Sr. Claims Analyst Jobs

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396 Sr. Claims Analyst jobs found on Monster.

Jobs 1 to 20 of 396
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 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...
Job Description: Provides in-depth business knowledge and advanced technical support to one or more business areas through developed and ad hoc analysis/reporting, as well as designing and programming complex, new processes/reports. Acts as subject matter expert for department or business unit on business systems/applications. Analyzes company functions, processes, and activities to improve compu...
Company Confidential Detroit, MI, 48226
HEALTH CARE MEDICAL CLAIMS Analyst/Adjuster. Process commercial medical claims, customer problem solving, answer customer inquiries concerning claims payment and policy. Strong working knowledge of ICD.9.CM, CPT, HCPCS, RBRVS coding chemes and medical terminology required Maintain claims production log, adjudicate claims from doctors & hospitals (hard copy and EDI ) Examines and evaluates Heal...
Investigate, evaluate, and resolve claims made against the Company’s insurance policies including lawyers professional liability, insurance agents professional liability, architects and engineers, contractors professional liability, miscellaneous professional liability, and technology errors and omissions including privacy liability. Engage in collaborative projects in support of other areas of th...
Prospect Medical is searching for a qualified: Sr. Financial Claims Analyst Job Summary: The Claims Data Financial Analyst will develop and implement effective business solutions through research, audit and analysis of claims and capitation data and/or business processes, conduct various studies that may include analyzing, reviewing, trending, and presenting information for management needs, an...
Southern Nevada Health Clinics Las Vegas, NV, 89134
OVERALL JOB PURPOSE The Business Analyst 2 - Systems reports to the Manager of the Central Business Unit (CBU) and is responsible for performing moderate to complex tasks within our mutiple claims platforms. We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. Requirements MINIMUM JOB QUALIFICATIONS AND REQUIREMENT...
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...
Our client is a leader in business process management (BPM) and customer relationship management solutions (CRM). Our client’s IT Department within its healthcare vertical is seeking a Sr. Business Process Analyst that is an SME in Commercial Claims Processing. This candidate will be analyzing and documenting the functionality of the new Smart Claims engine against the current architecture desig...
Wouldn’t it be nice to work for a company where the mission makes sense, the salaries are competitive, the company listens to the needs of the employees and the office is professional yet the dress is casual? Access Management Services is a health care services and support company serving Colorado Access and its subsidiaries. Colorado Access is a nonprofit health plan supporting the medical, beha...
Department: Operations, Configuration Reports To: Sr. Director, Strategic Operations Level: 18 (Salary, Exempt, Bonus Eligible) Leads in the development of complex ad-hoc reports to enable process and trend analysis. Provides recommendations on the implementation of new/revised operational and/or reporting processes. Conducts special projects requiring a high degree of confidentiality and exper...
Marten Transport Stevens Point, WI
OverviewJoin our team of Claims Data Analysts where you’ll play a critical role in the analysis, preparation and reporting of claims data to solve real business problems. With your outstanding skills and our great opportunity, we can go far together! You’ll work with state of the art business intelligence tools to develop and support dashboards, scorecards and leading edge reports to empower the C...
Department: Operations, Configuration Reports To: Sr. Director, Strategic Operations Location: Tampa, 33634 Hours: M-F Day Shift Leads in the development of complex ad-hoc reports to enable process and trend analysis. Provides recommendations on the implementation of new/revised operational and/or reporting processes. Conducts special projects requiring a high degree of confidentiality and exp...
Sr. Reinsurance Claims Analyst Minneapolis, MN
Bullhorn Reach Find Jobs Find Recruiters Recruiters, Create FREE ACCOUNT Today! Already a user? Log in here. Get daily alerts with jobs like this: By providing us with your information, you agree to become a Bullhorn Reach User, and to our use and disclosure of your information as described by our Privacy Policy. Find Jobs > Minnesota > Minneapolis > Heather Hartmann Sr. Reinsurance Cl...
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 ...
Wellcare Health Plans Inc FL, FL
Business Analyst, Sr. (Claims)-1409592 About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care programs, focusing on Medicaid and Medicare. Headquartered in Tampa, Fla., WellCare offers a variety of health plans for families, children, and the aged, blind and disabled, as well as prescription drug plans. The company serves approximat...
Allstate Englewood, CO
Description Allstate® Good Work. Good Life. Good Hands.® Voted one of the World’s Leading Top 100 Companies by Forbes magazine Do you have a passion for helping others? Have an eye for detail? Do you have strong organizational and time management skills? Are you looking to accelerate your career at a renowned company? Allstate Insurance Company has an exceptional career opportunity fora Sr. C...
Apex Systems is working with multiple healthcare clients in the Denver area who are in need of Claims Configuration Analysts. Candidates need to be familiar with Claim Data, Claim Codes, Claims Processing (EPIC, Facets, Xcelys, etc). Need deep experience in Claims processing and then have moved into a claims auditing oriented role; auditing to make sure the claim was per contract terms. If you hav...
Description: Position Description: You believe data can help reshape the future, and you find yourself loving the thrill of diving into challenging analysis. At UnitedHealth Group, you'll find an organization that will recognize those talents and have lots of growth potential. Here, you will be empowered, supported and encouraged to use your analysis expertise to help change the future of health...
Description: Position Description: You believe data can help reshape the future, and you find yourself loving the thrill of diving into challenging analysis. At UnitedHealth Group, you'll find an organization that will recognize those talents and have lots of growth potential. Here, you will be empowered, supported and encouraged to use your analysis expertise to help change the future of health...

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Insurance 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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