QNXT Claims Analyst
Veriipro
Minimum years of experience required: 6+ years Certification needed: Not mandatory Must Have Skills Medicaid EDI 837 Claims Adjudication Expertise in QNXT with CXT Edits. US Healthcare Provider Contracting and Demographics Expertise. Medicaid Healthcare Plans Configuration for Claims Processing. Knowledge on SQL queries. Detailed Job Description Medicaid Claims Adjudication in QNXT Platform. Medicaid CXT Claim Edits Hands on Expertise. Knowledge on US Healthcare Provider Plans and different Classifications/Specialties. Experience in Manual Automation Testing planning execution. Strong understanding of Software Testing methodologies. Experience with Test Management tools Rational Tool suite, JIRA. Working experience in Test Plan, Test Scripts and Test Result preparation, Status reporting. Strong communication skills. Knowledge on SQL queries. #J-18808-Ljbffr Veriipro
- ...IT or operation sides. Travel to Epic's corporate office in Madison, WI could be required. Position Summary The Application Analyst works under the direction of the application's team lead to design, build, & test clinical systems. They support workflow analysis,...SuggestedWork at office
- ...HB Claims Analyst II Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what they do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive...SuggestedFull timeWork at officeRemote work
$63.4k - $90.2k
...Claims Analyst Mid-Level Ceded Reinsurance Supporting a global claims portfolio. The role offers proactive ownership, opportunities to work on a wide variety of claims in different lines of business, ongoing professional development (including industry designations...SuggestedFlexible hours- AXA Group is looking for a Mid-level Ceded Reinsurance Claims Analyst in Hartford, Connecticut to manage a global claims portfolio. This role includes monitoring claims, compliance with privacy laws, and collaborative resolution of disputes. The ideal candidate will have...Suggested
- ...Crum & Forster in Glastonbury, Connecticut, is seeking a Claims Analyst to join their travel insurance team. This entry to mid-level role involves processing claims, delivering excellent customer service, and requires 3+ years of related experience. Applicants should...SuggestedRemote work
- ...Sr. Claims Analyst, D&O Job Title: Senior Claims Analyst – D&O Job Summary: Investigate, evaluate, and resolve claims made against the Company's insurance policies including public and private D&O, fiduciary and crime policies. Engage in collaborative projects in...Work at office
- ...Job Title: Senior Claims Analyst – D&O Job Summary: Investigate, evaluate, and resolve claims made against the Company’s insurance policies including public and private D&O, fiduciary and crime policies. Engage in collaborative projects in support of other areas...
$23.16 per hour
...and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards... ...Preferred: ~3 years of experience in a Stop Loss Claims Analyst role. SKILLS Ability to communicate concise accurate information...For contractorsWork at officeLocal area$110k - $125k
...Sr. Claims Analyst, Primary Construction Location: New York, New Jersey, Farmington, CT, Chicago, Philadelphia, Houston, Dallas, Boston Job Summary: Investigate, evaluate, and resolve claims made against the Company's primary and general liability policies. Engage...Work at officeFlexible hours$108.8k - $163.2k
...Sr Claims Analyst FL - CV08DE We'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 theirs, too....Temporary workWork at officeRemote work3 days per week$110k - $125k
Allied World is seeking a Claims Manager in Farmington, Connecticut. This role involves investigating and resolving insurance claims, specifically for D&O, fiduciary, and crime policies. The ideal candidate will have at least 3 years of experience in liability claims,...- ...A leading national insurance firm is seeking experienced Multi-Line Claims adjusters to work remotely. Candidates must have a minimum of 5 years' experience in handling property and liability insurance claims, possess strong time management and customer service skills...Remote workFlexible hours
$68k - $70k
...Sedgwick is seeking a Liability Claims Adjuster located in Hartford, Connecticut to analyze claims for a dedicated client with capped caseloads. Candidates should have a minimum of 3 years of claims management experience or equivalent education. The position entails responsibilities...Remote work$68k - $80k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Comp This role requires direct experience handling Washington (WA) State Workers’ Compensation claims. Candidates...Contract workFlexible hours$65k - $70k
...Job Title: Insurance Analyst / Underwriting Assistant (Workers' Compensation) Overview: A growing insurance organization is seeking an Insurance Analyst / Underwriting Assistant to support underwriting operations, policy processing, and regulatory...Permanent employmentFull timeContract workWork at officeFlexible hours$45 - $50 per hour
...project, significantly reducing and/or eliminating the demands to travel. Job Description: Epic Certified Hospital Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder...Hourly payLive inWork at officeLocal areaFlexible hours$75k - $85k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | No Fault- PIP | Lit Required | New York PRIMARY PURPOSE OF THE ROLE : Investigates, negotiates, and resolves...Local areaFlexible hours$72.91k - $95k
...Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation w/CALI Experience PRIMARY PURPOSE: To analyze complex or technically difficult workers'...Work at officeLocal areaFlexible hours$60.23k - $85k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers' Compensation to help solve problems for some of the world's best brands? Apply your workers compensation...Remote workFlexible hours$56k - $84k
A leading global insurance provider is seeking a Claims Adjuster - Crop to investigate and process crop claims while ensuring compliance with insurance policies. This role offers a competitive salary range of $56,000-$84,000 and flexibility for remote work, blending home...Remote workWork from home- ...Job Title: Claim Specialist Location: Primarily remote - Must be in a commutable distance to the Bloomfield, CT or Oriskany, NY office - in office once a month Global Operations (Global Ops) focuses on creating positive experiences for client customers and helping...Work at officeRemote workWork from homeHome office
- ...invoice authorizations · Work within authority and receive proper approval from regional manager as necessary. · Liase with Claims Department on any specific claim activity and overall market claims concerns, which could potentially affect profitability ·...Traineeship
- ...integrity are two of the main reasons why Independent Agents place business with us. Acadia is rated A+ (Superior) by A.M. Best, with an A+ claim paying ability rating by Standard & Poor's. At Acadia, we value our employees, our customers and our communities. Employees...Full time
$124k - $199.8k
...without sacrificing quality. Program Management Participation 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....Temporary workWork at office3 days per week- ...binder/invoice with authorized approval Work within authority and receive proper approval from manager as necessary. Liaise with Claims Department on any specific claim activity Consistent with Internal Audit department procedures, achieve compliance with all...Traineeship
$53.62k - $80.43k
Underwriter I - UO08KE We'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 theirs, too. Join our...Temporary work3 days per week$66k - $85k
About Us At Selective, we don't just insure uniquely, we employ uniqueness. Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as...$99k - $146k
...make sound underwriting decisions in alignment with company guidelines. ~ Partner with Business Development, Engineering, Claims, and other internal teams to deliver exceptional service. ~ Conduct virtual and in-person client visits to strengthen relationships...Remote work- Underwriter / Senior Underwriter A respected and growing specialty insurance organization is seeking an Underwriter / Senior Underwriter to join its high-net-worth underwriting team. This role is ideal for an underwriting professional who thrives on complex risks, values...Remote work
$69.2k - $148.2k
...commercial clients. Our highly experienced, responsive and accessible team is the driving force behind our best in class underwriting, claim and risk engineering capabilities. Responsibilities: Center underwriters are responsible for balancing renewal retention goal...Temporary workWork at officeRemote work3 days per week
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