Claims BUSINESS ANALYST

RIT Solutions

Claims Business Analyst

Duration-6 – 12 months ++

Hybrid 3 Days a week: Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken, PA; Dallas, TX; Fargo, ND; Garden City, NY; Houston, TX; Jacksonville, IL; Lenexa, KS; Los Angeles, CA; Lubbock, TX; Morristown, NJ; Mt Juliet, TN; New York, NY; Purchase, NY; Topeka, KS

PLS NOTE MUST HAVE GUIDEWIRE CLAIMS CENTER NOT POLICY EXPERIENCE ONLY AND WORKERS COMP CLAIMS

7+ years of business analysis experience, with 3+ years within the space of Workers Comp Claims.
Must have a clear understanding and experience with the statutory and compliance reporting requirements and best practices for multi-jurisdictional Workers' Compensation claims.
Extensive experience with integrating multiple vendors needed for Workers' Compensation claim handling.
Strong experience with claims management and medical bill review solutions.

Experience with iterative and agile methodologies, with working knowledge of both SDLC & PMLC processes.

Sys implementation – for each jurisdiction there's different compliance req edi calls; Verisk exp VERY HELPFUL, pbm, medical bill mngt, etd to adjudicate a wc claim

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Vacancy posted 5 days ago

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