Provider Pricing & Claims Configuration Analyst
Community First Health Plans
A health care organization in San Antonio is seeking a Provider Pricing Configuration Analyst to ensure claims payment accuracy through the management of provider contracts and fee schedules. The role involves problem analysis and acting as a liaison between departments. The ideal candidate will hold a Bachelor's degree in computer science or healthcare and possess SQL experience. Effective communication and analytical skills are essential for success in this position. #J-18808-Ljbffr Community First Health Plans
$93.77k - $179.24k
...seeking a talented Life Actuary Associate to join the Life Company Pricing Team. This team works to offer sound and competitive term and... ...for this position is: $93,770 - $179,240 USAA does not provide visa sponsorship for this role. Please do not apply for this role...SuggestedH1bWork at officeRemote workRelocation package- .../RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system... ...staff in complex claim issue resolution. Work cooperatively with Configuration in testing of contracts used in business operations and...Suggested
$110k - $138.06k
...110000 to $138059**Capgemini provides compensation range information... ...**The Senior Business Analyst Life Insurance will lead end-... ...NAIC IRDAI* Support product configuration policy admin system upgrades... ...reviews new business underwriting claims billing commissions* Identify...SuggestedFull timeLocal area$51.37k - $92.06k
...you are responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to-end... ...range for this position is: $51,370 - $92,060 . USAA does not provide visa sponsorship for this role. Please do not apply for this...SuggestedH1bWork at officeRelocation packageAfternoon shift3 days per week$82.8k - $124.2k
...Claims Analyst FL - CV08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages... ...Commission or similar State agencies. This role will also provide support to EPL Team Leader and other EPL team members requiring...SuggestedTemporary workWork at officeRemote work3 days per week- ...POSITION SUMMARY/RESPONSIBILITIES Acts as Claims department resource to coordinate, analyze, and improve departmental performance... ...to implement change and monitor performance. Responsible for providing project coordination through research, data collection and analysis...
$100k
...Claims Analyst Arrive Logistics is a leading transportation and technology company in North America with plans to grow significantly... ...remarkable team and what we're building together. We're committed to providing employees with a meaningful work experience and have...Work experience placementCasual work- ...primary role will be to underwrite and actively pursue new business pricing, servicing the needs of our brokerage partners on an account by... .... In addition, you'll coach and mentor staff on your team, providing support to junior underwriters. Agency Management Typically...Temporary workFlexible hours
- ...Position : Claims/Data Entry Specialist Location : San Antonio, TX Duration : 12... ...Claims department is responsible for providing post order support to resolve disputes submitted... ...closely with client National Contracts, Pricing, Sales Support, GDC and Transportation...Contract workDay shift
$85.04k - $162.55k
...responsible to adjust complex auto and homeowner bodily injury claims, UM/UIM , and small business claims to include confirming... ...workload to keep members and other involved parties informed and provides timely claims status updates. Collaborates and supports team...Contract workH1bWork at officeRemote work3 days per week$60k - $77k
...Destination: Progress. As an auto damage claims adjuster, you'll serve as Progressive's... ...shops and others to negotiate repair pricing and assess liability. Ideal candidates... ...attention to detail and a passion for providing excellent customer service....Temporary workWork experience placementWork at officeLocal areaFlexible hours- ...company is looking for a Senior Consultant specializing in Guidewire Policy Center and Claim Center. The role involves configuring systems, collaborating with clients, and providing training and support. Ideal candidates have proficiency in Guidewire platforms, strong...Contract work
- A leading healthcare solutions provider in San Antonio is looking for a skilled Claim Examiner to manage claims processing and adjudication. You will conduct claims research, ensure compliance with policies, and maintain effective communication with clients and providers...Full timeWork at office
- ...retire from the office but not from work . Our unique platform provides you with real work/life balance and allows you to choose a full... ...available to help our insurance carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include:...Remote jobFull timePart timeWork experience placementWork at officeWork from home
- ...* 3-5 years of insurance field/property claims handling or adjusting experience* Solid... ...industry repair procedures and local market pricing.* Submits severe incident reports,... ...standards of professional conduct while providing delivery of outstanding claim's service....Temporary workCasual workLive inWork at officeLocal areaWork from homeNight shift
$75 per hour
...PURPOSE Appraisal Assignment Execution Review claim files assigned to appraisal to understand... ...discussions to narrow scope and pricing differences when possible. Participate in... ...of appraisal-eligible valuation matters. Provide clear rationale supporting the company’s...For contractorsWork at officeLocal area$60k - $70k
...total loss evaluations. Negotiate agreed price with shop decision maker and set time-bound... ...of all supplement requests. Proactively provide customers with information regarding... ...vehicle’s cost of repair estimate and explain claims/repair process. Maintain accurate vehicle...Work at officeLocal areaFlexible hours- ...Gallagher Bassett is seeking a Claims Adjuster to manage claims exposure and provide exceptional customer service. This role, based in San Antonio, Texas, is eligible for fully remote work. The ideal candidate will have a minimum of 5 years of experience with a commercial...Remote workFlexible hours
$57.97k - $97.82k
...attorney involved soft tissue bodily injury or auto PIP/MP medical claims to include confirming coverage, determining liability,... ...guidelines with clear documentation to support accurate outcomes. Provides advice and sets expectations into next steps to members. Collaborates...Contract workH1bWork at officeRemote workRelocation packageMonday to FridayAfternoon shift3 days per week$57.97k - $97.82k
...negotiate, and settle low to moderate complexity property insurance claims. You will confirm/analyze coverage, recognize liability... ...range for this position is: $57,970 - $97,820. USAA does not provide visa sponsorship for this role. Please do not apply for this role...Hourly payH1bWork at officeLocal areaRemote workRelocation packageMonday to FridayShift workAfternoon shift3 days per week- ...Occupational Injury & Claims Administrator Spreetail propels brands to increase their ecommerce market share across the globe while... ...fulfillment network. This role is primarily responsible for providing real-time injury intervention at the point of care, ensuring seamless...Immediate start
- ...am - 4:30pm CST for 4 weeks What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare... ...Insurance complaints, and authorize payment to claimants and providers. Overpayment reviews and recovery of claims overpayment;...Full timeTemporary workPart timeWork experience placementWork at officeMonday to FridayFlexible hours
- ...Claim Representative / Sr. Claim Representative This position can be filled as a Claim Representative or Sr. Claim Representative... ...workers' compensation claims. Our dynamic team of claim professionals provide superb customer service with the valuation, disposition and...Remote work3 days per week
$75k - $80k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto | Bodily Injury PRIMARY PURPOSE OF THE ROLE: To... ...discretion; ability to meet deadlines. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired...Work at officeLocal areaFlexible hours$62.4k - $93.6k
...Sr Representative Claims - CH08BE Sr Representative Clms CA - CH08AN Consultant Claims CA - CH08BN Consultant Claims - CH08... ...the claimant’s best interests ~ Leader among claim handlers providing advanced expertise to teammates in solving problems ~ College...Full timeTemporary workPart timeWork experience placementWork at officeRemote workMonday to Friday3 days per week$108.8k - $163.2k
...Sr Claims Analyst FL - CV08DE 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....Temporary workWork at officeRemote work3 days per week- ...Fortune Best Workplaces in Financial Services & Insurance Claim Examiner - General Liability and Product Liability Are you looking... ...00 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for...Flexible hours
$75k - $90k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Auto - Commercial Trucking I Remote (Pacific or... ...Visual: Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired...Remote workFlexible hours$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto Job Description PRIMARY PURPOSE: To... ...check, is required for this position. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired...Contract workWork at officeLocal areaFlexible hours- ...Participate in cohort‑based, instructor‑led training sessions and case studies Learn core underwriting concepts, risk evaluation, pricing, and policy structure Apply training directly in the office through hands‑on underwriting experience alongside a dedicated mentor...Work experience placementWork at office
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