640 claims analyst jobs at 410 companies in United States
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Senior Claims Analyst
Huntington Beach, California, United States
$70k-$80k/yrOnsiteFull Time
Verda Healthcare: Provides Medicare Advantage plans to underserved ethnic communities.
5+ YOE5+ years of healthcare claims operations experience; Bachelor’s degree; strong knowledge of claims systems and EDI; liaison between business and IT.
EDI, Claims systems, UAT, Test case development, CMS regulations
University Health: Provides comprehensive public healthcare and specialized hospital services.
5+ YOEHigh school diploma/GED, 5 years HMO/PPO claims experience, Amisys experience preferred, knowledge of CFHP/Medicaid/HMO/PPO/ASO; analyze complex claim payment and eligibility issues and consult with claims staff.
Priority1: Provides technology-enabled third-party logistics and freight management services.
Filing and owning freight claims, following up with carriers and partners, applying claim payments, customer communication, analytical problem solving, and record keeping.
TheGuarantors: Provides lease guarantees and security deposit alternatives for rentals.
Experience in insurance claims adjustment or related insurance functions; strong analytical, organizational, communication, and documentation skills; ability to manage high-volume claims with accuracy and sound judgment.
Engineered Floors: Manufactures and provides residential and commercial flooring products.
Experience resolving warranty and freight claims, knowledge of customer service claim processes, proficiency with AS400, Microsoft Word and Excel, high school diploma/GED, strong communication and organizational skills.
Arrive Logistics: Provides freight brokerage and technology-enabled transportation management services.
5+ YOE5+ years claims experience; cargo claims in 3PL preferred; bachelor's degree in business/finance/accounting or 3 years related experience; strong communication, organization, and data skills; proficient with Google Suite.
VNS Health: Provides home healthcare, hospice, and specialized medical health plans.
2+ YOETwo years’ claims experience in healthcare; proficiency in FACETS, SQL, OBIEE, Power BI, Tableau, and SDLC; strong communication and collaboration skills.
FACETS, SQL, OBIEE, Power BI, Tableau, MicroStrategy, Oracle, SQL Server, DB2, Microsoft Office
VNS Health: Nonprofit provider of home-based health care and insurance plans.
2+ YOETwo years' claims experience; Bachelor's in Business or related field; MBA/related preferred; strong SQL, FACETS, BI tools; excellent communication.
FACETS, SQL, OBIEE, Power BI, Tableau, MicroStrategy, Oracle, SQL Server, DB2, Microsoft Office
RenaissanceReNYSE: RNR: Provides global reinsurance and risk management services for insurers.
3+ YOE3+ years claims/insurance experience; claims handling and reserving knowledge; strong technical competence, analytical skills, and stakeholder management; familiarity with claims systems and US GAAP.
ECF, IMR, Microsoft Outlook, Microsoft Word, Microsoft Excel
SIHO Insurance Services: Provides health insurance plans and healthcare administration services.
2+ YOEReview and adjudicate non-routine medical, pharmacy, vision and dental claims; interpret plan language; meet productivity and accuracy standards; strong communication and Microsoft Office skills.
IberdrolaBME: IBE: Generates and distributes renewable electricity and natural gas globally.
3+ YOEBachelor's degree plus 3+ years claims or insurance experience, knowledge of property/casualty claims, negotiation skills, strong written/oral communication, Microsoft Office and claims database proficiency.
MagMutual: Providing medical liability insurance and healthcare risk consulting.
4+ YOECollege undergraduate degree and minimum 4 years casualty claims experience (medical malpractice emphasis); strong communication, analytical, negotiation skills; ability to handle confidential information and travel as required.
RiverStone International: Acquires and manages legacy non-life insurance and reinsurance portfolios.
2+ YOE2+ years insurance or claims analytics experience; advanced Excel and BI tool proficiency (Power BI, SQL, SAP); strong analytical, forecasting, reporting, and communication skills; legally authorized to work in the US.
Microsoft Excel, Power BI, SQL, SAP, Microsoft PowerPoint
Fifth Third BankNASDAQ: FITB: Provides retail, commercial, and wealth management financial services.
0+ YOEComplete and file investor/insurer claims, track claim status and proceeds, post claim proceeds, reconcile accounts. Requires high school diploma, 0-2 years mortgage default/servicing experience, and advanced Excel/Word/Access skills.
Microsoft Excel, Microsoft Word, Microsoft Access, MortgageServ
The Health Plan: Provides managed care health insurance and benefit administration services.
High school diploma or equivalent; familiarity with medical terminology, CPT and ICD-10 coding; computer and typing skills; ability to follow written directions and meet production/quality standards (15-20 claims/hr; 98% quality).
Southwest Service Administrators: Provides third-party administration for labor-management trust funds.
3+ YOEMinimum high school diploma/GED and three years recent medical claims processing experience. Requires knowledge of medical terminology, CPT/ICD coding, strong MS Excel/Word skills, 40 WPM typing, and ability to maintain production and quality standards.
Sprouts Farmers MarketNASDAQ: SFM: Grocery retailer specializing in fresh, natural, and organic foods.
2+ YOEBachelor's or equivalent experience, 2+ years workers' compensation or claims experience, multi-jurisdictional WC knowledge, proficiency with claims management and reporting, TPA collaboration, strong analytical and communication skills; CWCP a plus.
Sprouts Farmers MarketNASDAQ: SFM: Operates a chain of healthy, natural grocery stores.
2+ YOEBachelor's degree or equivalent experience, 2+ years claims/workers' compensation experience, multi-jurisdictional workers' comp knowledge, strong analytical and communication skills, proficiency with claims management systems and reporting tools.
Health Plan of San Joaquin: Non-profit health plan providing managed care to Medi-Cal members.
1+ YOEResearch and resolve claim overpayments, initiate and process recoveries, analyze error patterns. Requires high school diploma, 1+ year analyst experience, knowledge of Medi-Cal, procedure coding, medical terminology, and Windows/Excel/Word/Outlook.
Microsoft Windows, Microsoft Excel, Microsoft Word, Microsoft Outlook, HPSJ systems