Claims Analyst
Global Information Technology
Job Title: EDI Claims Analyst Job Location: Remote Job Type: Contract The EDI Claims Analyst is responsible for analyzing and processing electronic data interchange (EDI) transactions, including claims and eligibility inquiries. This role involves reviewing and resolving claim rejections, ensuring accurate data submission, and supporting various EDI transactions. The analyst will work closely with provider relations, IT, and other internal teams to ensure smooth and efficient claims processing. Requirement: Strong understanding of EDI transactions and claims processing Proficiency in SQL and data analysis Knowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and Apigee Familiarity with CBH systems, including Connects and Flexicare Excellent problem-solving and analytical skills Ability to mentor and train team members Executive leadership client facing #J-18808-Ljbffr
$72k - $141k
...potential. CNA is one of the premier providers of professional liability insurance. CNA Financial Lines has an opening for a Complex Claims Consultant handling Employment Practice Liability, Private and NFP D&O claims. This individual will work with insureds, attorneys...SuggestedFull timeWork experience placementWork at officeLocal areaRemote workShift work$69.4k - $99k
...Location US-MI-Bloomfield Job Category Claims and Investigation Position Type Regular Full Time Req ID 44686 Overview Being good neighbors helping people, investing in our communities, and making the world a better place is who we are at State Farm...SuggestedFull timeWork at officeLocal areaRemote workWork from homeFlexible hours- Claims Examiner- Worker's Compensation PRIMARY PURPOSE : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims...SuggestedWork at office
- ...What you’ll do… The Claims Resolution Representatives primary role is to resolve high volumes of aging insurance claims with payers and providers by calling insurance companies or by utilizing their websites when available. This person should be detail oriented and...SuggestedFull timeWork at officeRemote work
$60k - $85k
...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers about insurance...SuggestedFor contractorsWork at officeWork from homeFlexible hours- ...meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.Title: Claims Processor IFLSA Status: Non-ExemptReports to: Insurance Services and Placement ManagerJob Summary:The Claims Processor is...Hourly payWork at office
- ...exceptional customer service to our customers from a variety of manufacturing sectors. Your responsibilities Job Summary The Claims Administrator is responsible for managing and resolving customer and supplier claims, coordinating rejected and quarantined...For subcontractorLocal areaWorldwide
- ...Job Description Job Description Claims Processor for durable medical equipment and pharmaceutical claims submitted from contracted and out of network providers. Responsible for processing claims in a timely manner, verifying insurance coverage for date of service...
$124k - $199.8k
...business without sacrificing quality.Program ManagementParticipation in all aspects of program management such as actuarial pricing, claim or TPA oversight, reinsurance accounting and collateral management.Possesses a deep understanding of the business.Demonstrated...Full timeTemporary workWork at office3 days per week- DescriptionSummary: The Business Banking Underwriter IV is responsible for underwriting Business Banking loans to determine credit worthiness and compliance with Bank lending policy. Duties and Responsibilities:Supports Business Banking production by maintaining an individual...Full timeWork at officeRemote workWork from homeFlexible hours
- Call Center Representative Transend MSO, Inc. provides administrative support to New Oakland Family Centers who offers top-tier psychiatric care, therapeutic counseling, and educational services to individuals and families. We are committed to providing consistent, ...Work at officeFlexible hours
- 911 Call Taker Opportunities in Southfield 911 Call Takers are often the first people to speak with someone reporting an emergency. They ask focused questions, confirm where help is needed, and document information for the personnel responsible for coordinating the response...Night shiftRotating shift
- Position: Contracts Administrator III Technology Procurement Location:Birmingham AL Duration: 1 Year Client:Southern Company Services Position Summary Southern Company Services is seeking an experienced Contracts Administrator III to provide contracting...Contract workTemporary work
- ...Manager, Chief Claims Examiner US-MI-Livonia Job ID: 2026-2217 # of Openings: 1 Category: Claims Livonia Overview Why AAA Life AAA Life is a respected and trusted American brand that has been focusing on Life Insurance and Annuity Products...H1bRelocation
$45k
Job Opportunity At United Wholesale Mortgage United Wholesale Mortgage (UWM) is America's #1 mortgage lender and we're dedicated to our team members' continued growth and success. Join a company that invests in you! Compensation ~$45,000 starting salary ~ ...Full timeContract workMonday to FridayFlexible hoursShift work$600 per month
We are a fast-growing financial services organization focused on helping families protect what matters most. We prioritize fast pay, low startup costs, and hands-on training, so you can focus on learning the role and building income from day one. What You’ll Be...Full timePart timeRemote workFlexible hours2 days per week$96.4k - $180k
Executive Underwriter - UW07CDSenior Underwriter - UW08CAWe’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish...Full timeTemporary workWork at office- ...from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim...TraineeshipLocal areaWork from home
- Administrative AssistantOur Detroit Metro Office, located in Birmingham, Michigan, is seeking a highly organized, collaborative Administrative Assistant to join our growing firm. Under the direction of the Office Administrator, this role provides clerical support to attorneys...Work at officeLocal areaFlexible hours
$20 - $26 per hour
Job PostingThe department administrative assistant is an active member of the DENSO's Quality Engineering and Information Security teams. The ideal candidate provides support, suggestions and expertise on company systems, organizational knowledge and financial management...Hourly payWork at office- Administrative Assistant The role of Gas Scheduling Administrative Support provides Gas Distribution Schedulers with daily administrative assistance. Duties include preparing and printing of work packets, coordinating site checks, providing customers with site check...Work experience placementWork at office
- Administrative Assistant III Primary Location : Southfield, MI V-Soft Consulting is currently hiring a Administrative Assistant III for our premier client Southfield, MI. Education and Experience Looking for 3-5 years of experience. Knowledge, Skills and Abilities Basic...Currently hiringLocal area
- Administrative Assistant Dynamic, well-established property management company seeks a detail-oriented, proactive, and people-focused full-time administrative assistant. The administrative assistant will provide administrative and operational support to the corporation...Full timeTemporary workWork at officeFlexible hours
- Administrative Assistant - Lighthouse Connections AcademyJob Category: Administrative/ClericalRequisition Number: LIGHT015757Full-TimeOffice-based, MI20750 Civic Center Dr. Suite 510Southfield, MI 48076, USADescriptionSchool SummaryLighthouse Connections Academy (LCA) ...Work at officeNight shiftAfternoon shift
- Administrative Coordinator Prepare and format letters, presentations, reports, and proposals for the Sales team. Assist with filing and maintaining project documentation, including confidential materials. Coordinate and schedule meetings, manage calendars, and support...Permanent employmentTemporary workWork at officeLocal area
- Description JOB PURPOSE: Provide administrative support to Endeavors Workforce Wellness Program staff and U.S. Customs and Border Protection (CBP) clients through various administrative functions to include, but not limited to filing and posting required paperwork...Local area
- Overview The Administrative Assistant provides administrative support to our operations leadership team. Job Duties Perform general administrative functions such as answering phones, typing, copying, faxing, filing, shipping and other duties. (Essential) Prepares...Full timeTemporary workWork at office
- HealthMarkets Overview If you're looking for an exciting opportunity where you can change people's lives and achieve financial success as an independent insurance agent, you've come to the right place. Becoming an independent insurance agent with HealthMarkets is ...For contractorsSelf employmentStart working today
$70k - $154k
..., patterns in the economy, and the implications thereof, and proactively shares information across the organization.Mentor Credit Analysts and junior-level Portfolio Managers.Performs other duties as assigned.Required Qualifications:Bachelor's Degree in Accounting, Finance...Full timeRemote workWork from homeFlexible hours$23 per hour
Call Center Rep? Earn Up To $23/hr (Tips) On Camera No Headset, No Queue Southfield No more queues. No more tickets. No more "your call is very important to us." Your communication skills and ability to stay calm and professional under pressure are exactly what Evolution...Hourly payFull timeShift workNight shiftDay shiftAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Analyst. Be the first to apply!
- medical insurance claims specialist Southfield, MI
- remote medical claims processor Southfield, MI
- veterans claims Southfield, MI
- claims processing Southfield, MI
- medical claims auditor Southfield, MI
- dental claims analyst
- claims examiner ii
- insurance claims representative
- claims assistant workers compensation
- medical claims processor





