Claims Analyst
Global Information Technology
EDI Claims AnalystThe 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 facing
- ...innovative solutions and services that help our clients optimize their operations and captivate their customers. Job Description The Claims Specialist provides program claim review, claim entry assistance to both dealers and field personnel as needed. The Claims...SuggestedFull time
- ...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
$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 work$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 hours$120k - $150k
...Claims Team Manager - Automobile Insurance - Birmingham, MI Insurance Claims Manager Claims Supervisor Team Leader Leadership Commercial Auto General Liability Automobile Insurance Commercial Claims Personal Bodily Injury Property Damage _ . Oversee claims functions for...SuggestedContract workRelocation package$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$70k - $88k
...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- ...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 adjusting firm in Michigan is seeking Independent Insurance Claims Adjusters. This role involves helping clients recover from disasters while providing training for aspiring adjusters. The position offers flexibility, autonomy, and competitive compensation...Flexible hours
- ...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
- Senior Provider Contractor Independently manages a portfolio of provider contracts and serves as an experienced Senior individual contributor for contract development, provider negotiations, implementation, compliance, and contract renewals. This role leads moderately...Full timeContract workFor contractorsMonday to FridayShift work
- ...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
$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 hours$750 per week
ApexFocusGroup collaborates with research firms, universities, and trusted brands to gather genuine consumer insights. We help connect everyday people with flexible remote market research opportunities that influence real products, services, and customer experiences. Role...Part timeCasual workRemote workFlexible hours$21 - $24 per hour
Part-Time Weekend Call Center Representative Saturday & Sunday Only | $21 - $24/hour + Commission & Bonus Opportunities Are you looking for a part-time opportunity with a growing company that values customer service and teamwork? Cregger is seeking a motivated and...Hourly payExtra incomePart timeWork at officeWeekend work- Call Center Representative 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...Work at officeFlexible hours
$16.5 - $18.5 per hour
Job Details Job Location: Southfield - Southfield, MI 48034 Salary Range: $16.50 - $18.50 Hourly 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...Hourly payRemote work- ...Claims ExaminerBuilt 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....
- ...company culture rewards self-starters and those who are committed to doing what is best for our customers. Job Title & Details Title: Claims Processor I FLSA Status: Non-Exempt Reports to: Insurance Services and Placement Manager Job Summary The Claims Processor is...Hourly payWork at office
- ...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
- ...PIP Claims RepresentativeA 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...Local areaWork from home3 days per week
- ...Bodily Injury Claims RepresentativeA 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...Work at officeLocal areaWork from home3 days per week
$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$70k - $140k
DescriptionSummary: The Business Banking Underwriter III is responsible for underwriting Business Banking loans to determine credit worthiness and compliance with Bank lending policy. Duties & Responsibilities:Supports Business Banking production by maintaining an individual...Full timeWork at officeRemote workWork from homeFlexible hours- 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...
- 1342 Together with our parent company and its subsidiaries, we operate Career Level: Professionals I Location: Southfield I Job-ID: 1342 Together with our parent company and its subsidiaries, we operate worldwide and rank among the leading companies for data communication...Contract workWork at officeImmediate startWorldwideFlexible hours
- Overview The Mission: Become a Master Underwriter. At AD Mortgage, we don’t just hire Underwriters; we build them. We are looking for sharp, analytical minds ready to dive into our intensive Underwriting Training Course. You’ll learn the intricacies of Fannie Mae and Freddie...Full timeWork at officeMonday to Friday
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