552 claims analyst jobs found

Claims Analyst US-NY-Buffalo Job ID: 2024-2977 Type: Regular Full-Time # of Openings: 1 Category: Construction Management The LiRo Group Overview We have an immediate need for a Claims Analyst in Buffalo, NY. Come join our team! We are looking to build services and capabilities through the growth of our key asset- our staff. Ranked among the nation's top A/E firms by Engineering News-Record, LiRo-Hill provides construction management, engineering, environmental, architectural, and program management solutions. You can become part of an organization that has a strong track record and is looking to strengthen relationships and capabilities to be a trusted resource for our clients in the public and private sector. We are proud to be known as an “Integrated Construction, Design and Technology Solutions” firm and we have delivered on that label time and again. Recently, Global Infrastructure Solutions Inc. (GISI), the parent company of The LiRo...

Claims Analyst US-NY-Poughkeepsie Job ID: 2024-2991 Type: Regular Full-Time # of Openings: 1 Category: Construction Management The LiRo Group Overview We have an immediate need for a Claims Analyst in Poughkeepsie, NY. Come join our team! We are looking to build services and capabilities through the growth of our key asset- our staff. Ranked among the nation's top A/E firms by Engineering News-Record, LiRo-Hill provides construction management, engineering, environmental, architectural, and program management solutions. You can become part of an organization that has a strong track record and is looking to strengthen relationships and capabilities to be a trusted resource for our clients in the public and private sector. We are proud to be known as an “Integrated Construction, Design and Technology Solutions” firm and we have delivered on that label time and again. Recently, Global Infrastructure Solutions Inc. (GISI), the parent company of...

Claims Analyst US-NY-Syracuse Job ID: 2024-2990 Type: Regular Full-Time # of Openings: 1 Category: Construction Management The LiRo Group Overview We have an immediate need for a Claims Analyst in Syracuse, NY. Come join our team! We are looking to build services and capabilities through the growth of our key asset- our staff. Ranked among the nation's top A/E firms by Engineering News-Record, LiRo-Hill provides construction management, engineering, environmental, architectural, and program management solutions. You can become part of an organization that has a strong track record and is looking to strengthen relationships and capabilities to be a trusted resource for our clients in the public and private sector. We are proud to be known as an “Integrated Construction, Design and Technology Solutions” firm and we have delivered on that label time and again. Recently, Global Infrastructure Solutions Inc. (GISI), the parent company of The LiRo...

Project Manager - Claims Analyst US-NY-Albany Job ID: 2024-2985 Type: Regular Full-Time # of Openings: 1 Category: Construction Management The LiRo Group Overview We have an immediate need for a Project Manager / Claims Analyst in Albany, NY. Come join our team! We are looking to build services and capabilities through the growth of our key asset- our staff. Ranked among the nation's top A/E firms by Engineering News-Record, LiRo-Hill provides construction management, engineering, environmental, architectural, and program management solutions. You can become part of an organization that has a strong track record and is looking to strengthen relationships and capabilities to be a trusted resource for our clients in the public and private sector. We are proud to be known as an “Integrated Construction, Design and Technology Solutions” firm and we have delivered on that label time and again. Recently, Global Infrastructure Solutions Inc. (GISI),...

Coventry Senior Liability Claims Analyst US-NJ-Egg Harbor Township Job ID: 24-17141 Type: Regular Full-Time # of Openings: 1 Category: Customer Service & Support Mitchell International, Inc. Overview The Enlyte Family of Businesses Mitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth. Responsibilities Must be in the Egg Harbor, NJ, Philadelphia, PA or Wilmington, DE area • Promptly investigate all assigned claims for coverage, liability assessment and...

Commonwealth Rolled Products Job Category: Sales - Marketing Requisition Number: ANALY001413 Posted: September 11, 2024 Full-Time Beachwood, OH 44122, USA Job Details Description Responsibilities: Actively participate in maintaining a zero-incident safety culture. Live and champion the Commonwealth Rolled Products core values, Safety, Integrity, Customer Focus, Ownership, Excellence, and Teamwork. Effectively manage and resolve all debits and outstanding credits in less than 42 days. Investigate all open deduction invoices and over payments that cannot be first resolved by our Treasury team. Coordinate the investigation and resolution of customer product complaints through effective interaction with field/product engineers, Commonwealth Rolled Products production facilities, tolling partners, key account managers, account management and our key customers. Timely and accurately record and maintain all information associated with customer claims...

Innova Solutions is immediately hiring for a Benefit Analyst     Position type: Fulltime/Contract to Hire Location: Philadelphia, PA 19103 Duration: 06 Months   As a Benefit Analyst you will: Job Summary: Auditing Client Benefit Setup and Changes Performs comprehensive group setup audits to identify processor accuracy and/or compliance issues to ensure quality setup for clients Responsible for quality review of medical product/benefit accuracy, pharmacy, and other ancillary products. Oversee and review audit results from business vendor to ensure products are compliant with set up requirements and Client’s contracted benefits. Identify new audit areas by trend analysis or audit samples.   Responsibilities: Participate with Product teams and Sales in discussions regarding client benefits and setup. Identify trends and process improvement opportunities through audit findings. Collaborate with client setup team members, Sales and Product...

*Information Systems Business Analyst (Healthcare & FWA)* *Phoenix, Arizona* *Remote* *6-month contract, high likelihood to extend beyond that* *Summary:* We are seeking a diligent and technically proficient Information Systems Business Analyst to join our team. In this role, you will collaborate closely with healthcare professionals, administrators, and stakeholders to understand their business needs and translate them into operational requirements. Your expertise will contribute to improving system efficiency, enhancing patient care, and ensuring compliance with privacy and security regulations. *Key Responsibilities:* * *Business Analysis:* * Collaborate with healthcare professionals to understand and document their business needs, translating them into specific operational requirements. * Design and develop efficient data models that optimize query performance and ensure data accuracy. * Transform data from various sources (data warehouse) into a structured format...

PURPOSE OF POSITION Southern California Regional Rail Authority (SCRRA), operator of the METROLINK Commuter Rail System, is seeking a Senior Management Analyst (Project Controls) who will implement the tools and systems necessary to effectively and proactively control and report on construction and engineering Capital and State of Good Repair projects to ensure the team makes progress and meets goals. TO APPLY: This is a continuous recruitment, with the review of applications beginning August 29, 2024 . Interested applicants are encouraged to apply immediately . DISTINGUISHING CHARACTERISTICS This is the senior level of the Management Analyst series. At this level, work may be performed under limited supervision or under limited direction. Incumbent possesses considerable latitude to accomplish tasks, which may include lead worker or supervisor duties. SUPERVISION EXERCISED AND RECEIVED Receive general oversight from assigned Departmental Management....

Engagement Consultant is responsible for driving consistent wellness program development, guidelines, and delivery to Cigna Select Buyer Group Clients. In working with Cigna Clients with diverse employee populations, this role identifies the right wellness program mix and the program setting to educate, engage and activate employees to achieve health improvement goals. In partnership with the account management team, Engagement Consultant recommends the appropriate delivery and coordination of wellness programs, customer education initiatives, and monitors effectiveness of the programs. A core objective of this position is to facilitate wellness initiatives that educate and influence employees at the worksite to lead healthy lifestyles. This role strives to enhance employee consumerism and achieve customer-centric, utilization goals. Responsible for consulting with employers and brokers in the development of strategic health engagement plans, spearheading customer engagement...

Position Summary The primary purpose for the Business Analytics Senior Analyst is to provide direct analytic support for the Clinical Research and New Solutions department, specifically, the Market Analytics division through extraction and interpretation of clients' data directly from our data warehouse(s). The analyst will provide reporting, analytic support, and consultation to our core customers (Product, Account Management Services, and Clinical Account Executives) engaged in the client service model. In providing this service, the analyst will need to maintain a high level of customer satisfaction and will require cross-functional collaboration. This role will require a reporting and analytics background with many activities specific to client reporting and product performance. This individual will possess functional, technical and advanced business knowledge to provide customized, ad hoc solutions for information requests. In addition, there will be a technical component...

Position Summary The primary purpose for the Business Analytics Senior Analyst is to provide direct analytic support for the Clinical Research and New Solutions department, specifically, the Prospect Analytics division through extraction and interpretation of prospect data directly from our data warehouse(s). The analyst will provide reporting, analytic support, and consultation to our core customers (New Sales, Proposals, Underwriting, Rebates, Account Management, and Clinical Account Executives) engaged in the new sales service model. In providing this service, the analyst will need to maintain a high level of customer satisfaction and will require cross-functional collaboration. This role will require a reporting and analytics background with many activities specific to process development, client reporting, and process enhancements. This individual will possess functional, technical, and advanced business knowledge to provide customized solutions for various RFP reporting...

Institutional Shareholder Services Location: Norman, OK, US Type: Part time Req ID: JR_7444 Let’s be #BrilliantTogether Seeking an Junior Analyst in the Securities Class Actions Services (SCAS) Operations team. SCAS offers institutional investors a completely outsourced, turnkey solution for securities class action research, filing and notification. SCAS has the industry's most comprehensive database on securities class action litigation, covering 18 years of detailed historical class action data, automated claims notification, monitoring, and filing, and unsurpassed client service. SCAS has been filing securities class action claims on behalf of its clients since 2003. Its team of research and filing professionals has developed close relationships with the SEC and other regulators, custodians, claims administrators and trade groups to address issues affecting our clients and to ensure efficient, accurate and complete filing. We are currently seeking a Part-Time...

Position Summary The primary purpose for the Business Analytics Lead Analyst is to provide direct analytic support for the Clinical Research and New Solutions department, specifically, the Prospect Analytics division. The analyst will provide reporting, analytic support, and consultation to our core customers (Sales and Account Management Teams) engaged in the client service model. In providing this service, the analyst will need to maintain a high level of customer satisfaction and will require cross-functional collaboration. Additionally, the analyst will support enhancements to reports to meet evolving business needs. This individual will possess functional, technical and advanced business knowledge to provide customized, ad hoc solutions for information requests. In addition, there will be a technical component that is required with a thorough understanding of relational databases, the information warehouse, claims data, and SQL code. Essential Functions Data...

Atlanta, GA, USA Full time 2024-09-10 R24_0000026593 Job Description This entry-level position is part of the Risk Management group within the Legal Department and reports to the Director of Risk Management. The Analyst is responsible for learning and understanding the data needs of the corporate subsidiaries and their insurers, helping to maintain data structure and integrity and evaluating loss outcomes. The Analyst will mine data for trends, analyze the information, run simulations, and effectively communicate identified risks and likely impacts to GPC management and insurers, as directed. The Analyst assists the Director of Risk Management with gathering and presenting information for insurance renewals, helping underwriters see the positive trends, assuring that all the relevant data is gathered for all locations. They will also help identify and quantify business risks which fall outside the insurance program - helping identify potential sources of loss. The...

Triumph Group Overview We are currently seeking a Contract Analyst for our Park City, UT location. This position will be responsible for contract administration, NDA review, contract review, terms and conditions review and negotiations, order processing, proposal support, and routine quote preparation. Responsibilities Manages customer accounts through contract and order administration using customer portals to retrieve and analyze data for input into our ERP system. Initiates the Contract Review process by documenting the customer's order and contract flow-down requirements and routes those requirements to the appropriate internal departments. Reviews, Creates, and Negotiates T&Cs with customers to align terms with company standards. Reviews, Creates, and Negotiates NDAs with customers to align terms with company standards. Receives and reviews requests for...

IDEALFORCE  has a CONTRACT  position available immediately for a Programmer Analyst 6 - Java Developer to join our customer in  Lansing, MI. This is an  Hybrid position. Please find below additional details about this job. Kindly respond with your most up to date resume if you would like to pursue this opportunity.    Job Title: Programmer Analyst 6  Position Summary • Write well-designed, testable code using spring MVC, Hibernate framework for entity object mapping, JQuery/HTML5, JavaScript, HTML, XML, Angular • Develop business application components using Object Oriented java/JEE technologies, design principles . • Design and develop RESTful Web Services using Spring Web MVC framework. • Design, Develop and maintain applications using Apache Struts framework. • Ability to implement design patterns like Intercepting Filter, Front Controller, Session Façade, DAO, Singleton, and Service Locator • Execute full software development life cycle (SDLC) including experience in...

About the Role: We are seeking an Outcomes Research Stats Analyst/ Statistical Programmer to join our team. The successful candidate will report to the Director of Data Analytics OR of Medical Affairs Outcomes Research. The role will focus on Women’s Health, Established Brands, Biosimilars, and in-licensing opportunities. The primary responsibility will be to conduct internal analysis for all internal projects and research programs, delivering insights and research projects. Responsibilities: Conduct internal data analysis for observational studies related to developmental products and commercialized projects. Communicate data insights to internal stakeholders and provide support for research projects going to congress and manuscript submission.  Develop protocols and Statistical Analysis Plan (SAP) based on study concepts, ensuring appropriate study design, sample size, and statistical methodologies. Implement rigorous QC processes and programming...

Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Revenue Recovery Analyst in Anaheim, CA. The Revenue Recovery Analyst identifies, collects, and determines root causes of underpaid claims by auditing payor performance and analyzing actual payments of payors to ensure contract compliance, which is operationally critical and sensitive in nature. The Revenue Recovery Analyst will support the RCM collection team with training and escalated claim follow-up. The Revenue Recovery Analyst performs payment variance deep dive and review activities related to the incorrect processing of claims across PPOSBC. This position will focus on the resubmission, reprocessing, and correcting of denied or rejected/exhausted insurance claims (2nd Level) as well as all high-volume facilities, top payors, and high-level, complex claim issues. At PPOSBC, we understand the importance of a well-rounded benefits program and are dedicated...

Established in 1926, Family Service League is a social services agency who provides comprehensive services to individuals, children, and families to improve the quality of their lives at home, in the workplace, and in the community. With more than 60 social service and mental health programs in over 20 locations, Family Service League is committed to serving Long Island’s most vulnerable citizens. SCHEDULE Monday – Friday, 9:00AM – 5:00PM SUMMARY Family Service League is seeking a full-time Budget Analyst for our administrative office in Huntington. The Budget Analyst is an integral part of the Agency’s annual budget process, including monthly, quarterly and annual analysis, reporting, and other financial oversight responsibilities. The Budget Analyst will develop and implement financial forecasting models, prepare detailed reports, ensure compliance with accounting policies and procedures, as well as legal regulations, and complete various other more complex...