Claims Analyst Jobs

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1000+ Claims Analyst jobs found on Monster.

Jobs 1 to 20 of 5158
RESPONSIBILITIES: Kforce has a client that is searching for an Accounts Receivable / Claims Analyst in Grand Rapids, MI. Duties Include: Process all sales data files submitted by customers Audit data files for accuracy Research and resolve discrepancies Process invoices Manage all paperwork related to customer file processing Track customer files and work with customers to obtain any missi...
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...
Description SUMMARY The Claims Analyst is responsible for the completion of medical bill reviews. This position utilizes the system database to determine the reasonable cost of medical care within a specific geographic area and manually reviews for reasonableness, rarity, duration, application of proper fee schedule, accurate diagnosis and CPT coding, bundling/unbundling, drugs, supply coding, a...
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 Security Insurance Company and for...
Job Description: Claims Developer/Claims Consultant This unique position has two facets to it: First, will be interaction with attorneys regarding Worker's Compensation Claimants. Second, will be Job Development - being able to assess claimants skills against a current open job /position. Calling on employers on behalf of the claimants. Background in Legal and Claims is preferred, but backgro...
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 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 int...
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. The Claims-Billing Analyst is responsible for verifying eligibility and comparing pricing inform...
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...
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...
Job Summary: Claims Analysts are responsible for analyzing, auditing, and investigating their assigned client’s A/R process in order to ensure quality, resolve errors, and provide strategic solutions. Essential Responsibilities & Duties: Develop a solid understanding of assigned client’s process in order to strategically review and analyze their A/R functions. Conduct regular audits of represe...
Bank of America Corporation Phoenix, AZ, 85002
ResolvesSmall Business/ Commercial claims within the bank's policies and procedures.Responsibilities include: investigate and decision daily incoming claims usingmultiple systems and tools; resolve differences; answer service requests andinquiries received from various channels. May debit or credit customer'saccounts as appropriate, process chargebacks or update customer regardingpending claims. R...
The Hanover Insurance Group , Inc. Bedford, NH
Specialty Claims Analyst- Excess and Surplus GL claims Job ID #: 6278 Location: Bedford, NH Functional Area: Claims SBU: 85100 - Risk Management Claims Position Type: Full - Time Education Required: Bachelors Degree Experience Required: 3 - 5 Years Relocation Provided: No Job Description “Where Great People Build Successful Careers!” The Hanover Insurance Group is seeking a Specialty Clai...
Bank of America Phoenix, AZ
Resolves customer merchant, credit, or ATM claims within the bank's policies and procedures. Responsibilities include: investigate and decision daily incoming claims using multiple systems and tools; resolve differences; answer service requests and inquiries received from various channels. May debit or credit customer's accounts as appropriate, process chargebacks or update customer regarding pend...
Bank of America Newark, DE
Resolves customer merchant, credit, or ATM claims within the bank's policies and procedures. Responsibilities include: investigate and decision daily incoming claims using multiple systems and tools; resolve differences; answer service requests and inquiries received from various channels. May debit or credit customer's accounts as appropriate, process chargebacks or update customer regarding pend...
Bank of America Corporation Newark, DE, 19712
Resolves customer merchant, credit, or ATM claims within the bank's policies and procedures. Responsibilities include: investigate and decision daily incoming claims using multiple systems and tools; resolve differences; answer service requests and inquiries received from various channels. May debit or credit customer's accounts as appropriate, process chargebacks or update customer regarding pend...
Hanover Insurance Group Bedford, NH, 03110
“Where Great People Build Successful Careers!” The Hanover Insurance Group is seeking a Specialty Claims Analyst to join our growing team in Bedford, NH Proud history…Smart growth…The best company for outstanding professionals. Recognized in 2014 by Business Insurance as a Best Places to Work , The Hanover is proud to be among the top 25 property and casualty insurers in the United States. The com...
Bank of America Corporation Phoenix, AZ, 85002
Resolves customer merchant, credit, or ATM claims within the bank's policies and procedures. Responsibilities include: investigate and decision daily incoming claims using multiple systems and tools; resolve differences; answer service requests and inquiries received from various channels. May debit or credit customer's accounts as appropriate, process chargebacks or update customer regarding pend...

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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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