Talent.com
Claims Testing Analyst

Claims Testing Analyst

MindlanceMason, Ohio, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.temporary
  • serp_jobs.filters_job_card.quick_apply
job_description.job_card.job_description

Title : Claims Testing Analyst

Location : Mason, Ohio, 45040 / Hybrid 2-3 days in office

Duration : 5+ months Contract Assignment with possibilities of extension or conversion according to your performance.

Work hours : 7 to 3 : 30 or 8 to 4 : 30 pm Eastern time, Mon to Fri

Job Details :

DATA ENTRY SCORES MUST BE LISTED AT THE TOP OF THE RESUMES. IF NOT, THEY WILL BE DECLINED.

There has been a change of the hybrid requirement for this role. The new expectation will be 2 days in office 3 / 17 thru 5 / 19 with Wed being required, and then 5 / 19 thru end of contract it will change to 3 days in office with required days being Tues, Wed, & Thurs. Afterwards will need to be in the office 2x a week. MUST BE ABLE TO TRAIN ONSITE

Specific Skills Needed :

9,000 KSH data entry speed, data entry skills, basic excel skills, attention to detail, ability to prioritize, multi-task

Years of Experience : 1+

Job Description :

Validation of base data in test environment to ensure setup complete prior to commencement of testing efforts.

Claims creation and validation for client testing requests and new client implementation.

The Analyst will be the liaison to the Senior Analysts and Manager of the Claims Testing team to identify claims processing discrepancies due to system setup issues that require cross functional partnership and retesting.

Work with cross functional departments to ensure system is ready for testing scenarios to be keyed.

Validate the integrity of claims data in the claims and payments UAT systems.

Track all testing defects and the status of the defect resolution through re-testing.

Analyze and document clear and concise testing results so there is a smooth transition to claims and payments production systems.

Maintain effective, on-going communication within Claims Testing Team and other key departments.

Specific Skills Needed :

Top 3-5 mandatory and / or minimum requirements

Experience in Claims or Data processing / testing.

Intermediate Level knowledge of PCs and spreadsheet applications.

Working knowledge of Claims Adjudication, Payments / Billing, and Data Reporting systems.

Strong communication, problem solving, teamwork and organization skills.

Strong analytical skills and critical thinking.

Ability to work cross functionally.

Ability to multitask and manage project timelines.

Top 3-5 desirable attributes / qualifications?

Analysis experience.

Knowledge of Oracle SQL and / or Business Objects / EDW.

Knowledge of Facets

Knowledge of SAP

Highly motivated self-starter.

serp_jobs.job_alerts.create_a_job

Testing Analyst • Mason, Ohio, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Workers' Compensation Claims Examiner

Workers' Compensation Claims Examiner

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Examiner, Medical Only.Key Responsibilities Investigate workers' compensation claims for medical care without lost wages Approve medical treatments, schedule ap...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Analyst I

Claims Analyst I

Fifth Third BankCincinnati, OH, United States
serp_jobs.job_card.full_time
Make banking a Fifth Third better.We connect great people to great opportunities.Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. This position is onsite in Cin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Claims Examiner

California Licensed Claims Examiner

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Workers Compensation Claims Examiner III (Temporary).Key Responsibilities Manage a caseload of 150 to 180 workers' compensation files, including complex claims Conduct...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Stop Loss Claims Coordinator

Stop Loss Claims Coordinator

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Stop Loss Filing Coordinator to manage the end-to-end stop loss claims process.Key Responsibilities : Prepare and submit stop-loss claims and supporting documentation A...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Insurance Benefits Verification Specialist, RCM

Insurance Benefits Verification Specialist, RCM

Mayfield Brain and SpineCincinnati, OH, US
serp_jobs.job_card.full_time
This Specialist will join the insurance verification team and be responsible for patient registration and eligibility verification, benefits investigation, cost estimation, and other tasks related ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
California Licensed Claims Specialist

California Licensed Claims Specialist

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Specialist (PAWP).Key Responsibilities Adjust claims for assigned PAWP programs Build and maintain relationships with internal and external customers Investiga...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Claims Examiner

Senior Claims Examiner

Core Specialty InsuranceCincinnati, OH, US
serp_jobs.job_card.full_time
Adjust and manage claims brought against products liability and general liability insureds, from receipt of claim or suit through resolution or trial / appeal. Key Accountabilities / Deliverables : .Provi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Accreditation Specialist

Accreditation Specialist

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for an Accreditation Specialist to lead quality improvement efforts and ensure NCQA Health Plan Accreditation. Key Responsibilities : Develops and prepares documentation for NC...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Insurance Senior Specialist

Insurance Senior Specialist

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Sr.Specialist to manage complex accounts and support team operations remotely.Key Responsibilities Resolve complex accounts and act as a subject matter exper...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Insurance Specialist - Michigan Licensed

Insurance Specialist - Michigan Licensed

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Specialist to manage financial and insurance information for patients.Key Responsibilities Verify the accuracy and completeness of financial and insurance in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Senior Claims Examiner

Senior Claims Examiner

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Examiner to adjudicate complex life insurance claims.Key Responsibilities Lead the adjudication of complex or contested life insurance claims Conduct tho...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Liability Claims Adjuster

Liability Claims Adjuster

Munich REAmelia, OH, United States
serp_jobs.job_card.full_time
American Modern Insurance Group, Inc.Munich Re company, is a widely recognized specialty insurance leader that delivers products and services for residential property - such as manufactured homes a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Insurance Information Coordinator

Insurance Information Coordinator

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Information Coordinator - Remote.Key Responsibilities Verify member benefits, claims, and appeal information with insurance companies Research claims and in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Michigan Licensed Claims Adjuster

Michigan Licensed Claims Adjuster

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Execute decision-making to analyze and resolve claims while managing claims exposure Interact with var...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Analyst I

Claims Analyst I

Fifth Third BancorpCincinnati, OH, US
serp_jobs.job_card.full_time
Make banking a Fifth Third better.We connect great people to great opportunities.Are you ready to take the next step? Discover a career in banking at Fifth Third Bank. This position is onsite in Cin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Medicaid Compliance Assistant

Medicaid Compliance Assistant

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Medicaid Pending Compliance Assistant.Key Responsibilities : Assist with tracking and maintaining Medicaid Pending reports for assigned Skilled Nursing Facilities Follo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Warranty Claims Analyst

Warranty Claims Analyst

Dayton FreightDayton, OH, US
serp_jobs.job_card.full_time
As the Warranty Claims Analyst, you will analyze and process warranty claims.Develop a clear understanding of the warranty processes of Dayton Freight Lines, Inc. DFL), its suppliers, and Original E...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Representative

Claims Representative

Great American Insurance GroupCincinnati, OH, US
serp_jobs.job_card.full_time +1
Mid-Continent Group, a subsidiary of Great American, based in Tulsa, Oklahoma, specializes in commercial casualty coverages with an emphasis on general liability for the construction, energy, and d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Licensed Claims Analyst

Licensed Claims Analyst

VirtualVocationsDayton, Ohio, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Analyst to join their team in a remote capacity.Key Responsibilities Provide exceptional resolution of claim files to ensure a best-in-class claims experience I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Claims Adjuster

Claims Adjuster

HylantCincinnati, OH, US
serp_jobs.job_card.full_time
The Claims Adjuster is responsible for providing partners with exceptional claims handling services.Partners include, but are not limited to, public entities, public schools, agents, reinsurers, an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days