Claims Analyst Jobs

Job Title: Benefits Analyst - Company: Location: Riverside, CA Description: Join our Human Resources team! The Benefits Analyst will primarily use computer spreadsheet software programs to collect, analyze, interpret and modify how the company?s health care dollars are being spent as they relate to the company, its employees, and the benefits programs offered. You will also be required to maintain spreadsheets of new enrollments and terminations, audit health insurance enrollments, insurance billing and deductions on a monthly basis. You will also need to possess the ability to respond to various inquiries regarding health insurance from employees, court ordered withholding requests, and handle notifications to Payroll regarding new or changes to health insurance deductions. Requirements: Prior experience/knowledge in health insurance preferred. High comfort level with producing intricate spreadsheets with Excel and/or Quattro Pro, developing formulas and linking data to produce charts relating to dollars spent and enrollment numbers. Problem solving skills, word processing abilities, excellent verbal and written skills, a professional appearance, and the ability to prioritize tasks. This is a regular, full-time salaried position with benefits available. Please reply if you would like an e-mail application or forward your resume. If you would like to apply in person and take the testing please come to Starcrest Products of California, Inc. at 3660 Brennan Ave., Perris, CA 92571. Register to View . We look forward to meeting with you! Comprehensive benefits package to include Medical, Dental, Vision and Life insurance (including AD&D). Also 401 (k), Merchandise discounts and more.

Job Title: Claims Analyst / Processor Company: Southwest Service Administrators Location: Phoenix, AZ Description: Job Description: We are a Third Party Administrator seeking someone who will complement our focus of premiere service. We will consider a Claims Analyst/Processor with a minimum of 3 yrs experience processing medical, dental, hospital, and coordination of benefit claims or comparable experience in medical insurance billing & verification of benefits. Must be familiar with CPT and ICD9 coding and have excellent analytical/research skills, accurate data entry, and have a strong attention to detail. Great benefits package include Medical, Dental, Vision, 401K , & Life Insurance. Please fax your resume to Register to View or e-mail Register to View Requirements: • Minimum three years experience in medical claims and coordination of benefits processing or billing. • Ability to sit for long periods of time operating a computer keyboard. Response Mail:Attn: Human Resources2400 W Dunlap Ave #250Phoenix, AZ 85021Fax: Register to View

Job Title: Benefits Analyst - Lead Company: Alliant Insurance Services, Inc. Location: Newport Beach, CA Description: Alliant Insurance Services, a company with more than 1100 employees and $3 billion in premiums, is the 2nd largest privately-held insurance brokerage operation in California and 11th overall in the nation. We continue to build on our vision of becomingthe premier specialty insurance brokerage in the country.We currently have several open positions and are seeking qualified individuals to join our team! You can visit our website to see all of our positions available by location at:http://www.alliantinsurance.com/careersSUMMARYResponsible for providing customer service and supporting producers by servicing existing accounts and soliciting new business. Independent responsibility for servicing and retention of assigned customers/policies in self-funding, Public Entity andlarge markets.ESSENTIAL DUTIES AND RESPONSIBILITIES Works with Producer and/or AccountExecutive to determine bid and/or renewal strategy; Works with client or prospective client toidentify the group's specific characteristics including; benefit needs, design, benchmarking/trend analysis, group demographics and/or employee census; Gathers information and provides analysis and recommendations to client's existing coverages; Prepares RFPs for client renewal or prospective groups, to include employee census, current/renewal plan design/rate information, and historical claims experience data; Selects employee benefit markets for solicitation and negotiates with incumbent and bidding carriers for benefit and premiumconsiderations; Analyzes market proposals for verification of benefits, premium, and competitiveness; Performs self-funding analysis; Negotiates with incumbent and bidding carriers to ensure most competitive rates/products for clients and prospective clients; Serves as a technical expert, assisting other team members to resolve complex issues; Prepares proposals for client presentation; Reviews coverage contractsfor accuracy of policy provisions; Other duties as assigned to support producer and service team.QUALIFICATIONSEDUCATION / EXPERIENCEBachelor's degree or equivalent combination of education and experience 6 - 8 years related work experience; Valid insurance license Must continue to meet Continuing Education requirements for license renewalEncouraged tocomplete Career Path requirements as communicated by supervisorSKILLSExcellent oral and written communication skills Excellent customer service skills, including telephone and listening skillsProficient in Microsoft Office SuiteExcellent problem solving and time management skillsIntermediate typing skills (30-35 wpm)Ability to work within a team and to foster teamwork Proficient in Agency Management SystemAbility to prioritize work for multiple projects and deadlinesWe are proud to provide comprehensive, high quality employee programs to meet employees' needs now and in the future, including a very competitive financial package. We encourage you to explorewhat we have to offer.For immediate consideration for this position, please click on the "Apply" button below.Keywords: Employee Benefits, Benefits Analyst, Client Services, Life and Health License

Job Title: SENIOR CEDED RE CLAIMS ANALYST Company: CNA Location: Chicago, IL Description: SENIOR CEDED RE CLAIMS ANALYSTReq. ID 7762Full or Part Time Full-timePrimary Location IL00 ChicagoOther Locations Employment Type RegularPercent Travel Supervisory Position NoPosted9/17/2009Position Description Job SummaryUnder technical direction, investigates, analyzes, resolves and processes ceded reinsurance claims. Works within specific limits of authority on assignments requiring technical complexity. Utilizing policies and guidelines, reviews treaties, determines liability and compensability, secures information, determines amount due company, notifies reinsurer, and pursues outstanding ceded balances in accordance with applicable reinsurance contract terms and conditions.Essential Duties & Responsibilities1. Identifies claims eligible for reinsurance through analysis of direct claims activities, monitoring large loss notices, and interfacing with direct claims areas.2. Works on ceded reinsurance claims under complex Treaties and/or Facultative certificates for recovery of outstanding ceded balances due the company.3. Researches, interprets and analyzes specific facts and applies insurance and reinsurance concepts to understand coverage and liability issues.4. Pursues recovery of the balances of the most complex or contentious reinsurance claims/accounts by influencing reinsurer, explaining coverage and liabilities and gaining support for position.5. Works with others to define criteria necessary for creation of systems reports used to identify claims eligible for reinsurance.6. Monitors aging of outstanding ceded balances and initiates action to ensure payment on timely basis.7. Makes recommendations on ceded reinsurance claims policy and processes.8. Provides guidance and assistance to less experienced ceded reinsurance claims staff and other functional areas.9. Analyzes claims activities; prepares and presents reports to management.10. May be responsible for special claims projects and presentations.May perform additional duties as assigned.Reporting RelationshipManager or above.Skills, Knowledge & Abilities1. Solid technical and area specific expertise and knowledge of insurance and claims principles, practices and procedures.2. Strong interpersonal and communication skills. Ability to effectively interact with all levels of CNA's internal and external business partners.3. Strong analytical and problem solving skills.4. Ability to deal with ambiguous situations and issues.5. Ability to exercise independent judgement and effectively resolve ceded reinsurance issues.6. Knowledge of Microsoft Office Suite and other business-related software.Education & Experience1. Bachelor's degree or equivalent experience. Applicable professional designations preferred.2. Minimum three to five years of claims or reinsurance experience.CNA has provided essential insurance to businesses for more than 100 years. We are respected worldwide as experts in understanding risks with an innovative portfolio of products and services. CNA products include standard commercial lines, specialty lines, surety, marine and other property-casualty coverages.CNA services include risk management, information services, underwriting, loss control and claims administration. Our comprehensive approach to insurance opens doors to an array of career opportunities. We offer an environment that challenges you to learn, to use your imagination and to gain professional qualifications in a company where you are part of a team pursuing common goals.One of the many advantages of working at CNA is the exceptional benefit program which includes: medical, dental, vision, Savings and Accumulation Plan (S-CAP) with company contributions, prescription drug plan, flexible spending accounts, sick and disability benefits, life insurance, tuition reimbursement, a business casual dress code, and an Employee Assistance Program (EAP).CNA is an Equal Opportunity Employer committed to a diverse work culture, M/F/D/V.Listed duties, responsibilities, requirements and functions are not meant to be all inclusive.

Job Title: Litigation Management Analyst - Insurance Claims - Philadelp Company: FF & C Management Location: Philadelphia, PA Description: Oversee legal bill review program, negotiate and prepare billing agreements with law firms, train claims staff on proper litigation management and review of legal bills, and support oversight of litigation involving high value cases and negotiated settlements.High growth visible position with top company. Salary $60,000 to $75,000 plus bonus plan; company paid full family coverage medical, dental, prescription and vision; matched 401(k); stock; tuition reimbursement and more.For complete details contact Greg Fosssubmit resume online at:http://dmc9.com/gbf/app.asp Or email to Register to View Register to View ARE AN EQUAL OPPORTUNITY EMPLOYER and our employment decisions are made without regard to race, color, religion, age, sex, national origin, handicap, disability or marital status. We reasonably accommodate individuals with handicaps, disabilities and bona fide religious beliefs. Jobs Career Position Hiring. We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application. Indicated location may be proximate or may be desirable point of embarkation for paid relocation to another venue.  CONSIDERED EXPERIENCE INCLUDES:  Attorney Lawyer Paralegal para-legal Para Legal Insurance Claims Auditor Legal Expense Auditor Legal Auditor Accountant Accounting CPA Allegient SystemsIf you submit an application or resume, which contains your email address, we will use that email address to communicate with you about this and other positions. We use an email quality control service to maintain security and a remove and dead address filter. To cancel receiving email communications, simply send an email from your address with the word "remove" in the subject line to Register to View If you have further concern regarding email received from us, call Register to View . We will be glad to have a real human being contact you upon request.Please refer to job code 2667 when responding to this ad.

Job Title: Benefits Analyst Company: volt Location: San Diego, CA Description:   A Benefits Analyst is needed for one of the top 20 largest insurance brokerage firms in the United States with a history that dates back over 80 years. This is an open ended contract opportunity and Volt's client will consider candidates without a life insurance license if the experience is exactly what they are looking for. The main responsibility of the Benefits Analyst is to support Account Executives and Producers by managing carrier RFP process for current and prospect clients. You will also negotiate with incumbent and bidding carriers to ensure most competitive rates or products for clients and prospective clients.   Claims experience is needed and RFP, underwriting, and work with carrier experience preferred. Candidates with insurance carrier experience will be considered first. A four year degree and 4-6 years of related experience are also required. A valid life insurance license is preferred. Volt is an Equal Opportunity Employer.

Job Title: Claims Analyst/Processor - Company: Location: Phoenix, AZ Description: We are a Third Party Administrator located near I-17 and Dunlap. We are seeking someone who will compliment our focus of premiere service. We will consider claims Analyst/Processors with a minimum of 3 yrs experience processing medical, dental, hospital, and coordination of benefit claims or comparable experience in medical insurance billing & verification of benefits. Must be familiar with CPT and ICD9 coding and have excellent analytical/research skills, accurate data entry, and have a strong attention to detail. Great benefits package include Medical, Dental, Vision, 401K , & Life Insurance. Please fax your resume to Register to View or e-mail Register to View Requirements Job Requirements: ? Minimum three years experience in processing medical claims and coordination of benefits processing or billing. ? Ability to sit for long periods of time operating a computer keyboard.

Job Title: Business Analyst (Insurance Claims expertise) Company: Orchid Infosystems Location: Tampa, FL Description: US Citizens/GC/EAD Only!Business Analyst (BA)*****************************************Location: TampaDuration: 2+ monthsWe need 2 Business Analyst (BA) with Insurance Claims expertiseExperience with ACORDS or LEDES or Accenture*s Claim Components software * note, they do not have to have all of these.This is for a requirements gathering process, so their requirements experience must be strong as well. The client is looking for BAs to help gather requirements to develop a Medical Insurance Claims Processing system.The initial phase would be 1-2 months onsite.They are specifically asking for:ACORDS standards expertiseAccenture Claims Components expertiseLEDES standards expertiseXML expertisePlease rush your resume in MS-Word format along with RATE, AVAILABILITY AND CONTACT INFO asap.EMAIL RESUMES TO : Register to View