Senior Claims Recovery & Overpayments Analyst
EmblemHealth
EmblemHealth, a leading not-for-profit health insurer in New York, seeks an experienced Senior Claims Overpayment & Recovery Analyst to drive financial recovery and improve payment accuracy. Your role will involve auditing, data analysis, and collaboration with providers and internal teams to identify overpayments and implement corrective actions. You will analyze complex claims and support leadership with actionable insights. #J-18808-Ljbffr EmblemHealth
$56.16k - $99.36k
...to community-based health and wellness guidance and resources. For more information, visit emblemhealth.com . Senior Claims Overpayment & Recovery Analyst Proactively assess and monitor vendor operational performance to ensure contractual targets and quality expectations...SeniorClaimsContract workWork experience placementH1bVisa sponsorship$68.04k - $118.8k
...needed to analyze vendor payment data. Utilize pre/post claim editing, auditing, and claim recovery programs that will drive incremental value year over... ..., and vendor data to identify, prevent, and recover overpayments, as well as to drive process improvements and cost...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
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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- 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
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...Job Description Senior Actuary - Professional Lines Pricing Chicagoland / NYC - Hybrid in office 3 days/week A leading specialty... ...emerging product lines • Partner closely with Underwriting, Claims, and senior business leaders • Present strategic...SeniorClaimsWork at office3 days per week- 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
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...ownership, and run hard at hard problems - with direct exposure to senior leadership and a front-row seat to watching your work change... ...systems in SQL and Python that pull signals out of commercial, claims, and electronic health record data automatically Create durable...SeniorClaimsFull timeLocal area$150k - $185k
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...loss allocation, attachment, recoverable, and bordereau discrepancies. ~ Validate data flowing between underwriting, policy, claims, and reinsurance systems; identify exceptions and coordinate corrections with Operations, Underwriting, Claims, IT, and Actuarial...SeniorClaimsContract workWork at officeWorldwide$134.5k - $190.5k
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...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- ...and project support, with hybrid/remote flexibility from the Pennington, NJ area. You will develop pricing models, interpret results for leadership, and collaborate with underwriting, claims and IT to drive value across platforms. #J-18808-Ljbffr Hamilton Group DefunctSeniorClaimsRemote job
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