Talent.com
Claims Analyst

Claims Analyst

VirtualVocationsSpringfield, Massachusetts, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Specialty & Home Delivery Program Claims Analyst- Remote.

Key Responsibilities

Serve as a subject matter expert on Claims Operations for internal and external projects

Identify and implement system and process improvements using various resources

Provide backup support for various roles within the department as needed

Required Qualifications

Bachelor's degree in IT, Business, Science, or a related field, or equivalent experience

2 years of experience in claims processing or project lifecycle in healthcare or PBM industry

Eligibility to work in the United States without visa sponsorship

Claims research experience

Experience with Microsoft Office products

serp_jobs.job_alerts.create_a_job

Claim • Springfield, Massachusetts, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Claims Specialist

Claims Specialist

VirtualVocationsSpringfield, Massachusetts, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Specialist to manage complex claims and ensure timely resolution.Key Responsibilities Manage a large inventory of complex claims to evaluate compensability and l...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Insurance Specialist

Insurance Specialist

VirtualVocationsSpringfield, Massachusetts, 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 resou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Claims Specialist

California Licensed Claims Specialist

VirtualVocationsSpringfield, Massachusetts, 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

VirtualVocationsHartford, Connecticut, 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
New York Licensed Claims Examiner

New York Licensed Claims Examiner

VirtualVocationsSpringfield, Massachusetts, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Examiner I.Key Responsibilities Investigates and evaluates insurance claims through contact with involved parties Negotiates claims effectively to achiev...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Specialty Claims Associate

Specialty Claims Associate

Munich REHartford, CT, United States
serp_jobs.job_card.full_time
Manage specialty claims supporting some or all the following products : Employment Practices Liability (EPL), Miscellaneous Professional Liability (MPL), Cyber Liability, and Contractors Errors & Om...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medicare Claims Specialist

Medicare Claims Specialist

VirtualVocationsHartford, Connecticut, United States
serp_jobs.job_card.full_time
A company is looking for a Medicare Specialist to manage and resolve aged medical claims for hospital or physician groups. Key Responsibilities Resolve cash generating accounts and review Medicare...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Wisconsin Licensed Claims Representative

Wisconsin Licensed Claims Representative

VirtualVocationsHartford, Connecticut, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Representative - Workers Compensation.Key Responsibilities Manage moderate to complex claims with minimal supervision Conduct thorough investigations, ev...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
California Licensed Claims Examiner

California Licensed Claims Examiner

VirtualVocationsSpringfield, Massachusetts, 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
Licensed Claims Analyst

Licensed Claims Analyst

VirtualVocationsSpringfield, Massachusetts, 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_1_day
  • serp_jobs.job_card.promoted
Claims Examiner (General Liability)

Claims Examiner (General Liability)

HAI GroupCheshire, CT, US
serp_jobs.job_card.full_time
The Claims Examiner is responsible for liability claims in the areas of : investigation, evaluation, reserving, negotiation and resolution of the companies’ claims in multiple jurisdictions.Th...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 Examiner

Stop Loss Claims Examiner

VirtualVocationsSpringfield, Massachusetts, United States
serp_jobs.job_card.full_time
A company is looking for a Stop Loss Examiner.Key Responsibilities Manage a block of business and audit Stop Loss claims according to policy provisions Adjudicate claim reimbursements within spe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Licensed Claims Adjuster

Licensed Claims Adjuster

VirtualVocationsSpringfield, Massachusetts, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Adjuster to manage and resolve claims effectively.Key Responsibilities Analyze claims exposure and execute decision-making to resolve claims Interact with vario...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Examiner

Claims Examiner

VirtualVocationsHartford, Connecticut, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Examiner II.Key Responsibilities Process assigned claims based on client-specific guidelines Meet productivity targets and accuracy standards set by management ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Senior Claims Adjuster

California Licensed Senior Claims Adjuster

VirtualVocationsSpringfield, Massachusetts, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Adjuster Workers Compensation.Key Responsibilities Manage claims by analyzing exposure, planning actions, and resolving claims effectively Communicate ex...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Claims Analyst

Claims Analyst

VirtualVocationsHartford, Connecticut, United States
serp_jobs.job_card.full_time
A company is looking for a Specialty & Home Delivery Program Claims Analyst- Remote.Key Responsibilities Serve as a subject matter expert on Claims Operations for internal and external projects ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Life Claims Analyst

Life Claims Analyst

VirtualVocationsSpringfield, Massachusetts, United States
serp_jobs.job_card.full_time
A company is looking for a Life Claims Analyst to evaluate claims accurately and promptly while ensuring compliance with regulations. Key Responsibilities Determine complex claim benefits based on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Insurance Claims Specialist

Insurance Claims Specialist

VirtualVocationsSpringfield, Massachusetts, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Claims Specialist PB.Key Responsibilities Submits accurate and timely claims to third party payers Resolves claim edits and account errors prior to claim su...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Licensed Insurance Quoter

Licensed Insurance Quoter

VirtualVocationsHartford, Connecticut, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Quoter to provide accurate insurance quotes for various policies.Key Responsibilities : Review and analyze client information to determine appropriate coverag...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Claims Adjuster

Claims Adjuster

VirtualVocationsSpringfield, Massachusetts, United States
serp_jobs.job_card.full_time
A company is looking for a Workers' Compensation Claims Representative.Key Responsibilities Determine compensability and coverage issues for loss time workers' compensation claims Effectively ma...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30