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Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. The analyst will ensure timely issuance, risk mitigation, cost control, and full compliance for all bilateral off-balance sheet credit instruments supporting large-scale commercial contracts, project finance, and regulatory requirements.

Lennar Corporation

Treasury Analyst

FEED

Under the direct supervision of the Manager of Revenue Cycle Operations, the Contractual Claims Analyst is responsible for the day-to-day review, analysis, and resolution of assigned medical claims, with primary emphasis on contractual reimbursement accuracy, underpayments, payment variances, and payer compliance with negotiated reimbursement terms . Proactively review, research, and resolve assigned accounts involving contractual underpayments, payment variances, incorrect contractual adjustments, and other payer reimbursement discrepancies .

Health Business Solutions LLC

CLAIMS ANALYST - CONTRACTUAL

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FULL_TIME

Lennar Homes

This role reviews professional and facility claims, identifies payment discrepancies, evaluates claims against benefits, contracts, reimbursement methodologies, and applicable policies, and works with internal teams to resolve issues and improve claims processing. In this role, you'll use your claims expertise and analytical skills to protect payment accuracy, identify opportunities for improvement, and help strengthen the processes that support our members and providers.

South Florida Community Care Network

Claims Analyst

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Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members. Troubleshooting & Support: Ability to resolve common technical issues independently, such as: restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues.

HOUR

<p>CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all. </p>

CVS Health Corp

Medical Claims Analyst

Health Business Solutions

Claims Analyst - Contractual

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You'll help keep the Risk Management department running smoothly by supporting claims investigations, coordinating insurance renewals, maintaining accurate records, and providing essential administrative support to the Director of Risk Management. We're looking for a Claims Analyst / Department Administrator who brings strong organizational skills, attention to detail, and a proactive approach to supporting claims, insurance administration, and day-to-day Risk Management operations.

Vacatia, Inc

Claims Analyst/Department Administrator

ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The Claims & Billing Analyst collaborates closely with healthcare providers and internal departments to verify claims, identify discrepancies, and facilitate timely reimbursements.

Independent Living Systems LLC

Claims & Billing Analyst

Investigate review and document significant events and escalate to appropriate leadership, insurance companies and compliance; ensure potential financial impact to RXO is identified and documented. What your day-to-day will look like: Investigate and analyze incidents and claims for loss, damage, and delay to determine company liability while protecting company and customer interests.

RXO Inc

Analyst, Claims

The Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants. Researches all complex claims, disputes and appeals thoroughly to make accurate payment decisions in a timely manner with input from the Claims Analysts for quality assurance.

Claims Examiner

Develops forecasts and capacity models that help Claims leadership anticipate staffing needs, identify capacity gaps, balance workloads, and align available resources to business priorities. Develops and maintains Claims Operations demand and capacity forecasts using historical volumes, production trends, staffing assumptions, employee ramp, PTO/LOA, overtime, and other operational factors.

Workforce Management Analyst, Claims Operations - Meritain TPA

Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.

Medical Claim Analyst

Assist in identifying and acquiring relevant data from internal and external sources (e.g., XACT, DXC, Kwikwork) and support the integration of those data sources into enterprise reporting solutions as part of system integrations, business acquisitions, and other strategic initiatives. The analyst regularly develops Power BI reports and dashboards, supports semantic models and large-scale data initiatives, and serves as a senior liaison across Claims, Product, Actuarial, IT, and data teams.

YEAR

Assurant, Inc. (NYSE: AIZ) is a global provider of risk management solutions, protecting where consumers live and the goods they buy. A Fortune 500 company, Assurant focuses on the housing and lifestyle markets, and is among the market leaders in mobile device protection; extended service contracts; vehicle protection; pre-funded funeral insurance; renters insurance; lender-placed homeowners insurance; and mortgage valuation and field services. With approximately $30 billion in assets as of March 31, 2016 and $8 billion in annual revenue for the year ended 2015, Assurant is located in 16 countries, while its Assurant Foundation works to support and improve communities. Learn more at <a href="http://www.assurant.com/" target="_blank" mns_rt="Company" itemprop="url">www.assurant.com</a> or on Twitter <a href="https://twitter.com/assurantnews" target="_blank" mns_rt="NonJob" itemprop="url">@AssurantNews</a>.

Assurant Inc

Sr Insights Analyst (Claims)

This role leverages clinical expertise and knowledge of payer policies, government regulations, and revenue cycle operations to determine root causes of denials. Under the director of the CBO Director, the Post-Claims Denial Analyst RN is responsible for investigating, analyzing, and resolving clinical denied medical claims to optimize reimbursement.

Hialeah Hospital

Registered Nurse (RN) Post-Claims Denial Analyst, Full Time

Talent Acquisition

4-6 years experience with extensive analytical techniques (Scenarios and Use-cases, Scope Modeling, Functional Decomposition, Interviews, Observation / Job Shadowing, Focus Groups, Acceptance and Evaluation, Sequence Diagrams, User Stories, Brainstorming, Storyboarding, Prototyping, Event Analysis, Business Rule Analysis, Requirements Workshops, Risk Analysis, Root Cause Analysis). 4-6 years experience with software development lifecycles, having owned: detailed analysis (data / process analytics, process improvements, process flow creation, requirements gathering, requirements traceability through the software delivery lifecycle, including post-production checkout / reviews.

Pharmacy Eligibility/Claims Business Analyst

Knowledge of UB04 / CMS1500 claims, ICD-10 / Revenue / CPT / HCPCS diagnosis and procedure coding, claim adjudication processes, EDI and OCR claim submission, Medicare and Medicaid reimbursement methodologies including APR DRG / Exempt Units / APG / RBRVS / APC. ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

Configuration Analyst

This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture. The Itemized Bill Review Senior Analyst will be responsible for analyzing hospital claims for adherence to proper billing guidelines and will work closely with Expert Claims Review staff to efficiently adhere to policies and procedures for claims processing.

Zelis Healthcare, Inc.

IBR Senior Analyst

The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. The Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research.

Special Investigation Unit Lead Review Analyst II (Aetna SIU)

This position will be directly involved in analyzing pre-bill claim edits, claim denials and AR management, and working alongside the Revenue Specialists, will review and amend denied claims to ensure accurate coding and adherence to payor policy requirements. Audit medical record documentation to identify under-coded and over-coded services; prepare reports of findings and meet with providers to provide education and training on accurate coding practices and compliance issues.

Unified Women's Healthcare LLC

Coding Analyst

Candidates who live near one of our office locations (Hartford, CT, Naperville, IL, San Antonio, TX, Lake Mary, FL, Phoenix, AZ; Sunrise, FL; Alpharetta, GA) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). The STD AM Senior Ability Analyst is responsible for evaluating Short-Term Disability (STD) claims to determine eligibility for disability benefits and applicable Leaves of Absence (LOA).

Claims Analyst Jobs in Miami, FL

Treasury Analyst Lennar Corporation

CLAIMS ANALYST - CONTRACTUAL Health Business Solutions LLC

Treasury Analyst Lennar Homes

Claims Analyst South Florida Community Care Network

Medical Claims Analyst CVS Health Corp

Claims Analyst - Contractual Health Business Solutions

Claims Analyst/Department Administrator Vacatia, Inc

Claims & Billing Analyst Independent Living Systems LLC

Analyst, Claims RXO Inc

Claims Examiner South Florida Community Care Network

Workforce Management Analyst, Claims Operations - Meritain TPA CVS Health Corp

Medical Claim Analyst CVS Health Corp

Sr Insights Analyst (Claims) Assurant Inc

Registered Nurse (RN) Post-Claims Denial Analyst, Full Time Hialeah Hospital

Pharmacy Eligibility/Claims Business Analyst CVS Health Corp

Configuration Analyst Independent Living Systems LLC

IBR Senior Analyst Zelis Healthcare, Inc.

Special Investigation Unit Lead Review Analyst II (Aetna SIU) CVS Health Corp

Coding Analyst Unified Women's Healthcare LLC

Short Term Disability Senior Ability Analyst - Absence Management The Hartford

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