UNKNOWN

ADAPTED_NOW

Recently, Global Infrastructure Solutions Inc. (GISI), the parent company of The LiRo Group and Hill International, Inc. consolidated a portion of the highly experienced staff of both LiRo and Hill in the Northeast to create a larger, more efficient, and cost-effective team to serve clients. Ranked among the nation's top A/E firms by Engineering News-Record, LiRo-Hill provides construction management, engineering, environmental, architectural, and program management solutions.

YEAR

Ranked among the nation's top 20 Construction Managers by Engineering News-Record, The Liro Group provides construction management, engineering, environmental, architectural, and program management solutions for a broad range of public and private sector clients. We are seeking talented and motivated construction professionals to join our multi-disciplined team. 

The LiRo Group

Claims Analyst - Construction Claims

JobTarget

The Claims Analyst will also be responsible for making appropriate decisions on the claims reviewed and to convey this information through written or phone communications with agents, insureds, providers, and other external customers. · Be knowledgeable of all claims procedures, benefit structures, basic policy provisions, guidelines, state riders, telephone procedures and equipment through initial and ongoing training.

Allied National, Inc

Claims Analyst I

jobtargetdirectftpin

Working alongside the TTCX Cost and Claims Manager and in support of the broader Project Controls team, the Cost and Claims Analyst will help Project Managers with the review and management of change orders, support commercial reviews of change order proposals and related documentation, and help fine-tune the TTCX change order process. Risk Management: Support maintenance of the TTCX project risk register within Unifier in collaboration with Project Managers and the Cost and Claims Manager, tracking risks such as market volatility (price fluctuations of labor and materials), design changes under consideration, and impacts of schedule delays on project costs.

Eclaro is a Business and Technology Consulting Firm that connects top talent with opportunities nationwide. We have direct access to Hiring Managers from leading Fortune 1000 organizations in almost every industry segment, with particular expertise in:
• Technology and Business Consulting 
 • Financial Services and Insurance 
 • Pharmaceuticals and Life Sciences 
 • Consumer Products, Public Sector, and Utilities
Eclaro provides fully customizable, comprehensive talent acquisition and management of seasoned professionals through a number of business models, including:
• Consulting 
 • Professional Hiring 
 • Global Integrated Delivery™ 
 • Managed Services
Eclaro recruits and manages a staff of highly skilled individuals in an array of specialized disciplines enabling our clients to leverage new opportunities, respond to increased and changing demands, and increase their profitability. 
Eclaro’s Management Team averages over 25 years of experience in partnering with clients in technical, corporate operations and human capital solutions. We hold ISO 9001:2008 certification and have achieved SOC 2 Type 2 certification in Security, Availability and Confidentiality. Eclaro’s decades of expertise and collaborative practice have proven that The Right People are The Answer.

ECLARO

Cost & Claims Analyst, Unifier - TTCX

Eclaro

Support Compliance Program by adhering to policies and procedures pertaining to HIPAA, GLBA, FCRA, and other laws applicable to business practices; this includes becoming familiar with Code of Ethics, attending training as required, notifying management when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations. From challenging denials and zero balance reviews to aged accounts receivable, motor vehicle accident claims, workers’ compensation, Veterans Affairs, and out of state Medicaid, we take on the work that others cannot solve and deliver real results for our clients.

HOUR

Aspirion

Entry Level Claims Analyst - Motor Vehicle Accident (Hybrid)

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

In this highly visible role, youll also cultivate strong relationships with brokers, clients, and internal business partners, helping to deliver exceptional service and strengthen Allianz Commercials reputation in the marketplace. • Coverage Analysis & Reserving – Assess coverage positions, determine appropriate reserve levels, and engage and oversee external service providers such as defense counsel, independent adjusters, and subject matter experts.

Allianz

Senior Complex Claims Analyst - Management Liability - Private and Public D&O

Ivy Exec

Identifies areas for improvement, documents business processes, researches best practices, compiles information and assists process owners to implement change and monitor performance. Responsible for providing project coordination through research, data collection and analysis to identify areas for increased operational efficiency, productivity and accuracy.

Senior Claims Analyst

FULL_TIME

FEED

In addition, the Manager is responsible for the production, analysis and distribution of claims data which measure the value of the claims oversight program. The Manager, Risk Management-Claims (Workers’ Compensation) is responsible for the oversight of low-level workers’ compensation claims.

Marriott Vacations Worldwide

Claims Analyst II

Sr. Medical Claims Specialist - Physician Billing (On-site)

Bachelor’s degree in business or related field and 7+ years of handling complex claims as determined by Society Insurance – OR – 10+ years of claims handling experience involving the exercise of discretionary decision-making and increasing levels of claims complexity, including specialized coverages and loss adjustments as determined by Society Insurance. At the direction of Claims Director, Claims Managers and/or Compliance Manager, assists with state interest credit, state penalties, Physician Panels, annual state reporting needs (e.g., Colorado surveys, change of physician, Longshore reporting) which are not already overseen by another department such as Insurance Product Management.

Society Insurance Company

Senior Claims Representative Analyst (workers' compensation)

J-Vers Cloud

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

Initiate timely and equitably responses to and control the disposition of all assigned Michigan No-Fault claims in such a way to significantly affect the overall profit picture of the company while providing quality service to the insured and aid in the retention of business. Work with computer systems keying functions, including but not limited to letter composition, log entry, dairy entry, report of investigation composition and draft productions.

Michigan Farm Bureau

Senior Medical Claims Representative

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Ideal candidates combine deep Guidewire expertise, strong business analysis skills, production support experience, and the ability to bridge the gap between business and technology teams .

Vaco provides expert consulting, permanent placement, executive search and strategic stafﬁng for companies around the world, in the areas of accounting, ﬁnance, technology, healthcare, operations, administration and more. As a premier talent solutions ﬁrm, Vaco connects people to their dream jobs and helps leading companies ﬁnd talent to grow their business. Since its founding in 2002, Vaco has grown to more than 35 ofﬁces across the globe, 700+ employees, more than 3,000 consultants and $450M in revenue. Vaco has been named to Inc. magazine’s list of the fastest-growing private companies for past 11 years and is dedicated to developing long-term relationships, life-long careers and creative client solutions.

Vaco LLC

Guidewire BA II/III - Policy Center, Billing Center, Claims Center

POSTING_API

All employees of the Lottery are expected to support the organization's values (honesty, respect, integrity, and trust) and its commitment to corporate social responsibility (including responsible gaming, environmental awareness, community involvement, etc). As our Office Manager for the Asheville region, you’ll coach a team of Claims Analysts, keep prize payouts running, and jump in to save the day when players need extra help.

North Carolina Education Lottery

Office Manager (Asheville)

CONTRACTOR

The ideal candidate will have strong experience in Epic Tapestry configuration, implementation, and support, and a proven ability to lead workflow design, requirements, testing, and collaboration across client, vendor, and delivery teams. BCforward is a leading global IT consulting and workforce solutions firm providing services and support to Fortune 500 and government clients.

BC Forward

Epic Tapestry Analyst

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Jobot

SVP of Litigation

This position partners with Human Resources, Finance, Payroll, benefits brokers, insurance carriers, third-party administrators, and employees to ensure accurate plan administration, effective vendor management, and a positive employee experience. Administer employee leave programs, including FMLA, short-term and long-term disability, military leave, company-sponsored leaves, and applicable state and local leave programs.

SOFIE is motivated by Innovation. Passion. Collective genius. Hard work. We believe in nurturing great ideas and great people. From our Board to our Team, we&rsquo;re dedicated to bringing a new vision of theranostics and innovative technologies to healthcare. With our acquisition of Zevacor Pharma, Inc in 2017, we have become SOFIE, a combined company of radiopharmacies, contract manufacturing services, radiosynthesizers, and pre-clinical imaging systems. We are especially excited about the possibilities before us in 2018, as we&rsquo;ll be offering new products and an expanded network to support our belief in life-changing Theranostics, and continue to lead the way in quality, service, and innovation. Together, we&rsquo;re on a mission to improve patient lives, from start to clinic. If you want to join us in our mission, visit our careers page and help us change the world We offer a competitive salary, a comprehensive benefits package, and advancement opportunity. SOFIE is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, or other characteristic protected by law.

SOFIE

Benefits Analyst

Visa is a world leader in payments technology, facilitating transactions between consumers, merchants, financial institutions and government entities across more than 200 countries and territories, dedicated to uplifting everyone, everywhere by being the best way to pay and be paid. The analyst works closely with the VP of Insurance and cross‑functional partners in Legal, Finance, Procurement, Operations, HR, and Compliance to ensure the company’s insurance portfolio effectively protects people, assets, and operations worldwide.

Visa has been a proud sponsor of the Olympic Games since 1986. Sport unites people, communities and nations. It enriches people’s lives and creates economic development opportunities. In today’s world, where brand and trust mean so much, the Olympic Games reflect those equities found at Visa — worldwide acceptance, reliability, versatility and leadership. Sponsoring the Olympic Games makes good business sense for Visa and our clients.

Visa

Treasury Analyst, Corporate Insurance

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. A growing healthcare technology organization is seeking a Clinical Policy Development Analyst to support the development of evidence-based clinical policies that guide coverage and reimbursement decisions across a large payer network.

Clinical Policy Development Analyst

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.

Claims Analyst Jobs in the United States

Claims Analyst - Construction Claims The LiRo Group

Claims Analyst I Allied National, Inc

Cost & Claims Analyst, Unifier - TTCX ECLARO

Entry Level Claims Analyst - Motor Vehicle Accident (Hybrid) Aspirion

Claims Analyst University Health

Senior Complex Claims Analyst - Management Liability - Private and Public D&O Allianz

Senior Claims Analyst University Health

Claims Analyst II Marriott Vacations Worldwide

Sr. Medical Claims Specialist - Physician Billing (On-site) Aspirion

Senior Claims Representative Analyst (workers' compensation) Society Insurance Company

Senior Manager, Claims - CFHP University Health

Senior Medical Claims Representative Michigan Farm Bureau

Guidewire BA II/III - Policy Center, Billing Center, Claims Center Vaco LLC

Office Manager (Asheville) North Carolina Education Lottery

Epic Tapestry Analyst BC Forward

SVP of Litigation Jobot

Benefits Analyst SOFIE

Treasury Analyst, Corporate Insurance Visa

Clinical Policy Development Analyst Vaco LLC

Treasury Analyst Lennar Corporation

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