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Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Work cooperatively with Configuration in testing of contracts used in business operations and reporting to assure auto adjudication.

University Health

Claims Analyst

TMP PX

Develops claim procedure improvement methodology(s), directions and strategic plans for procedural improvement to support Community First Health Plans’ (Community First) business plan. Provides written and telephonic resolutions to external customer issues (with both providers and members) in accordance with the health plan’s policies and procedures.

Senior Manager, Claims - CFHP

Subject Matter Expert on assigned subsystem and works collaboratively with other areas of CFHP to determine change needed, impact on other areas (i.e. Membership, Finance, Claims, HSM, Network Management ) and to ensure accurate configuration. Provide staff training, responsible for issue resolution and testing changes to existing software used in business operations and reporting.

Operations Support Analyst

The Human Resources Analyst – Generalist coordinates recruitment activities, conducts compensation analyses, assists employees with benefits programs, administers Texas Workforce Commission unemployment processes, and participates in strategic Human Resources projects. Working closely with leaders and employees throughout the organization, this role delivers responsive, data-driven, and customer-focused Human Resources solutions that support organizational goals while ensuring compliance with federal, state, and organizational policies.

Human Resources Analyst - Generalist

CONTRACTOR

FEED

The specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. This role involves designing, executing, and analyzing A/B tests, establishing best practices for experiment measurement, and fostering a culture of experimentation within the organization.

HOUR

Pinnacle Technical Resources

Digital Experimentation Analyst

The specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. The Senior Data Analyst will play a critical role in analyzing and interpreting complex data to support business decision-making processes.

Senior Data Analyst

The specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. Job Overview: The Project Planning Analyst will support the Supply Chain Strategy and Technology team with project coordination, system testing, data cleanup, electronic document organization, and initiative tracking.

Project Planning Analyst

The specific compensation for this position will be determined by a number of factors, including the scope, complexity and location of the role as well as the cost of labor in the market; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. This role involves serving as the Technology Development liaison and primary point of contact for requestors, whether Business or IT, and working across multiple organizations to align business strategies and functional architectures.

Business System Analyst

Operating within an ITIL-aligned IT Service Management (ITSM) framework , this position leverages workforce management tools, operational analytics, and forecasting models to optimize staffing, improve service levels, and support a consistent employee support experience. This includes forecasting and planning across multiple support channels (phone, chat, portal, self-service, virtual agent) and supporting major incidents, business continuity events, or high-volume periods through strategic workforce adjustments.

YEAR

Industry leading service that puts our memberships' needs first. We're dedicated to the financial well-being of members of the military and their families for generations to come. That's why we provide a variety of financial products and best-in-class service to help our members achieve their financial goals and plan for the future. Our history continues to drive our purpose. USAA began in 1922 with 25 Army officers who offered to insure each other's vehicles when no one else would. Today, their tiny organization has grown into a respected institution offering a full range of financial products to millions of members. We believe they'd be pleased to know that USAA remains true to their founding values of service, loyalty, honesty and integrity. In 1922, when 25 Army officers met in San Antonio, Texas, and decided to insure each other's vehicles, they could not have imagined that their tiny organization would one day serve over 8 million members and become one of the only fully integrated financial services companies in America. We believe they would be pleased to know that USAA has remained true to their founding values of service, loyalty, honesty and integrity.

USAA

Workforce Management Analyst Senior

As a dedicated SIU Investigator (mid-level), you will work within defined guidelines and framework, protecting USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures. ·Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools.

SIU Investigator I

SonicJobs Redirect

Candidates should demonstrate the following competencies: Excellent oral and written communication skills; Strong strategic thinking abilities and execution skills; An ability to communicate thoughts clearly and concisely, and to influence and persuade others; Superior interpersonal skills, with an ability to work well as part of a team and/or in supporting roles. Experience, education and skills: Bachelor's degree required; professional designation and/or legal degree a plus; Insurance company (or law firm) experience a plus; Basic knowledge/understanding of professional lines, and/or litigated coverage and liability exposure desired; EPL a plus.

The Hartford Insurance Group Inc

Employment Practices Liability Claims Analyst

Providing management oversight to Third Party Administrators commercial auto property damage and bodily injury claims personnel by monitoring the claims online using the Third Party Administrators' claim systems. At Starr, you'll work in an entrepreneurial culture alongside accessible leaders, leveraging our financial strength and vast industry experience to deliver solutions for our clients, no matter how complex.

Starr Companies

Senior Claims Analyst/Claims Manager, Commercial Auto

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This individual will analyze itemized hospital bills and claims data to identify billing errors, coding discrepancies, DRG misassignments, and other overpayment opportunities, then work directly with claims administrators on behalf of our ASO clients to secure claim adjustments, recoveries, and repricing. We are seeking an experienced Senior Claims Analyst with deep expertise in hospital claims adjudication, stop loss reporting, high-cost/catastrophic claims, and DRG (Diagnosis-Related Group) reimbursement methodology.

SmartLight Analytics

Senior Claims Analyst- Hospital Bill Review

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets: experience and training: licensure and certifications: and other business and organizational needs. Position Overview: The Claims Analyst plays a critical role in the Primary Casualty division, supporting the AVP - Primary Casualty Claims in the effective evaluation, investigation, and resolution of casualty claims.

Claims Analyst - Primary Casualty

The Senior Auto Claims Analyst is a senior individual contributor responsible for governing claim outcomes, coverage interpretation, and operational consistency for vehicle service contract programs and other ancillary products related to the auto industry. This role provides technical authority, analytical leadership, and escalation oversight to ensure claims are handled accurately, consistently, and in full compliance with contract terms, regulatory requirements, and internal controls.

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

Sr. Auto Claims Analyst

Conducts complex cross-functional investigations involving Accounting, Finance, Legal, Warranty, and other business partners to validate reimbursement claims, assess liability exposure, ensure due diligence, and maintain accurate records in support of organizational and regulatory requirements. Analyze transportation claim data and 3PL performance trends to identify recurring issues, improve reporting visibility, and support operational improvements while maintaining monthly KPI performance charts or graphs to identify improvement areas and best practices.

Kubota Corp

Claims Analyst II

Starr International Co Inc

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 handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency.

AIG and its member companies form one of the world’s leading insurance organizations. We provide insurance for businesses and individuals, helping individual customers plan for their futures by offering life insurance, travel insurance, product warranty, auto insurance and retirement products. Our commercial clients have come to rely upon our risk expertise and financial strength to help them address some of their most complex challenges – from huge construction projects to protecting themselves from the emerging threats to data security. We offer our people the chance to grow in a dynamic company that values teamwork, fresh perspectives, and a commitment to helping their clients.

American International Group

Claims Management Analyst

The ideal candidate will bring must-have experience in healthcare data, claims, data science, and predictive modeling, along with the ability to work across data sources, external partners, and internal stakeholders to improve reporting, understanding of business drivers, and strategic decision-making. Join our dynamic Operations and Analytics team where you will be at the forefront of data analysis, visualization, and innovation for our Long-Term Care Insurance business, ERAC (Employers Reassurance Corporation), a corporate holding of GE Aerospace.

Claims Analyst Jobs in Texas

Claims Analyst University Health

Senior Manager, Claims - CFHP University Health

Operations Support Analyst University Health

Human Resources Analyst - Generalist University Health

Digital Experimentation Analyst Pinnacle Technical Resources

Senior Data Analyst Pinnacle Technical Resources

Project Planning Analyst Pinnacle Technical Resources

Business System Analyst Pinnacle Technical Resources

Workforce Management Analyst Senior USAA

SIU Investigator I USAA

Employment Practices Liability Claims Analyst The Hartford Insurance Group Inc

Senior Claims Analyst/Claims Manager, Commercial Auto Starr Companies

Senior Claims Analyst- Hospital Bill Review SmartLight Analytics

Claims Analyst - Primary Casualty Starr Companies

Sr. Auto Claims Analyst Assurant

Claims Analyst II Kubota Corp

Senior Claims Analyst/Claims Manager, Commercial Auto Starr International Co Inc

Claims Management Analyst American International Group

Data Analyst- Insurance Claims GE Aerospace.

Claims Analyst - Primary Casualty Starr International Co Inc

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