Assist with claims resolution and collection of payments on Claims. Manage customer claims portals and monthly reports. Interact with external parties like 3rd party claims management and/or insurance providers. Assist with preventative measures to reduce claims. ...
Claims Analyst III- Overpayment Prevention (Business Analyst III). Works with Query Developers to ensure business requirements are incorporated into query design, completes and coordinates UAT testing on claims identified as potential overpayments. Collaborates with the claims validation team to app...
SSM Healths Epic Billing and Claims Support Team is seeking a technically skilled team member with strong Epic Environment build experience. An Epic Resolute Hospital Billing Claims Certification is required. Codes complex functions including building application tables and reports for Epic applicat...
Process pharmacy claims accurately and timely to meet client expectations. Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage. One year of Pharmacy Experience, having resolved third party claims. ...
We are unable to work with C2C or third parties and we are unable to provide sponsorship now or in the future for this role.This is a hybrid role, 4 days/week in the office in St Louis, MO.You must be located in St Louis for this position.You will be actively participating in the grooming of new bil...
Are you a dedicated claims professional looking to find a growth opportunity? A top insurance agency in the Bay Area wants to add a Claims Manager to its growing team! In this role, you will develop new strategies to minimize risk and improve the claims processing from beginning to end. Claims Manag...
D Aceto Services LLC is seeking a motivated and detail-oriented Entry-Level Data Analyst to join our team. Help maintain data integrity and accuracy within databases. In this remote position, you will work closely with various departments to analyze data, generate insights, and support decision-maki...
Business Intelligence Quality/Data Analyst. Data Warehouse and Business Intelligence Quality/Data Analyst. Collaborate: Work closely with Data Engineers, Developers, Business Analysts, and other stakeholders to understand requirements and resolve any data quality issues. Evaluating and analyzing dat...
The Sr Mgr, Liability Claims Management s position is responsible for administration of Charter’s 3rd party liability claim program with a primary focus on Auto and General Liability claims. In addition, this position will be responsible for overseeing and coordination of internal staff of claims an...
The A/R Billing Specialist is responsible for the daily accounting transactions of the organization including accounts receivable, billing and cash receipts. Accounting Specialist – Billing and AR. Enter monthly billing amounts per client into Sage general ledger accounting software. Maintain ...
Business Analysis experience in a Salesforce environment. As a business imperative, every person at Accenture Federal Services has the responsibility to create and sustain an inclusive environment. These include the duties and responsibilities listed in the job posting, as well as the abilities to a...
Support clients in mapping legacy data, identifying data quality issues and overall responsibility over conversion activates on the project. Participate actively as a Data Conversion consultant on one or more project teams. Serve as the knowledge source for converting data from legacy systems and sp...
The driver of MuleSoft business analysis for implementations. You work on projects documenting business requirements that will be handed over to MuleSoft developers to turn into code. Gather, create and document current and future business process flows. Conduct analysis of systems specifications an...
ADP is hiring a Claims Lead Examiner. Assist Claims Manager in monitoring the workers compensation program within the ADPTS/PEO structure. Identify and track trends with specificity that could be problematic and take steps along with Claims Manager to take steps to develop processes to correct. Abil...
Our client, an A-rated Insurance Carrier, is seeking to add an experienced California Workers' Compensation Claims Specialist to join their team in a fully remote capacity (must reside in the state of California). This person will be responsible for managing moderate to complex California Workers' C...
The Billing and Collection Specialist, reporting to the Manager of Services Revenue, is responsible for gathering data, calculating charges and fees, creating invoices for billing purposes, and facilitating the collection of delinquent accounts. Verifies accuracy of billing data, correcting any erro...
Auto Liability and Workers' Compensation after initial billing. Manage, mentor, and motivate a team of follow-up specialists to achieve individual and team goals. Experience: Minimum of 3-5 years in healthcare billing, with a focus on Auto Liability and Workers' Compensation claims; supervis...
Auto Liability Bodily Injury Claims Examiner. To analyze and process complex auto and commercial transportation bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Processes complex auto commercial and personal line claims...
Apply via Dice today!RESPONSIBILITIES: Kforce has a client that is seeking an IT Business Analyst in Saint Louis, MO. ...
Strong business process knowledge of the Manufacturing and Distribution functional area. Stay abreast of new JDE releases and applications and present opportunities for improvement to the business units. Develop new, or modifies existing software solutions to satisfy ongoing company business needs. ...
The Claims Manager supervises a team of associates performing single tasks or closely related multiple tasks, including: processing of client transactions, claims, premium payments, treaties, electronic data or other related activities. Knowledge of medical terminology to support the Claims Departme...
We are looking for a detail-oriented Data Analyst with expertise in data quality and business intelligence to support our data systems. Work with Data Engineers, Developers, and Business Analysts to understand requirements and resolve data quality issues. The ideal candidate will have a strong under...
Commercial Auto Claims Representative - Liability. To analyze and process low to mid-level auto physical damage claims. Commercial auto claims experience is preferred. Processes auto property damage claims; assesses damage, makes payments, and ensures claim files are properly documented and correctl...
As a National Catastrophe (NATCAT) Field Claims Specialist primarily supporting our Personal Lines (PL) business, you'll investigate and resolve moderate to severe property damage claims by phone. Prior insurance field/property claims handling or adjusting experience. Ability to handle claims of var...