Expert Claims Review initiatives centered around handling of medical pre-payment and post-payment claims for accurate claim payment review through our suite of solutions. Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR prod...
Pharmacy Claims Analyst- Hybrid (Quincy, MA). The Pharmacy Business System Analyst will be involved in all aspects of running a pharmacy claim processing system. Under the direction of the Director of Pharmacy Technology and Informatics or designee, the Pharmacy Business System will drive operationa...
PROMEDICAL is seeking a Complex Claims Analyst. Analyst will ensure that claims are being billed correctly and that insurance carriers have the necessary information to adjudicate. Job Responsibilities of Claims Follow up Analyst:. Research claim information on-line and enter new data into existing ...
This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims goals. This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims...
This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims goals. This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims...
PROMEDICAL is seeking a Complex Claims Analyst. Analyst will ensure that claims are being billed correctly and that insurance carriers have the necessary information to adjudicate. Job Responsibilities of Claims Follow up Analyst:. Research claim information on-line and enter new data into existing ...
The Pharmacy Business System Analyst will be involved in all aspects of running a pharmacy claim processing system. Under the direction of the Director of Pharmacy Technology and Informatics or designee, the Pharmacy Business System will drive operational excellence within the team by ensuring the a...
Gather requirements/acceptance criteria for Expert Claims Review initiatives centered around handling of medical pre-payment and post-payment claims for accurate claim payment review through our suite of solutions. At Zelis, the Business Analyst - Expert Claims Review (ECR) is ultimately responsible...
The Business Systems Analyst is accountable for working closely with Claims leaders and understanding their needs and wants for enhancing the claims system used by BHSI. The claim system utilizes the Duck Creek Platform, this role will require the individual to become familiar with it along with the...
GI Claims Fraud & Recovery Reporting Analyst. Join us as a GI Claims Fraud & Recovery Reporting Analyst to play your part in that transformation. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service diffe...
This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims goals. This role has direct responsibility of managing the claim in its entirety while maintaining service level targets and achieving established claims...
The Claims Analyst, in the Employment Practices Liability team, will primarily handle excess claim files, tasked to review and evaluate newly reported claims and work with their assigned manager in evaluating coverage, establishing appropriate reserves, undertaking claim investigations in resolving ...
Performs thorough investigations, evaluations and disposition of all claims in adherence with the departmental Claims Standards and Procedures. Initiates the investigation of more complex types of claims made against the company in order to determine the proximate cause and evaluate the loss exposur...
The Pharmacy Business System Analyst will be involved in all aspects of running a pharmacy claim processing system. Under the direction of the Director of Pharmacy Technology and Informatics or designee, the Pharmacy Business System will drive operational excellence within the team by ensuring the a...
American Plumbing & Heating is looking for a seasoned Plumbing Project Manager/Estimator to join ourteam. We perform a wide range of projects including pharmaceutical, research facilities,hospital, educational, multi-unit residential and retail projects. Ideal candidate will have a minimum of 5 ...
Our client is seeking to add a temporary remote Workers Compensation Adjuster to their team. The ideal candidate will have experience handling workers compensation claims in CT, NH, RI and VT. Active CT, NH, RI and VT Adjuster License. ...
Liberty Mutual has an immediate opening for an Excess and Coverage Senior Technical Claims Specialist as part of our Excess, Coverage and Specialized Claims Unit. If you are an experienced claims professional with Commercial Excess Claims experience, this is the role for you!. If you have experience...
To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service req...
We are searching for a Business Analyst, Assoc (Billing Specialist) for 1 yr. Collaborate with IT and other business units to solve real time technical issues and conduct root cause analysis. Conduct analyses and prepares reports that provide operation and/or technical support to business operations...
Chairman, CEO, Partner, President, General Manager, Chief Financial Officer, Financial Director, Vice President of Finance, Accountant, Bookkeeper, Financial Controller, Accounts Receivable Manager, Finance Manager, Finance Analyst, Business Credit Analyst, Credit Manager, Risk Manager, Portfolio Ma...
Under the direction of the Director or designee, the Project Manager I leads small projects or subcomponents of larger, more complex projects. The Project Manager I is responsible for independent action on multiple projects as assigned. Lead project teams to ensure that project development and progr...
Chairman, CEO, Partner, President, General Manager, Chief Financial Officer, Financial Director, Vice President of Finance, Accountant, Bookkeeper, Financial Controller, Accounts Receivable Manager, Finance Manager, Finance Analyst, Business Credit Analyst, Credit Manager, Risk Manager, Portfolio Ma...
Phlebotomy Customer Service Representative - Full Time 9:30am-6pm. Reporting to the Customer Service Supervisor, the position handles all inquiries from patients andmust be responded to in a courteous and timely manner. Excellent customer service skills. ...
Are you a stay-at-home mom or dad, student, gig worker, or professional looking for freelance, part-time, remote, work-from-home jobs where you can set your own schedule? Are you interested in helping to improve the reliability of today's AI models? If yes, then this opportunity is for you!. Work fr...
Chairman, CEO, Partner, President, General Manager, Chief Financial Officer, Financial Director, Vice President of Finance, Accountant, Bookkeeper, Financial Controller, Accounts Receivable Manager, Finance Manager, Finance Analyst, Business Credit Analyst, Credit Manager, Risk Manager, Portfolio Ma...