Claims analyst serp_jobs.h1.location_city
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Claims analyst • scottsdale az
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Join a dynamic team where your expertise in claims review can make a real difference! We're looking for a detail-oriented Claims Reviewer who can apply clinical and coding knowledge to ensure a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensation Claims Manager.
The Workers Compensation Claims Manager is responsible to s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
A career at Auto-Owners is challenging and rewarding.Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.We offer a me...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Join us as a Claims Analyst IV to take on key responsibilities within a world-class claims function.As a Claim Analyst IV, you will be responsible for handling all aspects of lawyers professional l...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Hartford, CT, Indianapolis, IN, Phoenix, AZ, Raleigh, NC, Richardson, TX.Arizona, Connecticut, Indiana, North Carolina, Texas.
Domain|Insurance|Claims & Policy Administration.Business Analyst -Polic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to decision-makers.
Identifies and interprets trends and patterns in datasets to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading h...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
The Claims Advocate position is responsible for serving as the liaison between client and insurer regarding all claim matters.
Claims Advocates take a proactive approach to advocate on behalf of cli...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
We are looking for an experienced.Property & Casualty (P&C) insurance domain.Guidewire Policy Center / Claims Center.The ideal candidate will play a key role in analyzing complex business and techn...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Job description Infosys is seeking Senior Business Analyst -Policy & Claims Domain.In this role you would Lead, collaborate with, and motivate a cross-functional team to ensure goals and objectives...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The Claims Analyst is responsible for monitoring the claims process and directing the work flow in the Claims Department.
This position serves as the subject matter expert for their team updates wri...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Vālenz® Health is the platform to simplify healthcare – the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare exp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensation Claims Manager.
The Workers Compensation Claims Manager is responsible to s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
As an elite Excess and Surplus Lines market, Nautilus Insurance Group offers commercial property and casualty insurance solutions to appointed wholesale surplus lines producers countrywide.We have ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
A career in public service awaits you.A great benefit of working for the State of Arizona is a fantastic work / life balance.
State employees enjoy challenging work, popular remote work options, compr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
A company is looking for a Claims Analyst to manage medical payment postings and accounts receivable reconciliation.Key Responsibilities : Post payments to medical and pharmacy claims from paper a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Rapidly growing healthcare technology company is looking for outgoing, energetic, and motivated individuals to join our team of Claim Analysts.
If you possess these qualities and want to be part of ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
At Capital Insurance Group we offer our employees more than just a job.We foster career growth, provide opportunities to give back to our communities, and help you take the next step in your career...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
In the maritime industry, where colossal ships dock, and millions of tons of cargo are moved with precision, it takes teams of dedicated individuals to keep global trade in motion.Working in this d...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Are you a seasoned professional eager to elevate your leadership skills in a dynamic and impactful environment? We have an exciting opportunity to lead a team within our US & Canada Claims operatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Job Description
Job Description
Claims Reviewer Opportunity
Join a dynamic team where your expertise in claims review can make a real difference! We're looking for a detail-oriented Claims Reviewer who can apply clinical and coding knowledge to ensure accurate claims processing. If you have a strong foundation in medical claims and are passionate about quality, we want to hear from you!
Position Highlights
Role : Conduct retrospective review of medical, surgical, and behavioral health claims.
Focus : Evaluate claims for medical necessity, appropriateness, and adherence to program benefits.
Collaboration : Work closely with medical directors, providers, peer reviewers, and various internal teams.
Key Responsibilities
Review and validate claims using established criteria and processing guidelines.
Prepare cases for payment or further review.
Identify opportunities for process improvement and flag quality or fraud concerns.
Support peers and clinical / non-clinical staff with claims and coding inquiries.
What You Bring
Required :
High School Diploma or GED.
2+ years of experience in medical claims review.
Familiarity with medical claims processing and terminology.
Preferred : Coding experience.
Knowledge of behavioral health claims.
Skills for Success
Strong technical skills in claims tools (e.g., CDST, Supercoder).
Organizational and team-building abilities.
Resilience in a fast-paced, high-intensity environment.
Effective communication and problem-solving.
Additional Requirements
Must pass background, credit, and drug screening.
Adherence to federal THC policies (medical card required if applicable).
Eligible Locations
The position is remote, but you can only reside in the following states : AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NC, ND, NE, NM, NV, OK, OR, SC, SD, TN, TX, UT, VA, WA, WI, WY.
Ready to bring your claims expertise to a rewarding role? Apply today to be part of our team!