Claims Analyst
Global Information Technology
Job Description
Job Description
Job Title: EDI Claims AnalystJob Location: Remote Job Type: ContractJob Description: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 processingProficiency in SQL and data analysisKnowledge of Edifecs Smart-Trading platform, Availity Essentials, Informatica, and ApigeeFamiliarity with CBH systems, including Connects and FlexicareExcellent problem-solving and analytical skillsAbility to mentor and train team membersExecutive leadership client facingInterested candidates can send their updated resumes at View email address on ziprecruiter.com
Job Posted by ApplicantPro- ...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
- ...Dental Insurance Claims Processor This position will be responsible for handling the day to day functions related to the successful processing of dental insurance claims. This position is responsible for processing payments to accounts according to company policies...SuggestedWork at officeRemote work
$72k - $141k
...potential. This individual contributor position works under general direction, and within broad authority limits, to manage commercial claims with high complexity and exposure for a specific line of business. Responsibilities include the coordination of all claim...SuggestedFull timeWork experience placementWork at officeLocal areaShift work- Corewell Health Southfield is seeking an Epic Analyst to join the Resolute Revenue Cycle Billing team, focusing on optimizing Epic applications to improve patient care and streamline workflows. Under minimal supervision, you will work with users to identify requirements...Suggested
$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 experience placementInternshipWork at officeLocal areaRemote workWork from homeFlexible hours- What You’ll Do The Orthodontic Claims Resolution Representative’s primary role is to resolve high volumes of aging orthodontic insurance claims with payers and providers by calling insurance companies or using their websites when available. The representative should be...Work at officeRemote work
$21 - $24 per hour
...Specialty Claims Analyst The Specialty Claims Analyst will process Disability, SUB, Flex, and Death claims. Provide support for WEX health card users and receive documentation from members through e-mail, fax or by hard copy mail to correctly process submitted claims...Weekly payPermanent employmentFull timeTemporary workLive inWork at officeLocal areaRemote workMonday to FridayFlexible hours$25 - $27 per hour
...Claims Analyst The Claims Analyst will be responsible for medical, dental, and vision claims processing of claims submitted electronically or on hard copy. Each Analyst will specialize in a particular group but is expected to handle claims processing for multiple groups...Hourly payPermanent employmentFull timeTemporary workLive inWork at officeRemote workMonday to FridayFlexible hours- The Hanover is seeking a Consultant Casualty Claims in Michigan with a focus on managing moderately complex casualty claims from intake to resolution. This full-time, exempt role offers a hybrid schedule with two days in the office at one of our Michigan offices (Howell...Full timeWork at office
$200k
...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 hours- ...wholesale brokers and distribution partners Negotiate complex coverage issues and deliver creative solutions Analyze emerging trends, claims activity, and market opportunities Serve as a technical underwriting resource and mentor for colleagues Drive profitable growth...Full timeFor contractors
$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$62k - $88k
...Claim Representative Our employees are at the heart of what we do: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you are bringing this purpose to life alongside a passionate community. Feel empowered...Full timeWork at officeFlexible hours- Michigan Department of Health and Human Services (MDHHS) seeks a Disability Examiner to learn, assess, and adjudicate disability claims using medical and vocational evidence. The position involves progressive case assignments, with oversight from experienced staff, and...Remote job
- Sedgwick is seeking a Sr Disability Representative to manage complex disability claims, determine benefits, and ensure timely payments. The role involves reviewing medical documentation, coordinating with providers, and negotiating return-to-work arrangements with physicians...
- CNA Insurance is looking for a Complex Claims Consultant to join their team in Southfield, Michigan. This role involves managing mid to high severity claims, ensuring compliance with company protocols, and collaborating closely with internal and external partners. The...
- CNA Insurance seeks an experienced Senior Claims professional to manage highly complex commercial claims with large exposures, applying deep technical expertise and coordinated investigation. You will verify coverage, establish reserves, negotiate settlements, and lead...
- Great Expressions Dental Centers is seeking an Orthodontic Claims Resolution Representative based in Southfield, MI. The primary role is to resolve high volumes of orthodontic insurance claims by communicating with payers and providers. This position offers a hybrid schedule...Remote jobWork at office
- ...learn and apply complex Social Security disability program standards to medical and vocational evidence. The role develops disability claims under supervision, with access to electronic case processing and ongoing training. Opportunities include gradual increases in case...Remote job
- ...Senior Claims Support Analyst AAA Life is a respected and trusted American brand that has been focusing on Life Insurance and Annuity Products since 1969. At AAA Life we have over 1.8 million policies where we take pride in earning the trust of our policyholders who...Work experience placementH1bWork at officeRemote workRelocationFlexible hoursWeekend work
- ...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...
- Berkley Edge, a division of W. R. Berkley Corporation, is seeking an experienced Senior/Executive Underwriter to join our team in the United States. The role focuses on Manufacturers & Contractors, Excess & Surplus, and Wholesale Brokerage Distribution, with opportunities...For contractors
- ...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
- United Road is seeking a Claims Analyst to support our Risk Management/Quality Department. The role involves analyzing cargo claims, managing resolution processes, and collaborating with various stakeholders to mitigate losses effectively. The ideal candidate will have...
$97.7k - $130.3k
Who We AreJoin a team that puts its People First! First American's Agency Division is dedicated to providing our policy-issuing agents with resources, services and underwriting guidance needed to achieve new levels of success. Since 1889, First American (NYSE: FAF) has ...Full time$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- ...Claims And Program Representative As a Claims and Program Representative, you will: # Handle calls through the Nationwide Toll-Free Service (NTFS) which may come from any area within the network or from another network. # Develop and maintain liaison with railroad...Work at officeLocal area
- ...Bodily Injury Claims Representative A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. We offer a merit-based work-from-home program...Work at officeLocal areaWork from home3 days per week
- ...Claims Trainee A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. We offer a merit-based work-from-home program based on job responsibilities...TraineeshipLocal areaWork from home3 days per week
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Analyst. Be the first to apply!
- claims assistant Southfield, MI
- insurance claims processor Southfield, MI
- claim examiner Southfield, MI
- medical insurance claims specialist Southfield, MI
- claims consultant Southfield, MI
- claim specialist Southfield, MI
- claims processor Southfield, MI
- claims analyst Southfield, MI
- remote medical claims processor Southfield, MI
- claims attorney Southfield, MI


