-
Works directly with management on highly visible projects to understand business needs and challenges of managed care payors and to develop innovative solutions to meet those needs. · ...
New York1 month ago
-
Premier, global reinsurance firm seeking Claims Operations Assistant. Claims processing experience is REQUIRED. · The position involves processing all aspects of claims information in risk and accounting systems globally. · ...
New York1 month ago
-
Join VillageCare as a Full-Time HealthCare Claims Analyst and take your career to the next level while working from the comfort of your home. · Medical · Dental · Vision · ...
New York $58,039 - $65,294 (USD)1 month ago
-
We are seeking an experienced Healthcare Claims Analyst to support claims reporting, auditing, and operational analysis within a health plan environment. · ...
New York4 weeks ago
-
Join VillageCare as a Full-Time HealthCare Claims Analyst and take your career to the next level while working from the comfort of your home. · Identify gaps in various aspects of claims processing. · Communicate trends and contract issues to management. · Pretare comprehensive n ...
New York, NY1 month ago
-
The Claims Analyst is responsible for reviewing, analyzing, and processing casualty claims to ensure compliance with policies procedures and industry regulations. · ...
New York, NY4 weeks ago
-
The Claims Business Analyst is responsible for developing detailed business and functional requirements for claims processing and administration systems. · ...
New York, NY1 week ago
-
The Claims Quality Analyst is responsible for reviewing claims to determine if payments have been made correctly. This position analyzes data used in settling claims to determine the validity of payment of claims and reports overpayments, underpayments and other irregularities ba ...
New York, NY1 week ago
-
We are seeking an experienced · Healthcare Claims Analyst · to support claims reporting, · auditing, · and operational analysis within a health plan environment. This is an opportunity to make a meaningful impact in a mission-driven healthcare environment where data directly inf ...
New York City Metropolitan Area4 weeks ago
-
The Claims Quality Analyst is responsible for reviewing claims to determine if payments have been made correctly. · This position analyzes data used in settling claims to determine the validity of payment of claims and reports overpayments, underpayments and other irregularities ...
New York1 month ago
-
The Salesforce Analyst is accountable for performing analysis and administrative support specifically to Salesforce (SF) for the Claims Department. · Scope Of Role & Responsibilities · Under direction from manager coordinates the administration aspects of the Salesforce tool and ...
New York3 weeks ago
-
We are reimagining the way we help customers manage risk. Join us as a Claims Analyst IV – Management Liability to grow your skills and experience as a valued member of our Claims teams. · Timely coordinate with defense counsel/insureds/monitoring counsel to facilitate coverage, ...
New York, NY1 day ago
-
Join us as a Claims Analyst II to play your part in the transformation of how we help customers to manage risk. · ...
New York, NY $55,000 - $90,000 (USD) per year1 day ago
-
This role recognizes and reports new concepts for development with minimum assistance. · Researches new concepts for development to determine applicability to client requirements. · ...
New York $75,000 - $85,000 (USD) Full time2 weeks ago
-
We are reimagining the way we help customers to manage risk. Join us as a Claims Analyst II to play your part in that transformation. · ...
Jersey City $69,000 - $86,000 (USD)2 days ago
-
· Summary of Position · Support contract performance management of a large health system. · Review and analyze suspected underpaid and overpaid claims from hospital, ancillary, and provider groups based on contractual and industry guidelines. · Identify and analyze single issues ...
New York, New York $60,000 - $80,000 (USD) per year1 day ago
-
Review claims to determine if payments have been made correctly and identify trends for ongoing Claims Examiner training needs · ...
New York, NY1 month ago
-
We are looking for a Reinsurance Claims Analyst to join our team. The successful candidate will have experience in reinsurance/insurance claims and/or accounting. · ...
Jersey City, NJ1 month ago
-
Join us as a Claims Analyst II to play your part in reimagining the way we help customers to manage risk. · ...
Jersey City $69,000 - $86,000 (USD) Full time2 days ago
-
The Claims Analyst is responsible for reviewing analyzing and processing casualty claims. · ResponsibilitiesManage commercial claims to verify coverage conduct investigations analyze liability and damages · Negotiate settlements efficiently within authority limits · Qualification ...
New York4 weeks ago
Claims Analyst - New York - Garrison Associates LLC
Description
Premier, global reinsurance firm seeking a Claims Operations Assistant. Please read the full description, claims processing experience is REQUIRED for this role.
I have been supporting this client for 20+ years and I can sincerely say they have the best, most employee centric, corporate culture of any client I've worked with. Their global team shares a passion for solving their customers' problems through a collaborative and entrepreneurial culture that empowers employees and rewards creative thinking.
This position is a hybrid role in midtown NYC
POSITION SUMMARY
Reporting to the Assistant Manager- Operations, the Claims Operations Assistant shall be responsible for, but not limited to, processing all aspects of claims information in our risk and accounting systems for all books of business written.
RESPONSIBILITIES INCLUDE:
Working closely with Claims, Underwriting and Finance as part of the Operations team:
· Review, analyze and process claims e-messages in the SICS system for all locations globally.
· Ensure all incoming claim correspondence is;
- Reviewed
-New claims set up in system as required
-Added to the claim workflow system(s) and triaged accordingly
· Static claim management (review/chasing/closure).
· Claim analysis and handling with bdx accounts.
· Creation and circulation of claims management information on an as needed basis.
· Assist with implementation and execution of special/ad hoc projects within the
Operations Department.
· Provide support to the broader Operations team to help to ensure smooth and efficient monthly and quarterly closes.
· Provide Support to (Assistant) Manager with training and management of Operations Assistants in all aspects of technical account processing, reporting and systems
· Help create efficiencies by reviewing existing processing and propose updates/changes as appropriate.
· Ensuring SOX compliance for Operations processes
· Ensure all functions are carried out with a high degree of quality, in a timely manner.
QUALIFICATIONS, SKILLS & EXPERIENCE:
· Strong computer skills (Excel, Word)
· Previous claims and claims processing experience essential
· Excellent organizational skills with the ability to handle a variety of duties in a timely and accurate manner
· Ability to work under own direction and with minimal supervision – however also needs to be effective team player with ability to communicate clearly.
· Challenges the status quo and identifies innovative solutions to solve problems and improve work process.
-
Claims Analyst
Only for registered members New York
-
Claims Analyst
Only for registered members New York
-
HealthCare Claims Analyst
Only for registered members New York
-
Healthcare Claims Analyst
Only for registered members New York
-
HealthCare Claims Analyst
Only for registered members New York, NY
-
Analyst of Casualty Claims
Only for registered members New York, NY
-
Claims Business Analyst
Only for registered members New York, NY
-
Claims Quality Analyst
Only for registered members New York, NY
-
Healthcare Claims Analyst
Only for registered members New York City Metropolitan Area
-
Claims Quality Analyst
Only for registered members New York
-
Claims Administrative Analyst
Only for registered members New York
-
Claims Analyst IV
Only for registered members New York, NY
-
Claims Analyst II
Only for registered members New York, NY
-
Senior Claims Analyst
Full time Only for registered members New York
-
Claims Analyst II
Only for registered members Jersey City
-
Claims Review Analyst
Only for registered members New York, New York
-
Claims Quality Analyst
Only for registered members New York, NY
-
Reinsurance Claims Analyst
Only for registered members Jersey City, NJ
-
Claims Analyst II
Full time Only for registered members Jersey City
-
Analyst of Casualty Claims
Only for registered members New York