Claims And Insurance Analyst Jobs

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1000+ Claims And Insurance Analyst jobs found on Monster.

Jobs 1 to 20 of 2111
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...
Global insurance industry leader seeking claims analyst to manage and handle complex insurance claims on asbestos, environment, and mass tort. Objectives: *** Review coverages stated in policies. *** Evaluate claims for status of eligibility. *** Settle reserves on payment. Requires a 4 year degree and 5+ years relevant experience handling complex insurance claims. Excellent opportunity to j...
Seeking specialist to investigate and provide resolution to insurance claims. You will be reviewing construction defect, environmental, toxic torts, and general liability claims. The candidate will inspect and evaluate coverage policies. He or she is responsible for negotiating payments and ensuring timely disbursement of funds to clients. Requires prior experience with reviewing insurance claim...
Liberty Mutual Boston, MA
Senior Business Analyst- Personal Insurance Claims Compliance-57280 Description Advance your career at Liberty Mutual Insurance- A Fortune 100 Company! As a Senior Business Analyst, you will proactively assess risk and implement and strengthen controls within Personal Insurance Claims to ensure compliance with state and federal regulations and with internal business policies and procedures. Be ...
Liberty Mutual Boston, MA
Senior Business Analyst- Claims Processing/Insurance-55856 Description Advance your career at Liberty Mutual Insurance- A Fortune 100 Company! Personal Insurance is searching for a Sr. Business Analyst to support special projects and process implementation for Bodily Injury claims. In this role, you will be a part of the Personal Insurance Claims, Bodily Injury (BI) Product Team. Under limited ...
Description Role description: The candidate filling this position will be responsible for Life Insurance Claims transition work with the different new BPS clients, including gathering requirements, documenting procedures, testing, and cutover activities. Location: Jacksonville IL (preferred), or Nashville TN Key skills: - Life and Annuity Insurance Claims experience is highly desired. Essenti...
Description Role Description: Assesses and processes a variety of Living Benefit claims including disability, medical, and life insurance riders such as waiver of premium, accelerated death benefits, etc. Inputs claim data in the appropriate system and monitors reports to ensure adherence to internal service level standards. Interacts with claimants and client companies as needed. Essential Job ...
Liberty Mutual Holding Company Inc. Boston, MA, 02298
Advance your career at Liberty Mutual Insurance- A Fortune 100 Company! As a Senior Business Analyst, you will proactively assess risk and implement and strengthen controls within Personal Insurance Claims to ensure compliance with state and federal regulations and with internal business policies and procedures. Be an active participant in the design and roll-out of a self-audit program to help ...
Liberty Mutual Holding Company Inc. Boston, MA, 02298
Advance your career at Liberty Mutual Insurance- A Fortune 100 Company! Personal Insurance is searching for a Sr. Business Analyst to support special projects and process implementation for Bodily Injury claims. In this role, you will be a part of the Personal Insurance Claims, Bodily Injury (BI) Product Team. Under limited supervision you will perform complex research and analysis to drive perfo...
Johnson Controls, Inc Milwaukee, WI
Johnson Controls is a global multi-industrial company with core businesses in the automotive, building and energy storage industries. Our 170,000 employees create quality products and services to optimize energy and operational efficiencies of buildings, energy storage and interior systems for automobiles. Through our growth strategies and by increasing market share we are committed to delivering ...
Oct 13, 2014 Role description: The candidate filling this position will be responsible for Life Insurance Claims transition work with the different new BPS clients, including gathering requirements, documenting procedures, testing, and cutover activities. Location: Jacksonville IL (preferred), or Nashville TN Key skills: - Life and Annuity Insurance Claims experience is highly desired. Essenti...
Description Role description: The candidate filling this position will be responsible for handling living benefit claims including A&H, Disability, waiver of premium, accelerated benefits, long term care, etc. . Essential Job Functions Analyzes insurance and matured endowment claims to ensure compliance with organizational and government guidelines. Maintains an ongoing effort to determine and...
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...
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 ...
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...
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...
Grievance Analyst Investigate and resolve complex and sensitive service-related disputes. Perform customer call backs or create written correspondence to effectively close the issue Research and analyze participant claims activity, plan design, and CMS guidance in determining accurate claim payments, accumulations and resolution. Work with various business units to resolve issues with enrollme...
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...
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...
Summary: This position is responsible for analyzing coding diagnoses, procedures and modifiers to troubleshoot and resolve billing and/or coding issues, rejections, denials and appeals. Works with Medicaid, Medicare and commercial insurance carriers to resolve claim errors and responds to billing and coding questions from internal and external sources. Supervises support staff and works in coll...

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