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 Global Information Technology
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Claims Analyst in Southfield, MI vacancy
$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 workCNA Financial
Southfield, MI2 days ago$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 hoursState Farm
Ferndale, MI3 days ago- ...supportive environment for our employees and provide for the stability and growth of the company as a whole. Job Description The Claims Analyst will support the Risk Management/Quality Department in analytical, reporting and record keeping functions. The primary...SuggestedLocal areaImmediate start
- ...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner- Worker's Compensation PRIMARY PURPOSE : To analyze complex or technically difficult workers' compensation claims to...SuggestedFull timeWork at officeLocal area
- Overview The Insurance Specialist is responsible for quoting, issuing, servicing, and retaining property and casualty insurance policies for customers across multiple states. This role works directly with clients and insurance carriers to provide coverage solutions,...SuggestedFull timeTemporary workWork at office
Sun, Inc.
Southfield, MI5 days ago $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...For contractorsWork at officeWork from homeFlexible hours$48k - $75k
...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...Full timeFor contractorsWork at office- ...Overview has an excellent opportunity for a Claims Review Manager to join our Corporate Headquarters in Birmingham AL supporting our scheduling teams. The successful Claims Review Manager will play a critical role in our operations by overseeing a team of claims...Full timeWork at office
NaphCare
Birmingham, MI1 day ago $90k - $127k
...understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that’s aligned to our targeted customer groups. Intact...Full timeWork at officeFlexible hoursAtlantic Specialty Insurance Company
Southfield, MI20 days ago- Job Summary:As a Patient Communications Team Member (PCT), you will often be the first team member to interact with our patients. You have the primary position, in our Perfect Patient Journey model, which will determine the patient’s experience with our practice.Patient...Remote work
Paycom - ATS
Southfield, MI11 hours ago $18 per hour
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, compassionate support, responding...Hourly payFull timeWork at officeFlexible hoursShift workNew Oakland Family Centers
Southfield, MI3 days ago- There are 75,000+ reasons to join Delta Airlines - every current employee has their own. You will keep climbing with complete Compensation & Benefits, amazing Growth & Development and unmatched Travel Perks. Delta is currently hiring for Call Center Agent positions that...Currently hiring
Delta Air Lines
Oak Park, MI1 day ago $21 - $24 per hour
Call Center - Call Center RepresentativeSun-Wed | $21 - $24/hour + Commission & Bonus OpportunitiesAre you looking for a part-time opportunity with a growing company that values customer service and teamwork? Cregger is seeking a motivated and customer-focused Call Center...Extra incomePart timeWork at officeWeekend workAPEX Service Partners
Ferndale, MI4 days ago- ...Claims Processor Location: Allen Park, Michigan (Onsite) Role Overview Member Services Representatives help people understand and navigate health insurance reimbursement claims when they need support. We are looking for empathetic, solution-oriented professionals...Remote workMonday to FridayShift work
Apex Systems
Allen Park, MI3 days ago - 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
The Huntington National Bank
Detroit, MI2 days ago - ...Claims Processor I Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. FLSA Status: Non-Exempt Reports to: Insurance Services and Placement Manager Job Summary: The Claims Processor...Hourly payWork at office
Proctor Loan Protector
Troy, MI3 days ago - ...Claims Administrator The Claims Administrator is responsible for managing and resolving customer and supplier claims, coordinating rejected and quarantined inventory activities, collecting and maintaining claim documentation, and serving as a liaison between customers...For subcontractorLocal area
thyssenkrupp
Detroit, MI4 days ago - ...Claims Examiner Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Proctor Loan Protector provides comprehensive insurance products and service solutions for financial institutions...Hourly pay
Proctor Loan Protector
Troy, MI2 days ago $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 weekThe Hartford Financial Services Group
Troy, MI5 days ago- ..., MI and offers a hybrid work arrangement. As a Insurance Risk Analyst , you will beed to coordinate insurance documentation, administrative... ...insurance, risk management, brokerage, underwriting, claims, or policy administration activities. Familiarity with insurance...Work at officeLocal areaRemote workFlexible hours3 days per week1 day per week
- A leading claims adjustment firm is seeking Independent Insurance Claims Adjusters in Southfield, Michigan. This role offers a dynamic career path with opportunities for growth, flexibility, and competitive compensation. Successful candidates will assist individuals and...Flexible hours
- A leading claims adjusting firm in Michigan seeks Licensed Claims Adjusters to join their dynamic team. With a growing demand for adjusters, this opportunity offers comprehensive training and support to help you excel in your career. As a Licensed Claims Adjuster, you...Flexible hours
- A leading insurance adjusting firm is seeking Licensed Claims Adjusters to join their team in Michigan. This role offers a chance to help clients rebuild their lives after disasters. Candidates are encouraged regardless of experience level, as comprehensive training programs...
- A leading claims adjusting organization in Oak Park, Michigan, is seeking dedicated Independent Insurance Claims Adjusters. This role offers a flexible career path with opportunities for professional development and training. As a licensed claims adjuster, you’ll play...Flexible hours
- 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
4P Consulting
Birmingham, MI1 day ago $600 per month
Financial Services Representative 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...Full timePart timeRemote workFlexible hours2 days per weekSpieldenner Group
Troy, MI1 day ago$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 workUnited Wholesale Mortgage
Pontiac, MI3 days ago$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 officeThe Hartford Financial Services Group
Troy, MI3 days ago$24 per hour
...The Claims Quality Assurance Analyst is responsible for monitoring and documenting production quality in support of departmental goals and initiatives, with a primary focus on claims auditing and claims-related interactions within the Revenue Cycle Management (RCM)...Hourly payFull timeTemporary workLocal areaRemote workFlexible hoursIntegra Partners
Troy, MImore than 2 months ago$50k - $55k
...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto Job Description PRIMARY PURPOSE OF THE ROLE: To analyze and process auto and general liability property...Full timeContract workWork at officeLocal areaFlexible hoursSedgwick
Detroit, MI1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Analyst. Be the first to apply!
Related searches
- remote medical claims processor Southfield, MI
- medical insurance claims specialist Southfield, MI
- medical claims auditor Southfield, MI
- healthcare claims Southfield, MI
- veterans claims Southfield, MI
- claims processing Southfield, MI
- claims analyst work from home
- medical claims assessor
- insurance claims handler
- warranty claims processor