Claims Analyst 25-34 - Chicago, IL

The Claims Analyst will independently adjudicate multi-state workers' compensation indemnity, EL and subrogation claim files. They will verify and determine applicability of coverage, complete 24 hour contact with employer, employee and attending physician, reviews all coverage i ...

The Claims Analyst will independently adjudicate multi-state workers' compensation indemnity claim files that are generally non-catastrophic in nature.Receives lost time assignments. · Determines applicability of coverage and completes contact with employer and employee. · ...

+Job summary · The Claims Analyst independently adjudicates multi-state workers' compensation indemnity, EL and subrogation claim files.ResponsibilitiesVerifies and determines applicability of coverage. · Completes 24 hour contact with employer, employee and attending physician i ...

· Summary of Duties and Responsibilities · Processes claims by reviewing filings, providing and gathering information, and preparing reports.  Obtains information by contacting witnesses, attorneys, claimants, and others; developing questions; reviewing files and documents; and ...

· Summary of Duties and Responsibilities · Processes claims by reviewing filings, providing and gathering information, and preparing reports.  Obtains information by contacting witnesses, attorneys, claimants, and others; developing questions; reviewing files and documents; and ...

· Summary of Duties and Responsibilities · Under the direction of the Chief of Investigations in the Medicaid Fraud Control Unit, the Medicaid Fraud Supervisor is responsible for supervising and training the Intelligence Analysts, Data Analysts, and Forensic Financial Analysts. ...

· Summary of Duties and Responsibilities · Under the direction of the Director and Chief of Investigations, a Forensic Financial Analyst will provide analysis and support to financial crime investigations that help identify fraud and related criminal offenses. The Forensic Finan ...

· Summary of Duties and Responsibilities · Under the direction of the Director and Chief of Investigations, a Forensic Financial Analyst will provide analysis and support to financial crime investigations that help identify fraud and related criminal offenses. The Forensic Finan ...

Bright Vision Technologies is looking for a skilled Data Analyst III - Medical Economics to join its dynamic team and contribute to the mission of transforming business processes through technology. · ...

· Summary of Duties and Responsibilities · The Nurse Analyst is responsible for collecting, analyzing, and screening information from a variety of sources and is required to use that information to determine whether patient abuse, neglect, prescription drug diversion, fraud, was ...

· This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Business Analyst, Risk & Insurance - REMOTE. In this role, you will contribute significantly to the comprehensive risk management program that safeguards health, safety, and fin ...

We are building a world of health around every individual shaping a more connected convenient and compassionate health experience. · ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · Design and implement predictive models to forecast CE performance, customer behavior, and business outcomes. · Apply AI and Large Language Models ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, · We're seeking a Sr. Data Engineer to design ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safe ...

+The client requires a Medicaid subject matter expert (SME) with experience in managed care business practice for managing the monitoring of the Department's managed care program. · +Analyze current business processes, suggest improvements, and participate in design of new functi ...

The 340B Analytics team is seeking a Sr. Data Science Analyst to support CVS's 340B operations.In this role, you will collaborate with stakeholders across the organization to deliver advanced analytics and AI-driven insights that inform strategic initiatives. · ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · Design and implement predictive models. · Apply AI to automate insights generation. · ...

The 340B Analytics team is seeking a Sr. Data Science Analyst to support CVS's 340B operations. · Experience in predictive modeling. · Proficiency in SQL for data extraction and manipulation. · ...

+Job summary · We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · +Participate in an Agile Product Team of 6-10 people and work with the team to build high-quality, usable products to customers an ...