Senior Claims Recovery & Overpayments Analyst
EmblemHealth
EmblemHealth seeks a Recovery Auditor to proactively assess vendor performance, monitor daily recovery activities, and engage with providers to recover overpayments. The role involves analyzing claims, eligibility, contracts, and reimbursement methods to identify recovery opportunities and improve accuracy. The candidate should have 3–5+ years of healthcare recovery/auditing experience, expert knowledge of MSP/COB, and strong analytical and communication skills to collaborate across Claims, #J-18808-Ljbffr EmblemHealth
$56.16k - $99.36k
...ensure contractual targets and quality expectations are met. Monitor and support daily financial recovery activities to ensure negative balance claims and identified overpayments are recovered timely and appropriately. Engage directly with Special Handling, Tier 1, and...SeniorClaimsContract workWork experience placement- To support the transformation of healthcare claims processing, the remote Senior Healthcare Data Analyst will design data transformations, ensure data quality,... ...pipeline output and ensure data accuracy Identify overpayment patterns and collaborate with various teams to...SeniorClaimsRemote work
$120k - $130k
Senior Program Analyst- Insurance & Reinsurance Department: Finance Employment Type: Permanent - Full... ..., Underwriting, Reinsurance, Claims, Finance, Controllership, Operations,... ...commissions, fees, paid and outstanding claims, recoveries, and other program activity against...SeniorClaimsMinimum wagePermanent employmentFull timeContract workLocal area- ...the underlying coverage grants and exclusions apply to various claims scenarios; ability to review and analyze complex insurance program... ...excel and numbers. Ideal candidate will have experience as a senior risk manager is preferred but not mandatory; Real Estate experience...SeniorClaimsFor contractors
- ...Senior Risk Solutions Analyst Our client is a fast-growing insurance technology startup focused on transforming risk into a strategic asset. They... ...design of tailored risk solutions by modeling financials, claims data, and investment scenarios. Delivery: Enable our...SeniorClaimsFull timeVisa sponsorship
- Infinite Computer Solutions is seeking a Fraud Recovery Investigator to support recovery and investigative efforts within Digital Payment... ...collaboration with clients and financial institutions on fraud claims. The role requires strong written and oral communication,...SeniorClaims
- ...class action, mass tort, regulatory remediation and government claims administration. With 50+ years of legal administration... ...challenges. Apply now to join One team, One Kroll. The PositionThe Senior Analyst will join a case team, supporting a Manager and/or Senior Manager...SeniorClaimsTemporary workWork experience placementRemote work
- ...that historically has resisted innovation. Join us!OverviewThe Senior Analyst, Client Analytics develops insights that help pharmaceutical... ...platforms.Experience with patient-level, prescription, pharmacy, claims, or patient services data preferred.Experience supporting...SeniorClaims
$120k - $135k
Senior Actuarial AnalystDRIVE PROFITABLE GROWTH FOR THE BUSINESSAbout At-BayAt-Bay is the... ...digital age. With 98% of cyber insurance claims in the past five years coming from small... ...Actuarial Pricing team:As an Senior Actuarial Analyst on the Pricing team, you will be working...SeniorClaims- ...maximize financial outcomes and drive down healthcare costs. The Senior Contract Analyst is responsible for ensuring the outpatient and specialty... ...payment integrity, provider contracting, managed care, claims auditing, or revenue cycle. Demonstrated ability to read, interpret...SeniorClaimsContract workShift work
$150k - $185k
Actuary / Senior Actuary, PricingDRIVE PROFITABLE GROWTH FOR THE BUSINESSAbout At-BayAt-Bay... ...digital age. With 98% of cyber insurance claims in the past five years coming from small... ...growing team of actuaries and actuarial analysts of diverse backgrounds and report to our...SeniorClaims- Eliassen Group is seeking a Senior Business Analyst to serve as the liaison between business units and IT, translating needs into requirements for technology solutions. The role emphasizes claims insurance with Guidewire Claims Center experience and remote work flexibility...SeniorClaimsRemote jobHourly payContract work
$180k - $200k
...Senior Business AnalystNew York, NYEvolutionIQ's mission is to deliver state of the art technology that helps insurance claims teams make claims handling more accurate, fair, and efficient, so... ...25 and 2026!As a Senior Business Analyst on the Data Science & Insights team...SeniorClaimsTemporary workWork at officeFlexible hours- HealthEdge is seeking a Senior Business Systems Analyst to capture business requirements for core admin functions of health plan customers and work... ...requirements into functional/technical specs for Claims, Enrollment, Provider, Authorization, and Payment systems...SeniorClaimsRemote job
- ...integration and interoperability, clinical and claims application implementation, revenue cycle... ....NTT DATA Services currently seeks a Senior Encounter Data Business Analystto join... ...Menands, NY.The Senior Encounter Data Business Analyst will perform extensive business and...SeniorClaimsFor contractorsFlexible hours
- ...Underwriting to select, retain, and grow a profitable book of business.Build and maintain productive relationships with Underwriting, Claim, Risk Control Specialists, and Brokers to service customers as a unified team.Complete all lines risk assessment evaluations for...SeniorClaimsFull timeFor contractorsLocal areaLong distanceNight shift
$134.5k - $190.5k
...through actionable analytics and insights.CNA Insurance is seeking a Senior Actuarial Consultant to join their pricing team to develop and... ...as needed. Proactively monitors profitability/reserving and claim trends and shares results with recommendations to leaders and underwriting...SeniorClaimsFull timeWork experience placement- Brown & Brown, Inc. seeks a Lead Claims Advocate to join our remote team in the USA. You will serve as a strategic claims advisor for clients with complex management and professional liability exposures, overseeing D&O, EPL, Fiduciary, Crime, E&O, Cyber, and related products...SeniorClaimsRemote work
- ...Senior P&C Actuarial Role Pricing partner to underwriting. Closer to a pricing/underwriting partnership than a modelling-heavy IC role... ...new business and acquisitions, and advise Underwriting, Claims, and senior leaders on profitable growth. ACAS and 8-10 years of...SeniorClaims
- Eliassen Group is seeking a Senior Business Analyst to act as the liaison between business units and IT, translating needs into clear requirements... ...for technology solutions. Experience with Guidewire Claims Center is highly desired. This is a remote contract-to-hire...SeniorClaimsRemote jobContract work
- Eliassen Group is seeking a Senior Business Analyst for a remote contract‑to‑hire engagement focused on the claims insurance domain. The role serves as the liaison between business units and IT, translating needs into clear requirements and conceptual designs for technology...SeniorClaimsRemote jobContract work
- ...a growing healthcare organization, the full-time remote Senior EPIC Configuration Analyst will manage the design, build, testing, and maintenance of... ...Billing certification required; preferred certifications include Professional Claims and Charge Router Virtual Vocations IncSeniorClaimsFull timeRemote work
$102.55k - $115.37k
...Position: Senior Financial Data Analyst - Healthcare Location: Hybrid (Must Reside in NY/NJ/CT) Work Schedule: Monday - Friday, 9:00am - 5:... ...include supporting the monthly close process, conducting claim reserve analysis, and creating member economics reports to...SeniorClaimsFull timeWork experience placementWork from homeMonday to Friday$134.5k - $190.5k
...and Allied Facilities. Working closely with business partners and senior actuarial leaders, you will develop analyses and recommendations... ...as needed. Proactively monitors profitability/reserving and claim trends for Healthcare Pricing and shares results with recommendations...SeniorClaimsFull timeWork experience placementFlexible hours- Standard Security Life (SSL) seeks a Senior Business Analyst to monitor, reconcile SSL’s policy admin system transactions with the general ledger and bank accounts, ensuring data integrity for premium, claim and commission data. You will drive automation, analytics and...SeniorClaims
- Conduent seeks a Senior Business Analyst to lead the Claims module on MMIS health care projects. You will drive the claims process, analyze business requirements, designs and documentation, ensure quality, and coordinate with customers in a team setting. You will work...SeniorClaims
- ...-provider contracts and reimbursement policies, the remote Senior Contract Analyst will manage contract documentation, identify audit opportunities... ...in healthcare payment integrity, provider contracting, or claims auditing Ability to read and interpret payer-provider...SeniorClaimsContract workRemote work
- The Senior Provider Configuration Analyst will be responsible for the configuration of MetroPlusHealth’s systems to ensure that claims are processed according to Provider contracts. Scope Of Role & Responsibilities Configure provider reimbursement and create and maintain...SeniorClaimsContract workTemporary work
$92.1k - $115k
...Senior Analyst, Analytics - Business Insights Charlotte, North Carolina, United States; Denver, Colorado, United States; New York, New... ...fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and...SeniorClaimsWork at officeLocal areaFlexible hours- ...strong data manipulation skills, and the ability to communicate complex results to both technical and non-technical audiences across the organisation. You will support governance processes, mentor colleagues, and collaborate with Claims, #J-18808-Ljbffr Canopius GroupSeniorClaims
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