Claims Analyst - New York

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. · ...

Works directly with management on highly visible projects to understand business needs and challenges of managed care payors. · Bachelor's Degree in Business or related discipline or the equivalent work experience required · Master's Degree in Business Administration, Public Admi ...

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 · ...

We are seeking an experienced Healthcare Claims Analyst to support claims reporting, auditing, and operational analysis within a health plan environment. · ...

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. With a competitive salary range of $58,039.46 to $65,294.40, this position offers great financial incentives while allowing you to maintai ...

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 ...

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 ...

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 ...

The selected candidate must work in one of the indicated offices at the time of onboarding on the hybrid schedule of a minimum of three days per week in the office. · ...

The Claims Business Analyst is responsible for developing detailed business and functional requirements for claims processing and administration systems. · ...

The Claims Analyst is responsible for reviewing, analyzing, and processing casualty claims to ensure compliance with policies procedures and industry regulations. · ...

The Claims Business Analyst is responsible for developing detailed business and functional requirements for claims processing and administration systems, · Lead requirements definitions for complex enhancements and on-going strategic initiatives. · Identify and translate business ...

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 ...

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 ...

This role recognizes and reports new concepts for development with minimum assistance. · Researches new concepts for development to determine applicability to client requirements. · ...

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. · ...

Review claims to determine if payments have been made correctly and identify trends for ongoing Claims Examiner training needs · ...

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. · ...

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 ...

To oversee the performance of vendors who are delegated for the claims processing function to ensure delegates meet and are aligned with EH standards. · Administer audits of the delegate claims processing function: ...