MEDICAL CLAIMS RESOLUTION ANALYST jobs in UNITED STATES, United Kingdom

and ensure payment recovery on invalid short payments/claims. Disputes are researched utilizing SAP, Customer and third-party... Contact customers to secure payment on overdue balances, issues resolution on open items Provide guidance and support to Sales...

Resolution Supervisor the Provider Dispute Resolution (PDR) Analyst will review, research, and resolve complex and involved... of all medical claim types and the handling of complicated claims issues. Minimum 1-2 years of progressive experience as a PDR...

and adheres to company policies regarding confidentiality. -Assist in the research and resolution of claims payment issues... for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and redirects...

services in addition to soliciting claims and other related medical information from providers in order to resolve member... administration) and four years of related work experience (ex. analyst, investigator, researcher, paralegal or closely related...

. Position Summary: Under the limited supervision of the Manager, the Senior Claims Processing Analyst is responsible...Tri-City Medical Center has served San Diego County’s coastal communities of Carlsbad, Oceanside and Vista...

: This technical analyst position is required in order to create a critically needed Service Division Claims Business Technical team... to support the successful implementation of automation and efficiency projects/programs to ensure the achievement of claims...

Summary As a Senior Research Claims Analyst, you will research and resolve escalated, complex, and high-profile claims... and resolution of all claims issues. You may assist with escalated issues to include, but not be limited to, provider enrollment...

Director Enterprise Informatics, the Hospital Billing Claims & Remit Epic Analyst is responsible for collaborating with key... transparent communication and timely resolution of concerns. In conjunction with operational Subject Matter Experts, Analyst...

JOB DESCRIPTION Chubb North America Claims seeks a Claims Data Analyst to assist with, and manage the day-to-day.... Perform data analysis for the claim organization, utilizing a blend of technical claims handling skills and other technical...

investigation and administration of all claims is completed and appropriate. The Workers' Compensation Claim Analyst also provides... for our guests. THE JOB: The primary purpose of the Workers' Compensation Claim analyst is to oversee the company's Nevada...

investigation and administration of all claims is completed and appropriate. The Workers' Compensation Claim Analyst also provides... for our guests. THE JOB: The primary purpose of the Workers' Compensation Claim analyst is to oversee the company's Nevada...

, your growth is nurtured, and your success is celebrated. Business Office Claims Escalation Analyst DESCRIPTION OF POSITION...: The Claims Escalation Analyst will be responsible for managing and investigating escalated claims and ensuring timely...

, your growth is nurtured, and your success is celebrated. Business Office Claims Escalation Analyst DESCRIPTION OF POSITION...: The Claims Escalation Analyst will be responsible for managing and investigating escalated claims and ensuring timely...

., is one of the nation's leading providers of health and accident insurance products to the higher education market. The Claims... Compliance Analyst is responsible for fully understanding Wellfleet's policies and procedures, deep knowledge of the claim...

As we continue to scale, we are seeking a talented Claims Analyst to join our team. A career as a Claims Analyst in...-effective resolution to assigned claims. Set and manage reserves and proactively managing litigation and counsel, inclusive...

Director Enterprise Informatics, the Hospital Billing Claims & Remit Epic Analyst is responsible for collaborating with key... transparent communication and timely resolution of concerns. In conjunction with operational Subject Matter Experts, Analyst...

Your Impact The primary purpose of this role is to serve as a high risk claims analyst for the Legal department... nuisances. This role will also review cases being handled in the Claims Management department for early resolution opportunities...