- Collaborate with WC & MC Claims and Actuarial department heads to coordinate complex analysis of claims trends and patterns.
- Learn business processes and understand relevant data.
- Adept at evaluating and pivoting very large data sets with an ability to spot trends and present business insights.
- Prepare deliverables for, and collaborates with, senior leaders and cross-functional teams.
- Support Claims leadership team with ad-hoc requests.
- Perform other functionally related duties as assigned.
- Bachelor's degree
- 9+ years financial or operational analytical experience
- Experience with Workers' Compensation & Managed Care Claims
- Experience with Office particularly Excel, Power BI, and SharePoint.
- Familiarity with actuarial concepts
- Experience interpreting triangles
- Ability to operate autonomously and lead cross-functional teams
- Experience leading a team of analysts
- MBA
- Experience using writing and interpreting advanced SQL with BI software suites
- Understanding of healthcare data (claims, medical, and pharmacy) to enable evaluation of Managed Care strategic initiatives
- Understanding of healthcare terminology and healthcare industry trends
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University Hospitals Chardon, United StatesPosition Summary: · Remote only for the state of Ohio · Responsible for submitting and resolving medical claims of moderate and high complexity for all Hospitals. This includes the handling of specialty billing claims, escalated accounts receivable concerns, and special proje ...
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quality manager
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Director, Claims Analytics - Southington, United States - AmTrust Financial Services, Inc.
Description
OverviewThe Director will report to the AVP, Claims Analytics and is responsible for supporting the Worker's Compensation & Managed Care Claims organization by providing meaningful and actionable analytics identifying opportunities to improve efficiency and effectiveness. The right candidate will bring a balance of analytical abilities, creativity, execution and team management skills to the table.
Responsibilities
Required:
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What We Offer
AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.
