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Claims Analyst Jobs
Search all 1,488 Insurance Jobs for Claims Analyst Jobs|
Job Title: Senior Bank Credit Risk Advisor
Company: USAA Location: San Antonio, TX Description: Share our pride. Join our mission. USAA is currently seeking a talented Senior Bank Credit Risk Advisor for our San Antonio, TX location. As a Senior Bank Credit Risk Advisor for USAA, you will serve in a leadership technical role by providing strategic credit risk analysis to optimize the performance of Bank loan products. You will manage the risk while supporting USAA and Bank market and financial goals. You will prepare detailed analysis, utilizing sophisticated modeling and statistical techniques to predict, evaluate and manage the credit risk in the Bank's various loan portfolios. Job Duties:
Relocation assistance is available for this position. Qualified applicants must successfully complete a pre-employment background and drug screen. USAA is an Equal Opportunity Employer., If interested, please apply online at http://track.jobviper.com/ViewJob.asp?id Register to View -448
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Job Title: Claims Analyst - Telecommuting Possible
Company: Healthcare Management Administrators, Inc. Location: Bellevue, WA Description: Process medical, dental, and vision claims (possibly from home) Healthcare Management Administrators, a professional benefits administrator owned by Regence BlueShield, conveniently located in Bellevue. We are a great, fun place to work, and we believe in work-life balance. As an HMA employee, you will enjoy a strong benefits package, free parking, ongoing training, a team atmosphere and great flexibility. Salary: $15 + per hour to start (depending on your experience.) HMA Claims Analysts process medical, dental, and vision claims in a timely and accurate manner. 1 Year of claims processing experience Knowledge of TPA preferred Additional requirements include knowledge of medical and dental terminology including C.P.T. diagnosis and A.D.A. billing codes, as well as strong written, verbal, and interpersonal skills. Superior 10-key and key board skills Excellent written, verbal, interpersonal and analytical skills Proven ability to work in a team environment This position may have the opportunity to be performed from the employee's home, after at least 6 months of employment at HMA. The company will provide the equipment. As a mission driven organization, we believe in delivering superior value to our many self-funded Northwest clients by combining competitive rates with superior service. If you like our philosophy and would like to learn more about our organization, please E-mail your resume, cover letter and salary history to: Register to View . Faxed resumes are welcome at Register to View . Be sure to visit our website at www.accesshma.com . |
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Job Title: Insurance Claims Analyst - Healthcare
Company: Medical Resources Location: San Diego, CA Description: Excellent opportunity for an experienced Insurance Claims Analyst to join one of the largest healthcare organizations in San Diego! Qualified candidates will possess working knowledge of utilizing payor contracts to analyze accuracy of paid claims. Experience with data analysis and reporting a must. If you are looking for a long term, full time position with a large and established local healthcare company and meet the qualifications requirements: Apply Now! Pay: $13-16 |
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Job Title: MEDICAL CLAIMS ANALYST NEEDED for growing Healthcare Consulting Firm!
Company: Bottom Line Systems Inc Location: Louisville, KY Description: Medical Claims Analyst Needed! Bottom Line Systems, Inc. is a regional health care consulting company, specializing in identifying and collecting managed care underpayments and denials for our customers for the past 12-years! Due to our rapid growth, we are seeking to add several energetic, passionate people to our organization of Managed Care Professionals. We are currently in need of a full-time Hospital Claims Analyst to join our team in Louisville, KY! Position Responsibilities Audit claims and search for underpayments, review refund requests and denials Review managed care contracts and compare against claims to identify underpayments for assigned client(s) Investigate various issues with payors and their contracts and respond to questions to reach problem resolution Collect claims data to be reviewed Call payors to resolve underpayments found Write adjustment and appeal letters as needed to payors to resolve underpayments Communicate with client contact concerning all issues related to billing, posting, contracts, etc...both in an informal manner through daily contact and formal manner through scheduled meetings Position Requirements Minimum 2 years experience in operational setting, preferably in managed care or hospital patient accounts PC skills including experience with Microsoft Windows and Windows based spreadsheet, word processing Experience working with ICD-9, CPT-4 and/or HCPCS coding systems Knowledge of insurance submittal procedures and medical forms (including UB04 and CMS1500) Experience performing account resolution with third party payors Accounts receivable collections from payors (no self pay) Ability to effectively identify and communicate payor trends Bachelor’s Degree preferred, but not required BLS offers a superior retention rate, competitive salary/benefits package. PLUS, we reward ALL of our employees by offering a company-wide incentive program. Submit resume and salary requirements to Fax: Register to View or Register to View Are you a claims analyst, but feel this position does not specifically meet your needs? BLS is expanding and has positions open in several departments. Perform a Monster Search of "Bottom Line Systems" to view all of our available positions. We are an employer NOT an agency and are looking for honest, dependable, hardworking individuals to join our growing team. Some positions offer full and part-time opportunities. You can also learn more about us at our website, www.onlinebls.com |
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Job Title: Claims Analyst
Company: SanDisk Corporation Location: Milpitas, CA Description: In this position, the individual will be responsible for Trade Management accruals and claims processing. The Individual will process Price Protection, Coop, MDF and Promotion claims for credit. The individual will also resolve all claim related issues in a timely manner and ensure proper accounting of processed claims and accruals. |
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Job Title: Benefits Analyst
Company: Location: Boston, MA Description: Position Description: Our client in Boston presently seeks a Benefits Analyst to be responsible for the administration, review and compliance of the Company’s benefit programs. Responsibilities include but are not limited to medical, dental, reimbursement (includes COBRA), disability, life, employee assistance, wellness, adoption assistance, 401(k), employee stock purchase and stock option plans. The incumbent may also be responsible for option plan reporting, plan audits, designing communications, overseeing open enrollment, timely preparation of all governmental filings (including 5500’s). The incumbent will be responsible for keeping up-to-date on and ensuring compliance with, ERISA, IRS, DOL, HIPAA and SOX regulations. In addition, the Analyst will provide guidance with ad hoc projects related to other benefit and HR related plans including, but not limited to, medical, dental, reimbursement, disability and leave administration, life, employee assistance, wellness, adoption assistance, etc. The incumbent must have strong analytical and communication skills. HR² offers contract, direct, and retained placements within the following Human Resources disciplines: HR Generalist, Benefits, Compensation, Staffing and Recruiting, Organizational Development & Design, HRIS, Training & Development and Employee/Labor Relationships. Hoffman Recruiters is currently filling permanent positions (retained and contingency), as well as contract assignments and project outsourcing within Human Resources, Healthcare, Accounting/ Finance, Technology, Legal, Insurance, Biotech, Executive and Sales disciplines. Keyword Search: Recruiting, Health and Welfare, 401K, Pension, Benefits, FMLA, FLSA, ESOP, Stock Plan Administrator, Peoplesoft, ADP, Ceridian, Resumix, Restrac, Recruitsoft, Recruitmax, Peopleclick, BrassRing, Webhire, benchmarking, Immigration, Labor Relations, Organizational Design, Trainer, non-exempt, exempt, sourcing, cold calling, Training and Development, HRIS, AIRS Certification, Employee relations, salary surveys, ltd, std, life, “hr best practices�. HR 2 offers contract, direct, and retained placements within the following Human Resources disciplines: HR Generalist, Benefits, Compensation, Staffing and Recruiting, Organizational Development & Design, HRIS, Training & Development and Employee/Labor Relationships. Hoffman Recruiters is currently filling permanent positions (retained and contingency), as well as contract assignments and project outsourcing within Human Resources, Healthcare, Accounting/ Finance, Technology, Legal, Insurance, Biotech, Executive and Sales disciplines. Keyword Search: Recruiting, Health and Welfare, 401K, Pension, Benefits, FMLA, FLSA, ESOP, Stock Plan Administrator, Peoplesoft, ADP, Ceridian, Resumix, Restrac, Recruitsoft, Recruitmax, Peopleclick, BrassRing, Webhire, benchmarking, Immigration, Labor Relations, Organizational Design, Trainer, non-exempt, exempt, sourcing, cold calling, Training and Development, HRIS, AIRS Certification, Employee relations, salary surveys, ltd, std, life, hr best practices. |
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Job Title: BENEFITS ANALYST
Company: RUTHERFORD Location: Richmond, VA Description: IInsurance BENEFITS ANALYST Rutherfoord, the largest independently owned P&C, Surety and Benefit broker in Virginia, is looking for a Benefits Analyst in our Richmond office. Provide strategic support to Rutherfoord Benefit Services' consultants, producers, clients, & carriers Development and coordination of client-focused health and welfare products and services, timely resolution of client issues; preparing and analyzing Requests for Proposals Demonstrating knowledge of compliance with related federal and state laws. Two (2) years benefits, insurance, underwriting or combination exp. Bachelor's degree or equivalent career exp. required. Current Life & Health licensure or ability to obtain within 90 days required. Must have strong technical skills and proficiency w/ Microsoft Office Suite, including Excel & PowerPoint expertise. Strong org. and communication skills; and demonstrate resourcefulness. Occasional travel to various locations is required. Must have valid transportation. We offer a dynamic, financially strong, employee-owned company with an excellent work environment. Comprehensive benefits incl. paid parking, excellent compensation, ESOP and 401K. eoe. Visit our website at www.rutherfoord.com. Email resumes complete with detailed insurance work experience, references & salary requirements to Register to View As Posted in the Richmond Times-Dispatch |
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Job Title: MEDICAL CLAIMS ANALYST
Company: Location: Carmel, IN Description: Medical Claims Analyst Requires good communicator & self-motivated problem solver to maintain computer based benefit eligibility system. Must know Excel/ Access. Medical claims/eligibility experience helpful. EOE. Send resume to: FX Register to View email [Click Here to Email Your Resumé] Source - Indianapolis Star - Indianapolis, IN |
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Job Title: Claims Analyst, Sr. - Legal (RF-Day)
Company: Kaiser Permanente Location: Honolulu, HI Description: Claims Analyst, Sr. - Legal (RF-Day) Exempt/Gr. 13 - Salary is commensurate with experience, skills, etc. BASIC JOB PURPOSE Under general supervision, INVESTIGATES low exposure claim files; COMMUNICATES with attorneys, physicians; CALCULATES specials and damages; REVIEWS, INTERPRETS, and APPROVES contracts to be signed by Kaiser Permanente managers and executives; ANALYZES and RESEARCHES legal issues, pertinent statues and regulations; PROVIDES recommendations for appropriate course of action to Regional Counsel; SERVES as a liaison for legal services regarding inquiries from physicians, managers, supervisors, and other regional personnel; MAINTAINS claims database; PROVIDES support to Claims Manager with the establishment, investigation and management of professional and general liability claims and lawsuit files; ASSISTS Claims Manager in responding to litigation discovery requests; DEMONSTRATES compliance and Principles of Responsibility; SUPPORTS compliance and Principles of Responsibility; MAINTAINS confidentiality; PROTECTS organizational assets; EXHIBITS ethics and integrity; ADHERES to applicable federal and state laws and regulations, accreditation and licensing requirements, policies and procedures; REPORTS and/or RESOLVES issues of non-compliance. On regular, sustained basis, COOPERATES with other staff members both within and outside department in accomplishment of own job duties as well as assisting others in accomplishing theirs. SERVES as team player and role model for other employees in Organization; always exhibiting traits of courtesy, caring, helpfulness and respect. CONDUCTS self in a service-oriented manner that is attentive, pleasant, cooperative, sensitive, respectful and kind when dealing with members, visitors, public and all employees. MINIMUM QUALIFICATIONS EDUCATION/TRAINING Bachelors Degree in Business Administration or related field. Equivalent combination of education (lesser) & experience may be considered in lieu of requirements. LICENSURE/CERTIFICATION Valid drivers license. EXPERIENCE/OTHER Three years legal/claims analysis including investigation of claim files or related experience. Demonstrated competency in medical malpractice claims procedures. Knowledge of legal pleadings and procedures. Knowledge of legal and medical terminology. Ability to maintain legal and medical confidentiality. Must be detail oriented, accurate and able to perform multiple tasks simultaneously. Demonstrated knowledge of and skill in the following: adaptability, change management, conflict resolution, decision making, customer service, group process facilitation, interpersonal relations, oral communication, problem solving, project management, quality management, results orientation, systems thinking, team building, teamwork, written communication Demonstrated knowledge of and skill in the following PC application(s): word processing, spreadsheet, database. Equivalent combination of education & experience (lesser) may be considered in lieu of requirements. A skill assessment (e.g., typing, pharmacology, ward clerk) is required for this position. Candidates will be considered only upon passing the appropriate skill assessment. COMMUNICATION AND MENTAL REQUIREMENTS Talking to co-workers, customers, outside vendors, and on the telephone. Reading, writing, speaking, understanding English. Training/giving and receiving instructions. Mathematical ability, attention to detail (e.g. organization, prioritization, proofing), concentration, and alertness. PREFERRED QUALIFICATIONS EXPERIENCE/OTHER (PREFERRED): Professional liability insurance company or equivalent self-insured experience, specializing in medical malpractice. NOTE: - Work schedule and days off may be changed based on operational needs. - Should you submit your resume for this position and you do not meet the minimum qualifications or are not contacted within 2-6 weeks, you should assume that a more qualified candidate was selected or is being considered for the position. No other notification will be sent. |
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Job Title: Health & Welfare Benefits Analyst
Company: C & S Wholesale Grocers, Inc. Location: Keene, NH Description: C&S Wholesale Grocers, Inc., headquartered in Keene, New Hampshire, is a privately owned company with annual sales of over $19 billion. With compounded double digit growth over the last several years we are currently the tenth largest privately held company in the nation, as ranked by Forbes magazine. Founded in 1918, C&S provides wholesale food distribution to grocery chains as well as independent stores throughout the United States, delivering to over 4,100 grocery stores from its distribution centers in Vermont, Massachusetts, Connecticut, Pennsylvania, New York, New Jersey, Maryland, Ohio, South Carolina, Alabama, Tennessee, California and Hawaii. Job Summary: Assist with the administration of the health and welfare plans, respond to employee questions, resolve claim issues, ensure compliance with state mandated health care reform laws, handle billing process for the various H&W vendors, conduct new employee benefit orientations and assist with wellness initiatives. Job Responsibilities: * Assist the Sr. Benefits Administrator in responding to employee and facility HR representatives’ benefit inquiries, claim issue resolution, Benefit Summary and Summary Plan Description review. * Ensure compliance with state mandated health care reform (currently Vermont and Massachusetts ). Conduct periodic (weekly – annual) employee mailings of required employee forms, partner with Tax Department for timely completion of the quarterly and annual company filings, etc. * Audit and submit billing requests for all medical plans, Flexible Spending Accounts, Hartford (life & disability), TALX (unemployment benefits & employment verifications) and Cigna (EAP). * Assemble hourly and salary benefit, disability and new hire packets. * Conduct benefit orientations for new hourly and salaried (non-executive) employees. * Assist the Sr. Benefits Administrator with various wellness initiatives. * As assigned (assisting with Open Enrollments, Acquisitions, Mass Mailings, etc). Job Requirements: * Associates Degree or equivalent. * 2-4 years related experience. * Excellent customer service and communication skills. * Outstanding attention to detail. * Ability to work independently as well as in a team setting. * Multitasking as well as prioritizing work. * Ability to work in a fast paced, ever changing and sometimes stressful atmosphere. * Proficient with computer applications including Microsoft Word, Excel and Outlook. * Experience with an HRIS system is desired and Lawson specific experience is preferred. C&S offers excellent benefits including health, dental, vision, company paid life insurance, 401K with company contributions, tuition reimbursement, flexible spending accounts, paid vacation and the opportunity for personal and professional growth. Working Safely is a Condition of Employment at C&S - An Affirmative Action Employer M/F/D/V Click here to apply http://www.cswgcareers.com |
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