Senior Claims & Complex Issues Analyst
University Health
University Health - San Antonio is hiring for a role focused on analyzing complex problems related to claim payments and eligibility. The ideal candidate will consult with claims staff and work collaboratively with various departments. A high school diploma or GED is required alongside five years of HMO/PPO claims experience. Knowledge of the Amisys claims processing system is preferred. This position operates under limited supervision and promotes harmonious departmental relationships. #J-18808-Ljbffr University Health
$28.27 - $50.48 per hour
...Provides support related to coding and billing issues to maintain compliance with policies,... ...-service, pre-payment or post-payment claims, which requires interpretation of state and... ...to use logical reasoning for simple and complex problem solving All Telecommuters will be...SeniorClaimsHourly payMinimum wageFull timeWork experience placementLive inLocal areaRemote work- ...Registered Nurse Registred Nurse to perform research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment...SeniorClaims
$75 per hour
...A leading risk and claims administration partner is looking for a Field Adjuster based in San Antonio, Texas. The role requires 5+ years of property insurance adjusting experience, handling complex loss valuations. Responsibilities include conducting loss inspections,...SeniorClaimsHourly pay- A leading risk and claims administration partner is seeking a skilled professional to address high-end cases involving serious injuries and complex coverage scenarios. The ideal candidate has at least ten years of experience in litigation and claims management, and must...SeniorClaims
- ...Denial Management Analyst The Denial Management Analyst manages disputed or denied claims by analyzing medical records and payer policies... ...appeals process, escalating issues when necessary. Stakeholder... ...skills, capable of managing complex and high-priority projects...ClaimsContract workWork at office
$63.59k - $114.45k
...AlphaStaffHCM is seeking an Inside Senior Property Adjuster to handle complex property insurance claims. This position entails investigating, negotiating, and settling claims, while providing strong operational support. Candidates should have at least 2 years of relevant...SeniorClaimsWork at office$130k
...you ready to take the lead on technically complex projects that build stronger, more... ...specification, contract conflicts, and scheduling issues. Leads engineering and scheduling teams... ...with management to resolve any project claims. Conducts project debriefs to review all...SeniorClaimsContract workLocal area- ...seeking a permanent, full-time Operations Research Analyst to provide expertise in developmental studies at... ...in evaluating project feasibility, consulting to senior officials, and developing models to resolve complex issues. Salary ranges from $107,446 to $164,301 for 2026...SeniorPermanent employmentFull time
$90k - $115k
...Recruiter and Talent Acquisition Specialist Senior Contracts Analyst Supporting the DHA This is a Full-... ...; preparing the award documentation; issuing the award; processing requests for a... ...-finding, analysis, and resolution of complex problems, and the ability to develop concrete...SeniorFull timeContract workFor contractorsWork at office- Job Title: Senior Contract Analyst Location: San Antonio, TX Clearance Required: Public Trust Clearance... ...company: At VivSoft, we aim to solve complex federal problems using emerging and... ...ability to handle complex acquisition issues, perform detailed analysis, and...SeniorFull timeContract workFor contractors
$80k - $95k
...Senior Account Manager - Commercial Lines Hybrid Preferred: 1-2 days in Columbia, SC office... ...customer service activities, resolving complex issues, and ensuring no errors or omissions.... ...requests, policy administration, billing, claims, and coverage analysis. Manage policy...SeniorClaimsFor contractorsRemote work- ...transformation company. We are seeking a Senior Analyst (Lead IMCOM) to support the Army... ...supporting IMCOM coordination, reporting, and issue resolution across the Army TAP program.... ...briefing capabilities. Ability to synthesize complex information into clear, actionable...SeniorWork at office
$80k - $100k
...Senior Account Manager - Commercial Lines Fully Remote: Eastern or Central Time Zones... ...customer service activities, resolving complex issues, and ensuring no errors or omissions. Serve... ...requests, policy administration, billing, claims, and coverage analysis. Policy...SeniorClaimsFor contractorsRemote work$100k
...meet the unique coverage and claims-handling needs of businesses.... ...Description Business Title(s): Senior Construction Defect Technical... ...and adjudicating our most complex construction defect claims for... ...understanding of a broader set of issues. Reporting to senior...SeniorClaimsFull timeLocal areaRemote work- ...engagement, including operational coordination, issue resolution, and escalation management... ...of experience as a Business Systems Analyst or similar role Experience working with... ...dependencies Ability to analyze and document complex system flows and configurations Strong...SeniorWork at office
$103.45k - $197.73k
...seeking a talented Business Intelligence Analyst Senior to join our USAA Corporate Office in... ...Intelligence Analyst Senior, you will analyze complex business problems using data from... ...functional efforts to address critical business issues. Key Responsibilities &...SeniorH1bWork at officeRemote workRelocation packageFlexible hours- ...requires at least 5 years of experience adjusting property insurance claims and a minimum of 3 years in a supervisory capacity. The candidate will guide a team of adjusters, manage escalated issues, and ensure compliance with all company procedures and regulatory standards...SeniorClaimsWork at office
- ...Sr. Claims Specialist BITCO Corporation is seeking a Sr. Claims Specialist to join our... ...delivers tailored insurance solutions to complex industries such as construction, forest products... ...coverage, liability, legal and damage issues, and investigating, evaluating, and...SeniorClaimsTemporary workWork at officeRemote workFlexible hoursNight shift
$103.45k - $197.73k
...Opportunity We are seeking a dedicated Claims Litigation Manager Senior - Auto . This role is remote... ...role is responsible for managing complex litigation arising out of the auto or... ...exposure, cases with complex coverage issues, declaratory judgment actions and...SeniorClaimsContract workWork experience placementH1bWork at officeRemote work3 days per week- ...contractor support to USDA’s Claims Support Section within the U.S... ...related to real estate values and issues impacting SFH-GLP risk and... ...and summaries) and communicate complex/controversial issues effectively... ...in working effectively with senior leaders, cross-functional teams...ClaimsContract workFor contractors
$45k - $55k
...Member Services Analyst The Member Services Analyst for the Institutional... ...authorizations, enrollments, claims, grievances, and appeals in... ...relevant member service issues, unmet needs, or quality concerns... ...the ability to communicate complex benefit information in plain language...ClaimsWork at office$75k - $90k
...This position is for our subsidiary: Claim Assist Technologies, LLC. To learn more, visit us at Job Title: Business Analyst Location: San Antonio, Texas (On-site) Job Type:... ...trends and user feedback Prioritize incoming issues and requests Assist with training material...ClaimsFull time$81.7k - $135k
...Tax - Sales and Use Lookback Review COE - Senior Will you shape the future or will the... ...role presents the challenge of working on complex issues where analysis of variable factors is... ...Prepare and defend sales and use tax refund claims Participation on a motivated team of...SeniorClaimsSummer holidayImmediate startFlexible hours$143.32k - $273.93k
...this position. What you'll do: * Performs complex and often unique work assignments... ...team, including leadership, on escalated issues and navigates obstacles to deliver work product... ...with finance, investments, product, and senior leadership teams Compensation range: The...SeniorH1bWork at officeRemote workRelocation packageFlexible hours- ...accounts while collaborating with senior teammates Utilizing... ...will resolve service-related issues independently but know when to... ...years client service and/or claims management experience -OR- High... ...education, pay market/geography, complexity or scope, specialized skill...SeniorClaimsFull timeLive outWork at officeLocal areaFlexible hours
$77k - $93.5k
Progressive is hiring a Senior Claims Specialist in San Antonio, Texas. You will investigate complex injury claims, working closely with various stakeholders to assess liability and coverage. This hybrid role allows for office attendance roughly four days per month, offering...SeniorClaimsWork at office- ...updates and information to the PFS Leadership Team regarding errors, issues, and trends related to activities affecting productivity,... ...effective written and verbal communication. Billing Review and work on claim edits. Works payor rejected claims for resubmission. Works...SeniorClaimsFull timeWork at officeMonday to Friday
- ...and enjoys building strong relationships while managing complex employee benefits programs. This role supports clients by... ...Partner with carriers, vendors, and internal teams to resolve claims and benefit‑related issues. Support client communications related to benefit plans,...SeniorClaimsWork at office
$100k
Senior Pre-Litigation Attorney Property Insurance Job Openings Senior Pre-Litigation Attorney... ...handling property damage insurance claims (plaintiff- or defense-side experience is... ...property damage claims and first-party coverage issues Ability to manage a large docket with...SeniorClaimsWork at office$100k
Arrive Logistics, based in San Antonio, Texas, seeks a Claims Analyst to oversee a portfolio of complex cargo claims often exceeding $100,000. This role demands legal and financial acumen, alongside leadership skills in external communications. Responsibilities include...SeniorClaims
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