Talent.com
Claims Analyst
Claims AnalystVirtualVocations • Pasadena, Texas, United States
Claims Analyst

Claims Analyst

VirtualVocations • Pasadena, Texas, United States
30+ days ago
Job type
  • Full-time
Job description

A company is looking for an RRT Anthem Analyst.

Key Responsibilities

Review and process adjustment claims for Anthem and Blue Cross Blue Shield

Handle communications and inquiries from internal departments regarding claims

Monitor daily production and exception reports to ensure timely claim closures

Required Qualifications

High School diploma or equivalent required

Minimum of 3 years of medical claims processing experience

Adjustment experience is required

Experience with the QicLink claims processing system is preferred

Proficiency in Excel and Word; experience with Microsoft Access is a plus

Create a job alert for this search

Claim • Pasadena, Texas, United States

Related jobs
Senior Claims Quality Analyst

Senior Claims Quality Analyst

VirtualVocations • Houston, Texas, United States
Full-time
A company is looking for a Senior Claims Quality Analyst.Key Responsibilities Analyze and investigate behavioral health claims Provide explanations and interpretations to internal operations tea...Show more
Last updated: 2 days ago • Promoted
State Certified Claims Specialist

State Certified Claims Specialist

VirtualVocations • Houston, Texas, United States
Full-time
A company is looking for a Claims Specialist to manage lower-level, non-complex workers' compensation claims under supervision. Key Responsibilities Receive claims, confirm policy coverage, and ac...Show more
Last updated: 3 days ago • Promoted
California Licensed Claims Team Lead

California Licensed Claims Team Lead

VirtualVocations • Humble, Texas, United States
Full-time
A company is looking for a Claims Adjusting Team Lead.Key Responsibilities Manages and oversees performance of vendors and adjuster staff Oversees the negotiation of complex claim settlements an...Show more
Last updated: 4 days ago • Promoted
Liability Claims Team Lead

Liability Claims Team Lead

VirtualVocations • Houston, Texas, United States
Full-time
A company is looking for a Claims Team Lead - Liability.Key Responsibilities Supervise multiple teams of examiners and technical staff for liability claims Provide technical direction on claims ...Show more
Last updated: 1 day ago • Promoted
Business Analyst, Insurance Compliance

Business Analyst, Insurance Compliance

VirtualVocations • Humble, Texas, United States
Full-time
A company is looking for a Business Analyst, State Configuration.Key Responsibilities Analyze state-specific insurance product filings to extract business requirements for policy administration s...Show more
Last updated: 4 days ago • Promoted
Stop Loss Claims Specialist

Stop Loss Claims Specialist

VirtualVocations • Humble, Texas, United States
Full-time
A company is looking for a Stop Loss Claims Specialist I-Specific.Key Responsibilities Compile and submit claim reports and necessary documentation for stop loss claims Monitor claim status and ...Show more
Last updated: 4 days ago • Promoted
Medicare Claims Specialist

Medicare Claims Specialist

VirtualVocations • Houston, Texas, United States
Full-time
A company is looking for a Medicare Specialist to assist with resolving aged medical claims and managing Medicare accounts. Key Responsibilities Resolve cash-generating accounts to enhance revenue...Show more
Last updated: 30+ days ago • Promoted
Claims Analyst

Claims Analyst

VirtualVocations • Houston, Texas, United States
Full-time
A company is looking for an RRT Anthem Analyst.Key Responsibilities Review and process adjustment claims for Anthem and Blue Cross Blue Shield Handle communications and inquiries from internal d...Show more
Last updated: 30+ days ago • Promoted
Claims Quality Analyst

Claims Quality Analyst

VirtualVocations • Houston, Texas, United States
Full-time
A company is looking for a Claims Quality Analyst.Key Responsibilities Review, research, investigate, and audit claims while providing feedback on audit results Analyze trends and provide feedba...Show more
Last updated: 30+ days ago • Promoted
Follow-Up Specialist

Follow-Up Specialist

VirtualVocations • Pasadena, Texas, United States
Full-time
A company is looking for a Follow-Up Specialist to ensure timely and effective follow-ups with insurance companies.Key Responsibilities : Follow up on unpaid claims with insurance carriers after s...Show more
Last updated: 2 days ago • Promoted
Medical Claims Billing Specialist - Salesforce Case Management

Medical Claims Billing Specialist - Salesforce Case Management

Privia Health • Houston, TX, US
Full-time
Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve p...Show more
Last updated: 30+ days ago • Promoted
Colorado Licensed Claims Team Lead

Colorado Licensed Claims Team Lead

VirtualVocations • Humble, Texas, United States
Full-time
A company is looking for a Claims Team Lead - Liability.Key Responsibilities Supervise multiple teams of examiners and technical staff for liability claims Provide technical direction and monito...Show more
Last updated: 4 days ago • Promoted
Senior Claims Integration Specialist

Senior Claims Integration Specialist

VirtualVocations • Humble, Texas, United States
Full-time
A company is looking for a Senior Claims Integration Specialist who will manage complex healthcare claims data integrations across multiple platforms. Key Responsibilities Lead carrier partnership...Show more
Last updated: 2 days ago • Promoted
Arkansas Licensed Claims Specialist

Arkansas Licensed Claims Specialist

VirtualVocations • Humble, Texas, United States
Full-time
A company is looking for a Claims Specialist to join their Workers Compensation Claims Adjuster team.Key Responsibilities Investigate, evaluate, and resolve workers compensation claims Collabora...Show more
Last updated: 3 days ago • Promoted
Priority Claims Specialist

Priority Claims Specialist

VirtualVocations • Pasadena, Texas, United States
Full-time
A company is looking for a Priority Claims Specialist III.Key Responsibilities Ensure accurate, timely payment for services and maintain compliance with relevant laws and policies Utilize billin...Show more
Last updated: 1 day ago • Promoted
Senior Claims Analyst

Senior Claims Analyst

VirtualVocations • Humble, Texas, United States
Full-time
A company is looking for a Senior Claims & Encounters Analyst.Key Responsibilities Support day-to-day operational tasks related to claims processing and Encounter Data submissions Oversee error ...Show more
Last updated: 30+ days ago • Promoted
Healthcare Claims Manager

Healthcare Claims Manager

VirtualVocations • Humble, Texas, United States
Full-time
A company is looking for a Healthcare Claims Manager to lead the ingestion of healthcare claims data and ensure data integrity across systems. Key Responsibilities Serve as primary liaison with he...Show more
Last updated: 2 days ago • Promoted
PIP Claims Analyst Trainee

PIP Claims Analyst Trainee

VirtualVocations • Houston, Texas, United States
Full-time
A company is looking for a PIP / Med Pay Analyst (Trainee).Key Responsibilities Handles basic investigation regarding most aspects of auto claims (coverage, liability, and damages) Identifies cust...Show more
Last updated: 2 days ago • Promoted