Claims Analyst

Job Summary:At Dempsy Resource Management Inc., we are seeking a highly skilled Medical Claims Analyst to join our team. As a Claims Validation Specialist, you will play a crucial role in ensuring the accuracy and completeness of medical claims.About the Role:Evaluate claims received by assessing the completeness of documents, the necessity and...

Key ResponsibilitiesMonitor Claim Status: Ensure prompt and accurate payment by tracking the status of medical claims.Resolve Rejections/Denials: Research and implement measures to prevent future occurrences.Document Account Activities: Maintain accurate and up-to-date records of account activities.Collections Management: Post adjustments and manage...

**Job Description:**We are seeking a highly skilled Business Intelligence Analyst to join our team at RelianceUnited. As a key member of our healthcare operations, you will play a crucial role in ensuring the accuracy and timeliness of claims reconciliation requests.**Responsibilities:**Conduct thorough analysis of claims records from accredited hospitals...

Manulife is seeking an experienced Insurance Risk Analyst to join our team. In this role, you will work closely with our Actuarial Function to identify, assess, and mitigate risks that may impact our business.You will be responsible for analyzing complex data sets, developing predictive models, and providing recommendations to senior management on risk...

SummaryThe Accounts Payable Analyst is responsible for all accounts payable administrative functions, including invoices, matching purchase orders, obtaining approval, and entering the invoices into the accounting system, expenses, vendor approval, and invoice processing.Job DetailsAccounts Payable AnalystWork Onsite - Bridgetowne, QCHybrid Setup upon...

Direct message the job poster from Imagenet LLCRecruitment Specialist / Talent Acquisition SpecialistImagenet Phils. is growing, and we are currently seeking Healthcare Quality Auditor to join our team.Duties and Responsibilities:The Healthcare Quality Analyst is responsible for evaluating the performance of Customer Service Representatives handling...

OverviewAs a Senior Business Analyst / Data Engineer, you will be responsible for delivering key analytical insights, building dashboards, and automating reports to serve all layers of the Claims organization. This high visibility role has direct exposure to senior leaders across Arch Insurance. Your efforts will have a high impact on delivering performance...

Company OverviewSourcefit DR is a leading provider of innovative workforce solutions, committed to delivering exceptional value to our clients through strategic talent acquisition and management.Job DescriptionThe Accounts Payable Analyst plays a vital role in the financial operations of Sourcefit DR, responsible for ensuring seamless invoice processing,...

Credit Card Monitoring Dashboard OperationsJob Summary:We are seeking a highly skilled and detail-oriented individual to join our team as a Credit Card Monitoring Dashboard Operations professional. This role is responsible for supporting the day-to-day operations related to Cards Disputes, including analyzing and processing card transactions endorsed for...

Benefits and PerksWork from Home: Enjoy the flexibility of working from home.Equipment/Company Computer: Utilize company-provided equipment or computer.About Our Ideal Candidate:We are seeking a highly skilled and motivated individual to join our team. The ideal candidate will possess excellent communication skills, strong attention to detail, and the...

We promote a culture of diversity and inclusion, where individuals from various backgrounds collaborate to achieve common goals.The ideal candidate should possess strong medical coding skills and be able to think critically.Main Responsibilities:Apply knowledge and skills to diverse tasks.Demonstrate a moderate level of proficiency in own area of...

About the Role:As a Business Process Associate at Manulife, you will be responsible for processing, analyzing, and completing financial and non-financial transactions within pre-set service turn-around-time with quality standards. Your primary goal is to ensure that the processors meet individual and team goals in line with the Service Level Agreement...

Primary ResponsibilitiesProvide expert support in claims resolution, research, investigation, negotiation, and recovery for various stakeholders including health plans, commercial customers, and government entities.Analyze trends, identify areas of improvement, and provide reports as necessary to ensure compliance with state and federal regulations.Manage...

About the JobThis exciting opportunity requires a highly motivated and proactive Junior Auditor with a focus on accounting and financial reporting. The ideal candidate should have experience in accounting and bookkeeping, be well-versed in Microsoft applications, and possess excellent oral and written communication skills.The successful candidate will...

How You Will ContributeYou will contribute to the success of our Corporate Solutions and Alternative Distribution Team by generating new business proposals, reviewing existing group clients, and providing actionable insights to improve client profitability. You will work closely with the sales, group administration, and products teams to ensure alignment and...

Help businesses implement technology solutions by determining the requirements of a project or program, communicating them clearly to all stakeholders, facilitators, and partners, and providing support throughout the System Development Life Cycle.Responsibilities:Clearly communicates these user stories and business requirements document to all stakeholders,...

Press Tab to Move to Skip to Content LinkJoining Nestlé means becoming part of the world's largest food and beverage company. At Nestlé Philippines, Inc. (NPI), we take pride in being a leading organization in the food and beverage industry, serving the nutrition, health, and wellness needs of Filipino consumers for over a century. With a committed team of...

About the RoleWe are seeking a detail-oriented and proactive Financial Analyst with expertise in accounting and financial reporting. This role involves performing daily tasks in relation to Purchase to Pay and Receivable to Collection processes.The ideal candidate should have experience in accounting and bookkeeping, be well-versed in Microsoft applications,...

Benefits: HMO on day 1 for employee Variable pay or Annual Bonus (either of the 2) 10% Night DifferentialNon-negotiable: Must have at least a total of 2 years of QA Assistant Manager experience under Healthcare accountPosition Purpose:The primary purpose of this position is to oversee a team of Quality Analysts & Auditors whose primary functions are to...

SAP SE is the world's leading provider of on-demand employee spend management services.Company OverviewWe help organizations control costs by unifying online travel booking, automating expense claims, and streamlining invoice processing.Our suite of award-winning on-demand services allows companies to get up and running quickly so they can focus on what's...