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
- 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 Responsibilties : Medicaid Claims Adjudication...Suggested
- The Hartford is seeking an Sr Ability Analyst to investigate and manage short‑term disability and absence claims, ensuring timely, accurate benefit determinations. You will work with claimants, employers and medical providers to assess eligibility and guide customers through...SuggestedRemote jobTemporary work
$68.2k - $102.3k
...collaboration with the flexibility of virtual work in the contiguous states plus AK. The opportunity The Health and Risk Solutions Senior Claim Analyst serves as the highest level of technical expertise within the claims unit, leading the evaluation, investigation, negotiation,...SuggestedContract workWork at officeLocal areaFlexible hours$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...SuggestedFull timeTemporary workWork at office3 days per week- Job ID: 35993385792Posted: 2026-08-12Location: Hartford, Connecticut, United StatesCategory: Claims & UnderwritingCompany: Munich ReThe Senior Portfolio Underwriter at HSB holds the paramount responsibility for managing, monitoring, expanding, and optimizing the portfolio...SuggestedWork experience placementWork at officeRemote workShift work
- Stop Loss Underwriters-Multiple Positions. Hartford, CT to 120k(DOE), bonus.National insurance carrier is seeking two underwriters to join their team. This can be an underwriter or senior underwriter with 3-5 years minimum experience with stop loss undewriting. Carrier ...Work at officeRemote work
- Company DetailsBerkley Management Protection offers a modular suite of management liability products through the Grove, their bespoke and easy to use platform where users can quote, bind & issue. Their Trellis Management Liability Portfolio of coverages include directors...Work experience placement
- ...empathetic experts, and outcomes drivers—people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with...Full timeLive outWork at officeLocal areaRemote workFlexible hours
$135k - $150k
...continuously reviewing the potential for resolution Establish timely reserves within authority and re-evaluate throughout the life of the claim Maintain up-to-date, appropriate file documentation and written file notes Maintain an active diary and productive file inventory...Full timeLocal area- ...AVP, Complex Claim Liability SpecialistSkip to main content#AVP, Complex Claim Liability Specialist page is loaded## AVP, Complex Claim Liability SpecialistApplyremote type: Hybridlocations: CT - Hartford: US - Nationwidetime type: Full timeposted on: Posted Todayjob requisition...Local area
$132.8k - $219.1k
...culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a...Local area$18 - $32 per hour
...Claims Representative/Insight Analyst Assistant This position is National Remote. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Optum Insight is improving the flow of health data and information to...Hourly payMinimum wageFull timeWork experience placementLive inLocal areaRemote workMonday to FridayFlexible hoursShift work$122.4k - $183.6k
Claims Consultant FL - CV07GE 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...Full timeTemporary workWork at officeRemote work3 days per week- ...Our people are our most important asset, and we are very proud of the quality of our team members.Investigate, evaluate, and resolve claims made against the Company’s cyber liability insurance policies. Engage in collaborative projects in support of other areas of the...Full timeWork at office
$70k - $123k
...insurance. We pride ourselves on our deep expertise in underwriting, claims and distribution in the healthcare industry insurance market.... ...capability of managing all aspects of the underwriting analyst responsibilitiesKnowledge of financial lines products, coverages...Full time- The Travelers Indemnity Company is seeking a Wholesale/E&S Commercial Lines Underwriter in Hartford. You will evaluate risk with Retail Agents to determine underwriting acceptability and pricing, manage portfolio profitability, and provide new and renewal products based...
- Company Details Berkley Management Protection offers a modular suite of management liability products through the Grove℠, their bespoke and easy to use platform where users can quote, bind & issue. Their Trellis Management Liability Portfolio℠ of coverages include directors...Full time
$84.5k - $124k
All locations Hartford, United States; Boise, United States; Denver, United States; Los Angeles, United States; Phoenix, United States; Portland, United States; Seattle, United States; HSB, a Munich Re company, is a specialty insurer and risk solutions provider focused...Work experience placementInterim roleRemote work$62.7k
...identifying opportunities and concerns. Calculate rates utilizing company rating algorithms, adjusting accordingly to cover questionable claim patterns or unusual situations not otherwise contemplated within the standard formula. Maintain accurate book management details,...Contract workFor contractorsWork at officeLocal area$102k - $193.2k
Executive Underwriter - UW07EDSenior Underwriter - UW08EAWe’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 officeRemote work3 days per week$160k - $200k
Insurance Underwriting Specialist - Excess Umbrella - Hartford, CT Seeking individual with expert knowledge of Excess Umbrella underwriting who can grow, manage, and maintain a profitable book of business with a focus on customer satisfaction and profitable underwriting...Contract workTemporary workRelocation package$50k - $52k
The Claim Assistant ("CA") plays an important role in ensuring claims are handled in a timely and efficient manner, and policyholders are treated fairly and appropriately. The role of a CA is to assist in the claims process, which can include tasks such as data entry, document...Temporary workWork at officeFlexible hours3 days per week$115k - $130k
Job Type Permanent Position Complex Claims Specialist: General Liability Reporting to AVP - Team Manager Location Atlanta, Boston, Chicago, Hartford, NYC or Scottsdale About the Role The primary role of a Complex Claims Specialist is to independently analyze liability...Permanent employmentTemporary workWork at officeLocal area2 days per week$17.79 - $21.64 per hour
...Claims Call Centre Representative 135927 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich’s customers include individuals, small businesses, and mid-sized and large companies, as well as multinational corporations...Hourly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeVisa sponsorshipShift work$132k - $189k
...risk management programs that enhance profitability and reduce susceptibility to loss. Company URL: Responsibilities AVP, Senior Claims Examiner handles all aspects of claims notices and files related to professional liability and accompanying coverages, including but...Full timeRemote work$117k - $184.4k
...AXA XL is an Equal Opportunity Employer. Our Claims team sets us apart. Our experienced Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. You focus on excellence and creating a culture of continuous improvement, fostering...$63.4k - $85k
...Claims Examiner - Workers Compensation (Remote) Primary Purpose of the Role We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. Are You an Ideal Candidate...Remote workFlexible hours$80k - $125k
...Senior Claims ExaminerBuild a brilliant future with Hiscox. Bring your passion and enthusiasm to our team! We are a fun, innovative and growing Claims team where you'll get the opportunity to learn multiple insurance products and interact with business leaders across...Temporary workWork at officeRemote work2 days per week$25.65 per hour
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you looking for an impactful job that offers an opportunity to...Full timeTraineeshipWork at officeFlexible hours$86.4k - $138.6k
Regional Account Chief UW GB - UO07EESr Business Consultant - BB07AEWe’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...Full timeTemporary workWork at officeRemote work3 days per week
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