Claims Analyst

Claims Account Analyst is responsible for evaluating claims to ensure they are accurate and processed in a timely manner. They review and assess the validity of claims based on the policy guidelines. They also follow precise procedures in managing high-volume claims according to department goals and deadline.Adjudicate and process claims based on appropriate...

Guy Carpenter is the world's premier reinsurance intermediary and strategic advisor to leading insurance and reinsurance organizations, delivering integrated solutions through its industry-leading analytics and advisory services, highly specialized product knowledge and trading relationships with reinsurance markets around the world.Guy Carpenter is a brand...

About Atos Atos is a global leader in digital transformation with c. 78,000 employees and annual revenue of c. € 10 billion. European number one in cybersecurity, cloud and high-performance computing, the Group provides tailored end-to-end solutions for all industries in 68 countries. A pioneer in decarbonization services and products, Atos is committed...

ResponsibilitiesAs aShort Term Disability Claims AnalystIn this fast-paced environment, every single day offers new challenges and the ability to use excellent analytical, multitasking, prioritization, and interpersonal skills to assist with clients' short-term disability claims - all during a time in which they may be facing major changes in life.Here are a...

Job Qualifications:Completed at least 2 years of college.Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting.Familiarity with UB Claims and UB04 forms.Experience in medical billing/AR collections.Background in calling insurance (Payer) for claim status and payment disputes.Familiar with EPIC SYSTEM.Willing to work...

We currently looking for USRN Quality Analyst to be part of our PIONEER USRN TEAM This role focuses on the comprehensive analysis, management, and resolution of denials and appeals related to claims and services, ensuring compliance with insurance policies, healthcare regulations, and industry best practices.Key Responsibilities: Denials and Appeals...

ResponsibilitiesAcquire, analyze, and investigate medical, financial and contractual information to make effective and timely claim decisions.Connect with employers, employees and medical providers via phone, email, text, and letters.Provide customers with updates regarding medical conditions, restrictions & limitations, job duties, group short term...

OverviewManaged Care Finance Analyst (Hybrid) role at Tenet Healthcare — This position is responsible for the loading & maintenance of Managed Care and other contract pricing terms into various contract management and claim pricing systems of Tenet and USPI entities. This person may also perform complex contract analyses and may function as a liaison...

Job DescriptionEssential Job Functions:Execute business process transactions, focusing on accuracy and adherence to proceduresCollaborate with senior analysts and managersParticipate in process improvement projects and data analysisAssist in identifying process bottlenecks and quality assuranceEnsure compliance with established standards and...

Position Summary:The Total Rewards Analyst is responsible for managing and supporting employee compensation and benefits related tasks. This role ensures accurate administration, compliance with local regulations, and efficient coordination with both internal teams and external providers.Duties and ResponsibilitiesBenefits (40%):Administer and monitor...