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159 Insurance Analyst Jobs found

Bank of America|Hunt Valley, MD, 21030|>2
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 pending claims. Researches and resolves other general customer account inquiries as appropriate. Maintains internal operational
Insurance Overload Staffing|New York, NY, 10005|>2
who have dedicated themselves to serving the insurance industry through the providing of quality personnel...Overload Staffing is a corporate culture of insurance industry people who have dedicated themselves to...Insurance Overload Staffing is a corporate culture of...
2 days ago from Medical Claims Analyst
CentraCare|St. Cloud, MN, 56301, USA|4
timely submission and resolution of all insurance claims per regulatory payer and Corporate Compliance...the timely submission and resolution of all...a vocational or business college in computers insurance or four years experience in lieu of...
2 days ago from Claims Analyst
CA||>5
Position responsibilities include, but are not limited to: The skills we are seeking include the following: ability to review and analyze issues and project documentation, analyze contracts and subcontracts to determine parties' responsibilities in light of disputes, CPM scheduling expertise and hands-on use of Primavera P3 software for project controls and evaluation of delays, report writing & preparation of charts & graphs to support and present analyses, strong oral and written presentation skills
2 days ago from Senior Claims Analyst
Ajilon Professional Staffing|Baltimore, MD, 21201|>4
Job Description: The Claims Analyst is responsible for conducting the necessary research and coordination to ensure that all claims inquiries and pended claim issues are handled and resolved in an efficient and effective manner. General Responsibilities Maintain workflows for handling claims inquires from providers and members. Conduct review of claim payment inquiries. Ensure that denied and underpaid claims are reprocessed in a timely manner. When necessary, ensure that payment with-hold
AMERIGROUP Corporation|Tampa, FL, 33603, USA|>5
adjustments and claims associated with other health insurance coverage 10...
3 days ago from Claims Analyst III Job
AMERIGROUP Corporation|Tampa, FL, 33603, USA|>3
adjustments and claims associated with other health insurance coverage 11...
3 days ago from Claims Analyst II Job
Aetna|Plantation, FL, 33337, USA|>3
No Job Type Customer Service Health Care Insurance Req d Education None Req d Experience...Type Full Time Industry Healthcare Health Services Insurance Manages Others No Job Type Customer Service...range of traditional and consumer directed health insurance products and related services including medical pharmacy...
3 days ago from STD Intake Claim Analyst
UnitedHealth Group|Eau Claire, WI, 54701|>2
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. Ovations is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. Imagine joining a group of professionals and clinicians who are working
Coalition America|Atlanta, GA, 30328|4
Have experience working in the healthcare industry with knowledge of PPOs health insurance medical terminology and claims processing...
3 days ago from Claims Analyst
UnitedHealth Group|Eau Claire, WI, 54701|>2
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. Ovations is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system. Imagine joining a group of professionals and clinicians who are working
Allstate Insurance Company|Jacksonville, FL, 32224|>2
assets Allstate sells 13 major lines of insurance including auto property life and commercial...Allstate Insurance Company has an exceptional opportunity for a Fraud Claims Analyst in the Operations Controllers office...
3 days ago from Fraud Claims Analyst
SanDisk|Milpitas, CA, 95036, USA|
Stock Options ESPP matched 401 K comprehensive insurance and tuition reimbursement...
4 days ago from Claims Analyst
RLI Corporation|Peoria, IL, 61636, USA|
Medicare Claim Analyst Tracking Code 215291-961 Job Description Ensure that SSNs and DOBs are captured on al new bodily injury claimants (7500/year), log that information into newly created RLI system and query Medicare database to determine if they are Medicare beneficiaries. Send out Medicare information letters to claimants to obtain necessary SSN and DOB data. Alert examiners of all claims involving Medicare beneficiaries (whether admitted or not) to ensure that proper releases are secured and checks appropriately
4 days ago from Medicare Claim Analyst
Maryland Insurance Administration|Baltimore, MD, 21202|2
Job Announcement Maryland Insurance Administration Health Insurance Analyst Managed Care 046508 The Maryland...Health Insurance Analyst will be responsible for the review...Insurance Analyst Managed Care 046508 The Maryland Insurance Administration MIA is at the forefront of...
6 days ago from Health Insurance Analyst
Smith Hanley Consulting Group Florida|Lake Mary, FL|
CLAIMS ANALYST Experience building a database from a market research perspective and/or from an interpretation perspective. These individuals will be building out core databases for in patient/out patient data, hospital charge data, and claims data They need to have at least a Bachelor s Degree. Medical device experience in Outcomes would be a plus. Must have excellent communication skills. Responsibilities include: 1) Perform Claims Analysis on a procedure level, and line level using preferred hospitals
6 days ago from Claims Analyst
C. Winchell Agency|New York, NY|3-5
With over 150 Years of cumulative insurance experience and 75 years recruiting experience our...
Bernard Hodes|Brooklyn, NY, 11201|>1
Building a healthier community. Now that s what I call success. Health Plus is a leading NYC based not-for-profit healthcare plan, offering an expanding range of quality Medicaid and Medicare funded products. We are strongly committed to the health and well-being of our culturally diverse communities through partnerships with members, providers, and community-based organizations and have an immediate need for the following: CLAIMS ANALYST Full Time Brooklyn, NY Apply your keen organizational abilities
6 days ago from CLAIMS ANALYST
Smith Hanley Consulting Group|Lake Mary, FL, 32746|
CLAIMS ANALYST Experience building a database from a market research perspective and/or from an interpretation perspective. These individuals will be building out core databases for in patient/out patient data, hospital charge data, and claims data They need to have at least a Bachelor s Degree. Medical device experience in Outcomes would be a plus. Must have excellent communication skills. Responsibilities include: 1)Perform Claims Analysis on a procedure level, and line level using preferred hospitals
6 days ago from Claims Analyst
HLP Solutions|Irving, TX, 75039|>5
Property Casualty Insurance Analyst Risk Management This is a great opportunity with a Fortune 50 Compay in Irving TX... Review lender insurance requirements and coordinate verification that insurance requirements are met... Support Insurance Managers Associates in potential real estate acquisitions...
Aetna|Plantation, FL, 33324|
ABOUT OUR COMPANY We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard. Fast, accurate claims payment is one of the ways we make a difference in people's lives. Claims professionals work directly with members, doctors and employer groups, providing a friendly and knowledgeable voice at the other end of the phone at times when it's most needed. Provide centralized point of contact for the claimant, employer
7 days ago from STD Intake Claim Analyst
Quality Health Strategies|San Antonio, TX, 78205|>5
Claims Analyst II / Nurse Investigator Health Integrity, LLC is seeking to hire a Claims Analyst II / Nurse Investigator in Dallas,TX.Successful candidate must possess a minimum of five years experience in health care claims that demonstrates expertise in utilization review, ICD-9 coding, CPT coding, and Medicare claims data. Prior successful experience with CMS and OIG/FBI or similar agencies preferred. An RN license and a Bachelor's Degree OR certification in an applicable program are required. Home health
Advisen Ltd.|New York, NY|
platform containing insight to make key commercial insurance and risk management decisions...brokers risk managers and other property casualty insurance professionals with an integrated analytics and information...insight into underwriting marketing and purchasing commercial insurance...
DE||>1
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UnitedHealth Group|Franklin, TN, 37064|>2
pharmaceutical companies hospitals and health delivery networks insurance providers and of course the diverse business...
Quality Health Strategies|SAN ANTONIO, TX, 78205|>5
Claims Analyst II / Nurse Investigator Health Integrity, LLC is seeking to hire a Claims Analyst II / Nurse Investigator in Dallas,TX.Successful candidate must possess a minimum of five years experience in health care claims that demonstrates expertise in utilization review, ICD-9 coding, CPT coding, and Medicare claims data. Prior successful experience with CMS and OIG/FBI or similar agencies preferred. An RN license and a Bachelor's Degree OR certification in an applicable program are required. Home health
Scottsdale Insurance|Scottsdale, AZ, 85250|10
Claims Representative or five to ten years prior insurance claims or comparable work experience required...At Western Heritage Insurance Company our vision starts with successful associates...Maintains current knowledge of all insurance lines court decisions which may impact the...
Blue Cross Blue Shield of Tennessee|Boston, MA, 02111|>2
Security Care is a preeminent partner to public and private financers of healthcare services by providing an innovative, effective and efficient approach to performing fraud detection, prevention and investigation. (Security Care is a subsidiary of BlueCross BlueShield TN). Positions contingent on contract award. Job Functions Conducts Medicare claim clinical and/ or coding validation reviews to support fraud investigations or other benefit integrity initiatives including law enforcement requests for
Blue Cross Blue Shield of Tennessee|Baltimore, MD|>2
Security Care is a preeminent partner to public and private financers of healthcare services by providing an innovative, effective and efficient approach to performing fraud detection, prevention and investigation. (Security Care is a subsidiary of BlueCross BlueShield TN). Positions contingent on contract award. Job Functions Conducts Medicare claim clinical and/ or coding validation reviews to support fraud investigations or other benefit integrity initiatives including law enforcement requests for
Blue Cross Blue Shield of Tennessee|New York, NY|>2
Security Care is a preeminent partner to public and private financers of healthcare services by providing an innovative, effective and efficient approach to performing fraud detection, prevention and investigation. (Security Care is a subsidiary of BlueCross BlueShield TN). Positions contingent on contract award. Job Functions Conducts Medicare claim clinical and/ or coding validation reviews to support fraud investigations or other benefit integrity initiatives including law enforcement requests for
Blue Cross Blue Shield of Tennessee|Boston, MA|>2
Security Care is a preeminent partner to public and private financers of healthcare services by providing an innovative, effective and efficient approach to performing fraud detection, prevention and investigation. (Security Care is a subsidiary of BlueCross BlueShield TN). Positions contingent on contract award. Job Functions Conducts Medicare claim clinical and/ or coding validation reviews to support fraud investigations or other benefit integrity initiatives including law enforcement requests for
Blue Cross Blue Shield of Tennessee|Hartford, CT|>2
Security Care is a preeminent partner to public and private financers of healthcare services by providing an innovative, effective and efficient approach to performing fraud detection, prevention and investigation. (Security Care is a subsidiary of BlueCross BlueShield TN). Positions contingent on contract award. Job Functions Conducts Medicare claim clinical and/ or coding validation reviews to support fraud investigations or other benefit integrity initiatives including law enforcement requests for
Blue Cross Blue Shield of Tennessee|Philadelphia, PA|>2
Security Care is a preeminent partner to public and private financers of healthcare services by providing an innovative, effective and efficient approach to performing fraud detection, prevention and investigation. (Security Care is a subsidiary of BlueCross BlueShield TN). Positions contingent on contract award. Job Functions Conducts Medicare claim clinical and/ or coding validation reviews to support fraud investigations or other benefit integrity initiatives including law enforcement requests for
Aetna|South Portland, ME, 04106|
ABOUT OUR COMPANY We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard. POSITION SUMMARY The STD Disability Claims Analyst is responsible for effectively managing STD claimants through their recovery or duration to end of benefits (EOB). The transition to Long Term Disability is also a key responsibility of the STD DCA. STD DCA must review each claim for eligibility, diagnosis, appropriate treatment and correct
8 days ago from STD Claim Analyst
Aetna|South Portland, ME, 04106, USA|4
Industry Insurance Manages Others No Job Type Insurance Req d Education 4 Year Degree Req...Other Pay Employee Type Full Time Industry Insurance Manages Others No Job Type...range of traditional and consumer directed health insurance products and related services including medical pharmacy...
8 days ago from STD Claim Analyst
Aetna|Hartford, CT, 06152, USA|4
Industry Insurance Manages Others No Job Type Insurance Req d Education 4 Year Degree Req...Other Pay Employee Type Full Time Industry Insurance Manages Others No Job Type...range of traditional and consumer directed health insurance products and related services including medical pharmacy...
Bottom Line Systems Inc|Crescent Springs, KY, 41017|2-5
and or HCPCS coding systems Knowledge of insurance submittal procedures and medical forms including UB04...
Aerotek|Baltimore, MD, 21211|>4
Aerotek Professional Services is currently seeking 8 Claims Analysts to work in the downtown Baltimore area. The Claims Analyst is responsible for conducting the necessary research and coordination to ensure that all claims inquiries are handled and resolved in an efficient and effective manner. General Responsibilities -Maintain workflows for handling claims inquires from providers and members. -Conduct review of claim payment inquiries. -Ensure that denied and underpaid claims are reprocessed in a timely
8 days ago from Medicare Claims Analyst
SunBridge Healthcare|Albuquerque, NM, 87190, USA|3
Albuquerque Job Type Admin Clerical Health Care Insurance Base Pay N A Required Education Not...
9 days ago from Claims Analyst
UnitedHealth Group|Franklin, TN, 37064|>2
pharmaceutical companies hospitals and health delivery networks insurance providers and of course the diverse business...
Aetna|Hartford, CT, 06156|
The life claim analyst trainee supports Group Insurance analysts within Life Claim and Premium Waiver...and managing various mailboxes within the Group Insurance...
ARx|Franklin, TN, 37067|
Fast growing healthcare consulting company located in Cool Springs has an immediate need for claim analysts. In this position you will investigate and resolve amounts due from 3rd party payers both for initial payment as well as any payment discrepancies.. Job Requirements: The ideal candidate should have extremely strong math and language skills and be one who thrives on detail. Past experience in the business office side of the healthcare industry is strongly desired. An in-depth knowledge of managed care
|New York, NY|
platform containing insight to make key commercial insurance and risk management decisions...brokers risk managers and other property casualty insurance professionals with an integrated analytics and information...insight into underwriting marketing and purchasing commercial insurance...
Verisk Analytics|Jersey City, NJ, 07308, USA|3
Responsibilities ISO insurance lines analysts are specialists in insurance policy form coverage...1 Posted Date 11 05 2009 Category Insurance Product Development More information about this job...Insurance Lines Analyst Personal Property Grade 10 13...
Verisk Analytics|Jersey City, NJ, 07308, USA|3
Insurance Lines Analyst Businessowners Job ID 2009 19829 Positions 1 Location US NJ Jersey City Experience Years...Posted Date 11 02 2009 Category Insurance Product Development More information about this job...services for professionals in many fields including insurance finance real estate health services government and...
Sun Life Financial|Hartford, CT, 06101|
Job Summary Main Accountabilities Investigation, adjudication and management of Long Term Disability claims Prior LTD claim adujudication experience required
Aerotek|Glen Burnie, MD, 21060|
Aerotek is currently hiring a Claims Processor for a full time, permanent position located in Glen Burnie, MD. Primary job responsibilities for this Claims Processor will include handling inbound calls regarding Healthcare and Benefits inquiries by members and also handling any claims question or problems. They will also be required to handle all escalated calls from other reps and be able to display an advanced knowledge of Healthcare and Medical Benefits. Qualified candidates for this position will need
UnitedHealth Group|Eden Prairie, MN, 55344|1
pharmaceutical companies hospitals and health delivery networks insurance providers and of course the diverse business...GED 1 Year of experience in Healthcare Insurance Industry Intermediate Excel skills Assets Some College...
Southwest Service Administrators, Inc.|Phoenix, AZ, 85021|>3
benefit claims or comparable experience in medical insurance billing verification of benefits...Great benefits package include Medical Dental Vision 401K Life Insurance...
UnitedHealth Group|Eden Prairie, MN, 55344|1
pharmaceutical companies hospitals and health delivery networks insurance providers and of course the diverse business...GED 1 Year of experience in Healthcare Insurance Industry Intermediate Excel skills Assets Some College...
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