suspected underpaid and overpaid claims from hospital, ancillary, and provider groups based on contractual and industry... & Responsibilities Evaluate disputed claims for system configuration, claims processing, and/or contractual issues to facilitate claims...
Overview: To design, produce, and analyze Claims Department operational data in support of department objectives... of Partnership’s computer systems, and technical and problem resolution support to the systems user community. Utilize knowledge...
departments/functions in the resolution of customer issues. Facilitate and expedite the workflow between the field and home...
until resolution. Leads team in queue management and assists team members as needed to be sure calls are answered and followed up...
Treasury, Unclaimed Property Division, This position is responsible for processing owner claims according to the Revised... process. Claims processing duties: Reviews and analyzes claims submitted to determine whether the documents submitted...
Anticipated End Date: 2026-01-28 Position Title: Rating/Claims System Advisor Job Description: Rating/Claims.... The Rating/Claims System Advisor is responsible for providing support, configuration, design, testing and implementation...
OVERVIEW The Manager of Risk Management, Claims and Insurance, will identify and take actions to control risks... and losses in the areas of property, casualty and financial products. The Manager of Risk Management will manage insurance claims...
Symetra has an exciting opportunity to join our team as a Claims Examiner! About the role Responsible for timely... adjudication of group life and AD&D claims, verifying eligibility and making the initial claim decision based on the policy...
. We’re looking for a Quality Assurance Analyst. Can you picture yourself here? Hybrid Schedule: 4 Days Onsite in Blue Bell..., PA No Agency Resumes At This Time Job Summary The Claims Manager is a key leader in the Risk Management team...
, to maximize revenue Document claims research activities, report claims resolution results and report on current practices... and recommendations for improved claims processing and resolution practices for HSMN and Healthy Start Coalitions Prepare quarterly audit...
Role Summary: The SAP Service‑to‑Repair (STR) Business Analyst supports and enhances Flowserve’s STR processes in SAP..., quoting, customer approval, planning, repair execution, shipment, invoicing, and warranty/claims. Perform configuration...
and non-discriminatory means. A Brief Overview As a Charge Description Master (CDM) Analyst, you’re responsible... Services staff for reporting problems and denials on individual claims. Assists in researching coding issues and recommends...
We are seeking a Senior Business Systems Analyst with deep expertise in financial systems and payment processing... payments for claims and incoming payments for premiums—while ensuring seamless integration with ERP systems for financial...
Job Title: Healthcare EDI Testing Analyst Location: Remote Job Type: Contract Job Summary We are seeking a highly... skilled and detail-oriented Healthcare EDI & Data Testing Analyst with a strong foundation in healthcare data exchange, EDI...
Hello, Hope you are doing well, Job:IT - SCDHHS - Quality Assurance Analyst - Consultant Location : Columbia SC... and technology. The modernization program supports the Department's transition from primarily a fee-for-service payor of claims...
Resolution Coordinate escalated claims issues and work directly with carriers and vendors to resolve them. Support benefit... what is best for our customers. Brown & Brown is seeking a Senior Benefits Analyst II to join our growing team in Plano, TX! Summary: The...
Title Eligibility Analyst- REMOTE Job Description The Eligibility Analyst is responsible for representing commercial... eligibility mailbox and Prime Resolution daily, participates in workstream meetings, assists with providing information regarding...
Analyst (Payer Relations Analyst) plays a critical role in supporting the Managed Markets team within the Market Access... with Commercial and Government policy guidelines. The Contract Analyst is instrumental in maintaining operational excellence...
Leidos is seeking a Mainframe Systems Analyst to support a mainframe environment for government agency, with expertise... in coordinating, executing, and reporting on backup and disaster recovery activities for a large multi-agency health care claims...
Sentara is hiring a Senior Business Analyst - Remote! Overview This position is responsible for the implementation... business practices. Possesses a high degree of operational knowledge as it relates to customer operations in claims, system...