Claims and Risk Analyst
$30 per hourRenewal by Andersen of NJ/NY Metro
Responsibilities- Administer workers' compensation, auto, general liability, and other claims from initiation to resolution.- Interface with insurance partners, legal, and senior leaders as a leading resource for claim status, insurance practices.- Implement, improve, and manage systems for broad adoption, reporting, and data consolidation.- Serve as the primary point of contact for employees and claimants regarding workers' compensation, auto, general liability and all other claims.- Ensure and monitor that all claims are handled in compliance with state regulations and company policies.- Analyze claims data and prepare reports to identify trends, patterns, and areas for improvement, suggesting new KPIs.- Support digital OSHA recordkeeping practices, and database analysis, support (ex. training records, vehicle inventories).- Lead medical providers, rehabilitation specialists, auto repair shops, and other vendors to coordinate services for claims. Set up new relationships (Ie. In-network occupational health clinic in new markets).- Monitor and assess costs associated with workers' compensation, auto, general liability and all claims.- Partner with HR to support benefits programs, modified work and return to work planning.Qualifications- Proficient in incident/claims management software, data analysis tools, and Microsoft Office Suite.- Excellent organizational, communication, and time management skills.- Strong problem-solving skills and attention to detail.- Ability to handle confidential information with discretion and professionalism.- Bachelor's degree in Safety/Health, Human Resources, Data Analytics, Business, Finance, or a related field preferred.- Minimum of 3 years of experience with claims administration and data analysis, preferably in workers' compensation, auto, general liability or property claims.- Holds relevant certification such as - Certified Risk Manager (CRM); Associate in Risk Management (ARM); Associate in Insurance Data Analytics (AIDA) – or willingness to pursue certification.- Experience communicating with all levels in an organization.Benefits- Medical, Dental, and Vision Insurance- Teammate Assistance Plan- Tuition Reimbursement- 401k with 50% match up to 6% of your annual pay- Paid Time Off- Company Paid Holidays- Paid Volunteer Time- And more!Pay $30 hourly. Empowered to be Extraordinary. We believe in our people. And that's why we empower you to develop a career path that supports your unique voice and talents.THE ESLER COMPANIES - RENEWAL BY ANDERSEN STORYRenewal by Andersen is the full-service window-replacement division of 120+ year-old Andersen Corporation, the owner of the most trusted family of window brands in America. RbA was founded to redefine the industry and offer a different—and better—window-replacement experience. Esler Companies is the holding company for Renewal by Andersen of Nevada, Arizona, Colorado, Oklahoma, North Texas, Central Texas, Greater Philadelphia, Southern New England and Portland, Maine, with sales and marketing engines in Northborough, Massachusetts & Austin, Texas.We are a proud equal-opportunity employer. We are committed to fair hiring practices and to creating a welcoming environment for all team members. Esler Companies LLC is committed to maintaining a safe, healthy, and drug-free workplace for all teammates.Please note that we participate in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Esler Companies will often use SMS to communicate with candidates. Candidates can choose to opt-out at any time.
$109.6k - $191.7k
Senior Risk ConsultantRemote - USAProvides loss control support for Property & Casualty underwriters and insurance customers in AXA XL... ...transportation, and safety personnel.Prepares risk analysis and claims analysis documents.Prepares and reviews customer risk management...ClaimsFor contractorsWork at officeFlexible hours$99k - $124k
...transform chronic conditions by identifying risk earlier, coordinating thoughtful care,... ...here. What You'll DoWe are seeking a Lead Analyst, Risk Adjustment Analytics to join our... ...analyzing MMR, MOR, MAO-004 and medical claims data. 3+ actuarial exams passed. High degree...ClaimsWork at officeRemote workWork from homeFlexible hours2 days per week- ...to evaluate how a company identifies and manages their inherent risk factors. Additionally they are expected to differentiate the account... ....Build and maintain productive relationships with Underwriting, Claim, Risk Control Specialists, and Brokers to service customers as a...ClaimsFull timeLocal areaLong distanceNight shift
$84.74k - $138.67k
...Actuarial Analyst II Hybrid 1: This role requires associates to be in-office 1-2 days per week, fostering collaboration... ..., verifies, analyzes, and models data including risk reporting and forecasting. Calculates monthly claims liability reserves, develops merit rating factors,...ClaimsTemporary workWork at officeLocal areaMonday to Friday2 days per week1 day per week$128k - $252.5k
...performance Develop structured query language (SQL) models to price health plan benefit changes, network changes, or other detailed claims analytics Review Medicare Advantage and Part D bid submissions for accuracy and consistency Model lapse and retention rates and...ClaimsWork at officeLocal areaVisa sponsorship$100.4k - $197.9k
...managers. Develop structured query language (SQL) models to price health plan benefit changes, network changes, or other detailed claims analytics Use strategic thinking to shape the direction of health insurers, including pricing, market entry, network design, and cost...ClaimsWork at officeLocal areaVisa sponsorship$129.3k - $177.8k
...position advises leaders and executives on matters of significance, including segment-specific strategies, financial trends, medical claims drivers, and the organization's short-, medium-, and long-term financial and competitive position. This role works under minimal...ClaimsFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$110k - $135.3k
...through our GEM awardsJob DescriptionResponsible for conducting detailed analysis that contributes to and advances one or more Enterprise Risk Management (ERM) programs to assist CoBank in managing credit/market/operational risks. Such programs include, but are not limited...Full timeWork at officeWork visaFlexible hours$100k - $123k
...fellow associate through our GEM awardsJob DescriptionResponsible for conducting detailed analysis that contributes to and advances Risk Management programs and processes including the Operational Risk and Resilience, Product Governance, AI Risk Governance, and Risk Governance...Full timeWork at officeWork visaFlexible hours$50k - $75k
...looking to hire a Billing Specialist to support ABA billing operations. The candidate will be responsible for submitting insurance claims, reviewing billing accuracy, following up on unpaid claims, and resolving billing discrepancies.Skills and RequirementsPrior experience...ClaimsFull time- ...A leading insurance claims firm in Littleton, Colorado is seeking Independent Insurance Claims Adjusters. This is a pivotal role where you help clients recover from disasters while enjoying flexibility and competitive compensation. Candidates should be licensed adjusters...Claims
- Medical Pathology Associates (MPA) is seeking a dedicated billing specialist to manage insurance claims and client billing in their Greenwood Village location. The role involves ensuring accuracy in claim submissions and effective resolution of payment denials. The ideal...Claims
- ...CU Medicine in Aurora, Colorado, is seeking a Medical Claims Denial & Appeals Specialist. This role is crucial in resolving insurance claim denials, enhancing revenue for CU Medicine providers, and requires 3-5 years of relevant experience in medical billing. The ideal...ClaimsRemote work
$150k - $190k
...experience handling insurance-related litigation, including coverage disputes, personal injury, premises liability, and bad faith claims . You’ll play a key role in managing litigation matters from pre-litigation through trial while working alongside a collaborative and...Claims- Unclassified is seeking a Billing Specialist to join our ABA billing team in Colorado. You will submit insurance claims, review billing accuracy, and resolve discrepancies to ensure timely payments. This role requires meticulous attention to detail and strong follow-up...ClaimsFull time
- ...growing Colorado law firm is seeking a skilled and dedicated attorney with significant experience in first-party homeowner property claims to join its dynamic team. The ideal candidate will bring a strong background in representing policyholders in disputes with...ClaimsFull time
- ...between 7 am – 8 pm Central Standard Time. Responsibilities include investigating and resolving low-exposure mechanical breakdown claims, applying contract language to determine coverage, and providing technical support to sales staff and service shops. Strong communication...ClaimsContract workShift work
- ...Mobilitas seeks a Commercial Insurance Consultant - Claims Insights for a remote US role. You will transform data into decision-ready insights that drive performance, portfolio management, and risk outcomes, performing complex analyses and identifying trends. You will...ClaimsRemote work
- ...matters. They represent insurance companies and self-insured entities in complex litigation involving coverage disputes, personal injury claims, bad faith, and more. The firm is known for delivering exceptional client service and fostering a collaborative, supportive...ClaimsLocal areaRelocation
- ...matters. They represent insurance companies and self-insured entities in complex litigation involving coverage disputes, personal injury claims, bad faith, and more. The firm is known for delivering exceptional client service and fostering a collaborative, supportive...ClaimsLocal areaRelocation
- ...to continually improve diagnostic precision and ensure that patients receive the best possible care. Accurately process insurance claims, prompt pay and client billing for pathology procedures. Collect and post payments received from multiple sources and document all...Claims
$26.44 - $29.81 per hour
...Summary HUB International is currently seeking a Benefits Analyst to provide technical support to a client service team in a tiered... ...renew existing client • Request data from insurance carriers (claim reports, geo analysis, network effectiveness) • Evaluate pertinent...ClaimsHourly payWork experience placementLocal area3 days per week$115.2k - $198.72k
...experience-rating formulae and creating and/or reviewing alternative settlement formulate and risk sharing models. Responsible for recommendations on pricing, marketing, product design, claims, premium and enrollment administration of business unit. Responsible for valuation...ClaimsContract workTemporary workWork at officeLocal areaFlexible hours2 days per week1 day per week$87.7k - $157.8k
...Continental US. Position Purpose: Conduct analysis, pricing and risk assessment to estimate financial outcomes. Manage health plan... ...shared savings/risk and capitation analyses in Excel) Analyzing claims, vendor performance, and other healthcare datasets using tools such...ClaimsFull timeContract workPart timeH1bWork at officeRemote workWork from homeFlexible hours$72k - $141k
...potential. This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specific line of business. Responsibilities include the coordination of all claim...ClaimsFull timeWork experience placementWork at office$75k - $125k
...their needs and driving business growthCollaborative Approach: Partner with teams across Underwriting as well as Business Development, Claims, IT, and more, contributing to a unified and effective operationInnovative Contribution: Stay ahead of the curve by researching...ClaimsFull timePart time$130k - $160k
...your unique viewpoint matter. Learn about the Danaher Business System which makes everything possible.The Senior Cybersecurity Risk Analyst is responsible for executing third-party and supplier risk activities across the vendor lifecycle and contributing to enterprise...Full timeRemote workWork from homeFlexible hours$87k - $97k
...of artificial intelligence across the organization. Reporting to the Sr Manager, AI Solutions & Delivery, the **AI Governance & Risk Analyst** will establish the policies, controls, risk assessments, and oversight processes that allow the team to move quickly while protecting...Temporary workWork at officeImmediate startRemote workFlexible hours- ...licensed investigator looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-...ClaimsFlexible hours
$80k - $90k
..., reporting to their Lakewood office 2 days a week. #INDR Required Qualifications 2+ years handling Lost Time Workers Compensation claims Effectively manages a caseload of 110 to 150 workers’ compensation files, including very complex claims Determines compensability of...ClaimsTemporary workWork at officeLocal area2 days per week
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims and Risk Analyst. Be the first to apply!
- medical insurance claims specialist Denver, CO
- claim specialist Denver, CO
- claims assistant workers compensation Denver, CO
- claims resolution specialist Denver, CO
- claims consultant Denver, CO
- claims processor Denver, CO
- claim examiner Denver, CO
- claims specialist remote Denver, CO
- insurance claims processor Denver, CO
- remote medical claims processor Denver, CO

