Claims Analyst
Montage Inc
The Claims Analyst will be responsible for meticulously reviewing, analyzing, and processing insurance claims to ensure accuracy, compliance, and timely resolution. This role requires a keen eye for detail and strong analytical skills. Your Impact Receive, review, and analyze incoming insurance claims, ensuring all necessary documentation is complete and accurate. Investigate claim details, including policy coverage, liability, and damage assessment, to determine appropriate resolution. Communicate effectively with policyholders, agents, adjusters, and other relevant parties to gather information and provide claim status updates. Negotiate and settle claims within established authority limits, adhering to company guidelines and regulatory requirements. Maintain accurate and thorough claim records, documenting all communications, decisions, and financial transactions. Identify and report potential fraudulent claims, escalating as necessary. Collaborate with underwriting and legal departments on complex or disputed claims. Stay informed of industry trends, regulations, and best practices related to claims management. Prepare and present claim reports and analyses to management as required. Assist in the development and implementation of claims processing improvements. Successful Candidates Will Have Bachelor's degree in Business Administration, Finance, or a related field; or equivalent work experience. 1-3 years of experience in claims analysis or a related insurance role. Knowledge of insurance principles, practices, and regulations is highly desirable. Experience with Property, MTC (Motor Truck Cargo), Builder's Risk, Yacht, Rec Marine, Auto PD and Liability, and Casualty experience is preferred. Pay Range The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role. One80 Intermediaries is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. #J-18808-Ljbffr
$50k
...Commercial, Digital and E-commerce, Technology and more. Overview Primary responsibilities include investigation of Workers Compensation claims to determine either compensability of the claim. This role has direct responsibility of managing the claim in its entirety while...SuggestedFull timeRemote workFlexible hours$50k - $86k
athenahealth is seeking a Coding Denials Management Associate to enhance healthcare accessibility. This role involves diagnosing and resolving claim denials through analysis and workflow improvements. The ideal candidate has at least a Bachelor's degree, relevant coding...Suggested- ...Epic PB & PB Claims Analyst (Remote with Travel) Seeking an Epic PB & PB Claims Analyst for a 3-month contract with likely extension (Remote with approx. 10% travel involved) Epic PB & PB Claims certifications required (online certification verification required)...SuggestedContract workRemote work
$23.16 per hour
...and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards... ...terminology Preferred: 3 years of experience in a Stop Loss Claims Analyst role. SKILLS Ability to communicate concise accurate...SuggestedFor contractorsWork at officeLocal area- One80 Intermediaries Inc. is seeking a Claims Analyst to manage the analysis and processing of insurance claims with a keen eye for detail. The successful candidate will review claims, negotiate settlements, and maintain thorough documentation, ensuring compliance with...SuggestedRemote job
- A recruitment firm in the USA seeks a Claims Manager to oversee complex Workers' Compensation claims with a focus on high dollar and... ...significant experience in claims management and involves mentoring Analysts, providing technical guidance, and managing claims of...Flexible hours
$89.5k - $130k
Boston Medical Center is seeking an Epic/Resolute Professional Billing Claims Senior Analyst to work remotely. This role involves aligning technology solutions with business strategies and serving as a liaison with various vendors. The ideal candidate will have strong technical...Remote job$90k - $115k
...insurance, automobile liability and workers’ compensation, along with claim services, providing expertise to meet the unique business needs... ...Environmental is looking for an enthusiastic experienced EDI Analyst to partner between IT and our business units to monitor, support...Full timeWork experience placement- SolutionHealth is seeking an Epic Application Analyst to implement, develop, and maintain Epic systems. The position requires a Bachelor’s degree or equivalent experience, along with prior Epic experience, project management skills, and analysis capabilities. Responsibilities...Remote work
- A leading food retailer in Quincy, MA, seeks to hire a Workers' Compensation Claims Manager to oversee WC caseloads, manage relationships with vendors and internal departments, and ensure compliance with regulations. Candidates must hold a Bachelor’s degree or have two...Remote workFlexible hours
- Ahold Delhaize USA is seeking an Analyst III responsible for managing complex Workers' Compensation claims. This senior role will serve as a technical expert and mentor, guiding developing analysts while providing support to the Team Manager. The position offers a flexible...Full timeRemote workFlexible hours1 day per week
$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$24.5 - $26 per hour
...Come join our amazing team and work remote from home! The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing FHA mortgage insurance claims for accuracy and submitting the claim form for filing. Performs all duties in accordance...Remote workWork from home- ...Claims Specialist II Job Locations: US-TX-Plano; US-MA-Boston; US-NV-Las Vegas; US-GA-Suwanee; US-AZ-Chandler; US-OR-Lake Oswego; US-IN-Indianapolis; US-IL-Hoffman Estates; US-CT-Weatogue The Claims Specialist works within a Claims Team, using the latest technology to...Work experience placementWork at officeRemote work
$54k - $103k
...DESCRIPTION This individual contributor role operates under moderate direction and within defined authority limits to manage commercial claims of moderate to high complexity and exposure within the General Liability line of business. The position is responsible for...Work experience placementWork at officeLocal areaFlexible hours$100k
...but must live in US and preferably within Central/Eastern Time Zone Compensation: Commission only based on successful recovery of claims Schedule: Flexible full-time caseload with preferred Monday to Friday during business hours COMPANY OVERVIEW Phoenix...Full timeContract workLive inWork at officeRemote workMonday to FridayFlexible hours$61k - $80k
...Bodily Injury Claims Representative We are currently seeking a Bodily Injury Claims Representative to fill a position in our Boston office, directly across the street from South Station. This is a great opportunity for an experienced Claims Representative to join our...Contract workWork at office- ...DescriptionThe Claims Specialist works within a Claims Team, using the latest technology to manage an assigned caseload of routine to moderately complex claims from the investigation of the claim through resolution. This includes making decisions about liability/compensability...Work at officeLocal area
$150k
...Claims Specialist We are currently seeking a Claims Specialist. This individual would be responsible for reviewing, processing, investigating, evaluating, negotiating and the settling of assigned property damage or bodily injury claims with the authority level generally...Full time$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$50 - $70 per hour
...Financial Size Category of XV. Company URL: The company is an equal opportunity employee Responsibilities The Claims Consultant handles high-exposure transportation claims (trucking, public transit, rail) throughout the United States. Key...Hourly payTemporary workPart time$78k - $106k
...Claims Specialist The Claims Specialist under the supervision of the Director of Claims is responsible for proactively investigating, managing, and resolving Workers' Compensation, General Liability, and Automobile Liability claims. The Claims Specialist will timely...For subcontractorWork at office$24.5 - $26 per hour
Carrington in Boston, Massachusetts is seeking a Default FHA Claims QA Analyst II to review FHA mortgage insurance claims for accuracy and ensure compliance with regulations. This remote position offers a target pay of $24.50/hr - $26.00/hr. The ideal candidate should have...Remote job$115k - $130k
...Complex Claims Specialist: General Liability Build a brilliant future with Hiscox Put your claims skills to the test and join one of the top General Liability Insurers in the Industry as a Complex Claims Specialist! Position: Complex Claims Specialist: General...Temporary workPrivate practiceWork at officeLocal area$54k - $103k
...CNA Insurance in Boston, MA seeks a Claims Manager to handle moderate to high complexity commercial claims. The role involves investigating and resolving claims while ensuring compliance and quality standards. Candidates must have a Bachelor's Degree or equivalent experience...$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- ...ONE80 INTERMEDIARIES INC is looking for a Claims Analyst based in New Hampshire. This role involves reviewing, analyzing, and processing insurance claims to ensure compliance and timely resolutions. The ideal candidate will have a Bachelor's degree in Business Administration...
$50k - $55k
...Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze and process low to mid-level auto and transportation claims. ESSENTIAL...Contract workWork at officeLocal areaFlexible hours$19 - $21 per hour
...different lines on the MBTA including commuter rail. Responsibilities Key Responsibilities include: Sort and scan medical claims into clients claims system. Assist with outbound mail process, so that all assigned outbound mail is sent out on a daily basis....Hourly payWork at officeLocal area$19.53 - $26.35 per hour
...be part of a company where your voice matters, your work has purpose, and your potential has no limits HUB is the place for you. Claims Assistant We currently have an opportunity for a Claims Assistant to join our Specialty Claims team. Overview: Responsible...Work at officeLocal area
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