical issues, running and writing SQL queries to get system status and apply data base ...
Description: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self Directe...
What are the top 5-10 responsibilities for this position? 1. Review critical errors from 837 EDI submissions, research and correct the data in the IT system; 2. Assist in preparing testing scripts for new system; 3. Executing testing scripts for new system; 4. Reviewing various system settings in new system, analyzing same, and making recommendations to the team for final decisions. What soft...
Job Summary Reviews claims using medical records and system reports to determine proper documentation, utilization and appropriateness of medical services and to identify possible fraud and abuse. Essential Functions o Performs post payment analysis of medical claims and records. o Uses independent judgment to determine sanction level, and forwards recommendation to management for approval. o...
Job Summary Operates in the capacity of a subject matter expert on topics including but not limited to encounter transactions/submission, recovery or claims editing requirements and regulations specific to states in which Molina operates. Researches, verifies and interprets state requirements relating to all aspects of the encounter, recovery and cost savings functions. Develops or modifies inter...
Description: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work. Our claims operations are the focal point of handling information about services patients receiv...
Description: Position Description: At UnitedHealthcare, no other word is more prevalent than âopportunity." Here, we'll give you access to employee training and mentoring programs so you have all the tools and support you need to reach your full potential. This is your opportunity to grow and develop your career. This is your opportunity to join our mission to improve the health care system and ...
Job Description: This position will determine liability and adjudicate group life claims in accordance with the group life policies with a claim check approval limit of up to $70,000.00. In addition, the incumbent's responsibilities include assisting and corresponding with internal and external customers regarding claim inquiries in an accurate, courteous and professional manner. Job Requirement...
Disability Claims Analyst Assurant Employee Benefits specializes in quality employee benefits and services, including long-term and short-term disability, life insurance, voluntary benefits such as cancer, critical illness and accident, dental coverage, and disability reinsurance management services. Assurant Employee Benefits is the brand name for insurance products underwritten by Union Securit...
Under limited supervision, analyzes high dollar claims and determines eligibility of complex Group Reinsurance claims. Establishes, monitors and updates system with appropriate reserves or reserve assumptions. Identifies claim and underwriting issues that might affect the claims process or administrative services. Assist in developing and implementing improvement processes for Claims. Responsibil...
Job Title: Senior Consultant - Business Analyst with Commercial Insurance Claims and BPM tool experience Job Location: Kansas City, MO Job Description: • Business Analyst with Commercial Insurance Claims and BPM tool experience • Significant exposure to BPM tools desired, AWD preferable • IT business analysis methodologies • Experience in SDLC and Agile project approach • Project leadership...
Description: We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.(sm) Position Summary: The Sr. Healthcare Financial Analyst is responsible for...

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Business Career Tools

Sr. Claims Analyst

Salaries

$31,200.00 - $94,500.00
Typical Salary for Sr. Claims Analyst
(48 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
54.8%
Associates
16.1%
High School
9.7%
Some College Coursework Completed
9.7%
Professional
6.5%
Doctorate
3.2%
(31 Respondents)
Source: Monster.com Careerbenchmarking Tool

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