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Claims Analyst Jobs

267 jobs

PHARMACEUTICAL CLAIMS ANALYST REQUIREMENT #16-00116 RECRUITER: MELISSA GIUSTI JOB LOCATION: PARSIPPANY, NJ JANUARY 21, 2016 *** CANDIDATES MUST BE ABLE TO WORK ON OUR PAYROLL AS A W-2 *** Project Description: Accountable for the reviewing and routing incoming customer claims through initial review and some basic analysis and determine course of action. Timely processing and reconciliation ...
Job Number : COR02267 Description Job Overview: The Claims Analyst I is responsible for investigating, handling, and settlement of litigated and non-litigated workers compensation claims of medium complexity. The core purpose of the position is to investigate medium to high exposure, complex and mostly litigated lost time workers compensation claims and determine if the claim is compensable. Mo...
RESPONSIBILITIES: Kforce has a client seeking an FHA Claims Analyst in Coral Gables, Florida (FL). The hours of work for this role are Monday through Friday - 8:00am - 5:00pm; extended hours including evenings and / or weekends as necessary to complete work and achieve objectives. General Duties: Prepares and files all FHA, VA, USDA, PMI, Fannie Mae, Freddie Mac, and investor conveyances and cl...
Job Description: Accountable for the reviewing and routing incoming customer claims through initial review and some basic analysis and determine course of action. Timely processing and reconciliation of rebates, admin fees, promos, shortage/damage claims and other miscellaneous credits. Interact with customers both verbally and via email on claim requests and relating to customer issues. Abilit...
General Purpose of Job The Default Filer is expected to maintain a positive and professional work atmosphere while maintaining a full claim filing workload. The position requires keen attention to detail, an ability to comprehend account situations, and competencies in problem-solving, and judgment. Claim filing requires a quality review of the account and/or documentation gathering to conclude t...
Our client, a large bank located in Hunt Valley, MD has a need for Call Center Claims Analysts. This is a 6 month or longer contract position. The pay rate is $18.00-22.00/hr depending on experience. All candidates MUST have a minimum of 2 years of experience in a call center preferably handling fraud or credit card claims. The hours are Monday through Friday 2pm-10pm. Please see the job descripti...
Position Title:Healthcare Claims Analyst Location:1212 S Broadway, Suite 200 Denver, CO80210 Category:Full time, Exempt Salary Range:$75,000 – $85,000 annually (DOE) Reports To:Executive Director Supervises:N/A This position is responsible for analyzing data through claims analysis software applications for the purpose of measuring health care utilization, cost, claims-based performance met...
Our client, located in Downtown Dallas, currently has openings for Claims Initiation Analysts! This role is with a leading Financial Institution! Candidate will receive incoming calls and assists customers with questions or issues regarding potential fraudulent activity on a deposit account (checking, savings) . Takes appropriate action based on an evaluation of the customer's needs which may i...
The HB Claims Analyst works on system technology projects to meet the business system needs for a client group including developing system design and interface specifications, identifying solutions to business needs and implementation of technology solutions. Scope of the job includes technology system implementations and enhancements to existing technology systems; design specifications to suppor...
The Claims Analyst assists providers with questions pertaining to claims issues, billing questions, and service authorizations. Verify and update information related to data entry, submitted claims, authorizations and workflow processes to determine reimbursement eligibility, ensure payments/denials are processed in accordance with provider contracts, authorizations, Comply with New York policies ...
Seeking individual who can analyze and evaluate environmental health hazard claims stemming from exposure to pollution, asbestos, or similar. Shall: *** Evaluate specialty claims involving serious injuries related to asbestos, pollution, or other environmental health hazards. *** Investigate claims, evaluate policies, determine coverage and reimbursement, negotiate payment amounts and develop p...
Kelley & Ferraro, LLP, a Plaintiff’s law firm located in Downtown Cleveland, has an immediate opening for a full-time claims analyst in the Settlements Department. Job responsibilities include claim submission and follow-up, settlement check distribution, daily client contact, as well as other administrative duties. The ideal candidate must have strong computer skills (Microsoft Office Excel, Wor...
Texas Retina Associates seeking experienced insurance claims analyst. Two years claims analyst experience required with ophthalmology terminology experience preferred. Candidates must have excellent verbal and written communication skills for correspondence with patients and insurance companies. NextGen experience a plus. The best candidate will be organized and be a self-starter with the ability ...
Check out the following fantastic career opportunity! POSITION TITLE Claims Analyst OVERVIEW AND REPORTING RELATIONSHIP With direct supervision, this position applies refund payments and receives, researches, adjudicates, and processes member benefits claims through the utilization of Company systems, ensuring the accurate handling of claims in a timely manner. OTHER REPRESENTATIVE DUTIES Su...
Medical Claims Analyst Job in North Phoenix, AZ Our client is expanding and seeking Medical Claims Analysts to join their team in North Phoenix, AZ. Individuals in this position must be familiar with medical claims processing, have an understanding of medical terminology and claim forms, and be experienced with claims auditing, adjustments, and appeals. If you’re looking for a rewarding career wi...
We have a MORTGAGE CLAIMS ANALYST job with one of our most respected mortgage industry clients located the Champions area of North Houston. Candidates MUST have a background in mortgage servicing with experience in foreclosure, default, bankruptcy, etc. servicing claims and loans. Some accounts payable and reconciliations experience is a plus, but not required. The pay range for this position is $...
Fortress Insurance Company is an “A” rated insurance company providing professional liability insurance nationally for dentists. Conveniently located near O'Hare airport and public transportation, our contemporary office boasts a friendly and supportive environment. We offer a competitive salary and full benefits package including employer-paid health and dental plans, 401K plan, deferred compensa...
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.(sm) The Manual Claims Analyst is the frontline information resource for the claim processing professionals to answer qu...
PURPOSE: The claims analyst verifies the validity of medical claims and determines whether payments will be made in accordance with the terms of the insurance policy. Analysts must have knowledge of medical terminology, practices and pharmaceuticals. PRINCIPLE DUTIES AND RESPONSIBILITIES: · Analyze and process a variety of claim files to ensure the execution of standardized claim protocol and cl...
Seeking individual with experience performing coverage analysis, claims investigation, negotiating payments, and settling reserves on payment. Your background: *** Strong knowledge of complex and specialty claims related to environmental health hazards, asbestos exposure, toxic tort, pollution, construction defect, or similar. *** 4 year degree or equivalent and 5+ years direct experience in cl...