Trabajos claims analyst en Richmond Hill, New York (NY) State

At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence .Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, .Super-Responsive, and being Grea...

Job Title: Claims Analyst (X12 standards ). As an X12 Expert, you will be responsible for reviewing and validating encounter data and social care claims submissions in accordance with X12 standards. Review and validate encounter data and social care claims submissions using X12 transaction sets. ...

The Lead Claims Analyst will oversee and manage CSA’s claims processing operations. Lead and train a team of claims analysts, providing guidance and training as needed to ensure high performance and productivity using newly acquired Claims Software;. Collaborate with CSA claims staff to resolve c...

Analyst - Disputes, Claims, & Investigations. Analysts in the Disputes, Claims, & Investigations group work primarily as financial consultants on engagements within a litigation setting. Common engagements include forensic accounting, fraud investigations, valuation, shareholder disputes, intelle...

The Lead Claims Analyst will oversee and manage CSA’s claims processing operations. Lead and train a team of claims analysts, providing guidance and training as needed to ensure high performance and productivity using newly acquired Claims Software;. Collaborate with CSA claims staff to resolve c...

At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence .Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Respo...

Evaluate disputed claims for system configuration, claims processing, and/or contractual issues to facilitate claims review. Review and analyze suspected underpaid and overpaid claims from hospital, ancillary, and provider groups based on contractual and industry guidelines. Maintain and organize...

In this role, the Claims Compliance Remediation Analyst will be responsible for supporting the Director of Claims Support to ensure claims rules, guidelines, documents, policies and procedures, reporting, job aides, training, and other key components are compliant with CMS and NYSDOH regulatory e...

The Assistant Claims Analyst is responsible for the day to day technical and administrative functions supporting the Claims Department. Receive and distribute first notices of claims to proper claims handlers (carrier, TPA, etc. Alert claims handlers of same and in some instances get claim withdr...

Claims Quality Auditor is responsible for reviewing claims to determine if payments have been made correctly. This position analyzes data used in settling claims to determine the validity of payment of claims and reports overpayments, underpayments and other irregularities based upon benefit conf...

Data mining and overpayment recovery operations, experience with CPT, HCPCS coding, claims research, claim auditing, GBD Facets, Macess, NexGen, Pluto preferred. ...

The Claims Compliance Remediation Analyst will support the Director of Claims Support to ensure claims rules, guidelines, documents, policies and procedures, reporting, job aides, training, and other key components are compliant with CMS and NYSDOH regulatory entities and maintained within a cent...

The position of Epic Analyst requires an individual that possesses functional knowledge and skills in EPIC products that are used to conduct clinical operations. The Epic Analyst will be responsible for workflow analysis, building, training, troubleshooting, go-live and post go-live support and o...

Investigates, adjusts and settles claims of moderate to high complexity. Investigate, adjust and settle claims of moderate to high complexity within a pre- determined authority level. Bachelor’s degree; 3 years of property claims adjusting experience and/or training; or equivalent combination of ...

Investigate and assess new and existing claims, including the review of contractual wordings to determine coverage and quantum of exposure, and ensure professional communication about claims with all relevant internal/external stakeholders. Ensure consistency and adequacy of timely case reserves,...

Join us as a Claims Analyst III to grow your experience in Claims. Claims Analyst III, EPL and D&O. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims ...

Analyst – Disputes, Claims, & Investigations. Analysts in the Disputes, Claims, & Investigations group work primarily as financial consultants on engagements within a litigation setting. Common engagements include forensic accounting, fraud investigations, valuation, shareholder disputes, in...

The Assistant Claims Analyst is responsible for the day to day technical and administrative functions supporting the Claims Department. Receive and distribute first notices of claims to proper claims handlers (carrier, TPA, etc. Alert claims handlers of same and in some instances get claim withdr...

Reinsurance Company Client is looking for an experienced Reinsurance Claims Professional to handle facultative and treaty claims. ...

Construction Claims Analysts are responsible for the complex review and analysis of claims, as well as project documentation and schedules, and the generation of reports and presentations for internal and client meetings. Arcadis is looking for a Construction Claims Analyst to join the Contract S...

Join us as a Claims Analyst III to grow your experience in Claims. Claims Analyst III, EPL and D&O. Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims....

As a Claims Analyst III, you will be responsible for handling claims from inception through conclusion of Professional Liability matters, including Cyber, Network Security, Business Interruption, Media and Technology exposures and be responsible for investigating & evaluating coverage, analyzing ...

As a Claims Analyst III, you will be responsible for handling claims from inception through conclusion of Professional Liability matters, including Cyber, Network Security, Business Interruption, Media and Technology exposures and be responsible for investigating & evaluating coverage, analyzing....

Financial Analyst - Disability Claims. Work closely with Claims Examiners and Managers to support the analysis of disability claims with a financial component. Conduct complex routine and non-routine analysis of business and personal tax returns and financial statements associated with disability...