Claims Center Business Analyst
Veriipro
We are seeking an experienced Claims Center Business Analyst with a strong background in Guidewire ClaimCenter projects. The ideal candidate will have hands-on experience in the claims lifecycle, product configurations, integrations, and Agile delivery methodologies. This role involves collaborating with cross-functional teams to gather requirements, define business processes, and support implementation and troubleshooting activities. Roles and Responsibilities Serve as a subject matter expert in Guidewire ClaimCenter, including claims lifecycle, integrations, out-of-the-box functionality, product model, business rules, and incident troubleshooting. Collaborate with business stakeholders, developers, and QA teams in Agile environments to deliver high-quality solutions. Document detailed Software Requirements Specifications (SRS), use cases, and wireframes to support development and implementation. Utilize defect and ticketing tools (e.g., Rally, JIRA) to document requirements, user stories, and defects, and track progress throughout the project lifecycle. Participate in daily stand-ups, sprint planning, and cross-functional team meetings to ensure alignment and timely delivery of requirements. Analyze business processes and provide recommendations for system enhancements or process improvements. Assist in incident investigation, root cause analysis, and resolution of issues within ClaimCenter. Required Qualifications 4+ years of experience with Guidewire ClaimCenter projects, including functional and technical understanding of the system. Strong experience with Agile methodologies and practices. Proven ability to produce detailed SRS documents, use cases, and wireframes. Experience working with defect/ticketing tools such as Rally, JIRA, or similar platforms. Strong collaboration and communication skills, with experience working daily within cross-functional teams. Analytical and problem-solving skills, with a keen eye for detail. Preferred Qualifications Prior experience with ClaimCenter integrations and product model customization. Knowledge of insurance claims processes across multiple lines of business. #J-18808-Ljbffr
$70.1k - $126.2k
...productivity Collaborate with subject matter experts and system business owners to ensure accuracy of documentation and make updates as... ...understanding of coding rules (CPT, HCPCS, ICD) ~4+ years of claims payment/analysis experience ~4+ years of experience in...ClaimsFull timePart timeWork at officeRemote workFlexible hours$46.99k - $122.4k
...Position Summary The Business Support Senior Analyst serves as a critical bridge between Third Party Revenue Cycle business operations and IT teams... ..., and associated best practices within revenue cycle and claims processing operations. Education Bachelor's Degree or...ClaimsHourly payFull timeTemporary workWork at officeLocal area$69.2k - $148.2k
...we help shape the future. We’re in the business of helping people achieve amazing things... ...our team of underwriters. They’re at the center of everything we do - and by joining us,... ...force behind our best in class underwriting, claim and risk engineering capabilities....ClaimsTemporary workWork at officeRemote work3 days per week- ...Care Unit for babies with special needs and has the only Pediatric Center hospital‑based outpatient multidisciplinary pediatric therapy... ...imaging services. Ensures accurate charge capture, payment posting, claim resolution, and compliance with all applicable federal, state,...ClaimsFull timeLocal area
- ...manufacturer of consumer products , is seeking a Financial Processing Analyst to support high-volume rebates and chargebacks operations .... ...and timely Investigate discrepancies and challenge inaccurate claims Maintain detailed documentation to support disputes and...ClaimsContract work
- ...responsible for managing billing processes, ensuring accurate coding and submission of claims and payment follow-up. This role is crucial in facilitating the financial operations of our centers while ensuring compliance with healthcare regulations. Responsibilities Review...Claims
- ...Relationship Advisor Full-Time (Contact Center) Lake Mary Job Category: Contact Center Requisition... .... Our goal is to make it easier to do business with Addition Financial as we provide... ...of address, opening sub‑accounts. Submit claims to the appropriate department and inform...ClaimsFull timeWork at officeShift work
$46.22k - $69.33k
...The Hartford is seeking a Leave Management Analyst to oversee claims and assist customers in their return-to-work process. This role offers flexibility, as candidates may work hybrid or remote while getting support for career growth. Your responsibilities include collaborating...ClaimsRemote work- The Claims Processor is responsible for collecting, reviewing, and assembling total loss documentation to determine eligibility for GAP... ...review team for final disposition. Handle inbound calls in a call center environment regarding claim status, documentation requirements,...Claims
- ...is a growing health care organization with offices in Sun City Center area and Bradenton. Our focus is on providing our patients with... ...procedures, diagnoses, and treatments Prepare and send invoices or claims for payment Correct rejected claims Track payments Follow up...ClaimsFull timeWork at office
- ...Relationship Advisor Full-Time (Contact Center) Chattahoochee Job Category: Contact Center... .... Our goal is to make it easier to do business with Addition Financial as we provide world... ...address, opening sub-accounts, etc. Submits claims to the appropriate department and informs...ClaimsFull timeWork at officeShift work
$82.6k - $133k
...talented Brunswick Boat Group (BBG) Technology Center team, you will be responsible for the... ...Support industrial design with space‑claim analysis and feasibility studies Provide... ...related knowledge/skills, relevant experience, business needs, and geographic location. In...ClaimsWork experience placementWork at officeLocal area- ...for accuracy and completeness. Resolve billing discrepancies and claim issues. Follow up on denied or unpaid claims. Communicate with... ...as assigned. Perform other duties as needed to support center operations. Requirements Required Qualifications Excellent organization...ClaimsWork at office
$35.88k - $41.26k
...required. This position allows eligible veterans and their spouses to claim Veterans’ Preference pursuant to Florida Statute 295. Certain... ...Job Details Job Title: Administrative Specialist III (Weston Center) Position Number: P0056439 Job Status: Full time Regular...ClaimsFull timeTemporary workPart timeWork at officeMonday to FridayShift workWeekend workDay shift- ...of coverage terms, and ongoing administration. Manage global claims management programs for all lines of insurance, including supporting... ...Some travel may be required. Education Bachelor’s degree in Business, Risk Management or related field from an accredited college or...Claims
$46.22k - $69.33k
...Overview Ability Analyst - C410AN We’re determined to make a difference and are proud to... ...Management Analyst primarily investigates claims to determine if the insured person qualifies... ...After Training: Monday-Friday; core business hours with flexible start and end times Responsibilities...ClaimsTemporary workWork at officeImmediate startRemote workMonday to FridayFlexible hours$76.3k - $127.1k
...Educate on benefit investigation, prior authorization, support center services, Medicare and commercial coverage, and patient communication... ...‑management assistance: billing and coding updates, appropriate claims submission, specialty pharmacy support, medical benefit...ClaimsWork at office- ...OVERVIEW MCI is one of the fastest-growing tech-enabled business services companies in the USA, with a strong call center footprint and operations that extend across... ...(BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider...ClaimsFull timeContract workTemporary workCasual workWork at officeLocal areaRemote workWork from home
- ...and allow you to focus on managing your business growth. We provide the ongoing skill development... ...years experience as systems or business analyst. Excellent communication, business,... ...with Mercury Test Director/Mercury Quality Center/ALM or related a plus. Experience with...Contract workTemporary work
- ...personalized service offering advice and guidance to financial center clients through the full spectrum of borrowing and banking offerings... ...Has demonstrated experience and proven success with business-to-business sales and/or small business banking Has strong communication...Shift workDay shift
- ...Business Development Director Florida, United States Business Full-time remote We are looking for our first Business Development Director... ...and AI solutions with value propositions for underwriting, claims, risk, and customer experience Leading client presentations, demos...ClaimsFull timeContract workRemote work
$106.4k - $159.6k
...A leading insurance provider seeks a Claim Specialist for their Complex Claims Unit. You will manage complex construction defect claims, requiring expert analysis and negotiation skills. This role offers hybrid or remote options, with a competitive salary range of $106...ClaimsRemote work- ...Ascendo Resources is seeking a Claims Processor in the Town of Florida, NY. This position involves collecting, reviewing, and processing total loss documentation for GAP/waiver claims. Candidates are expected to maintain accurate records and communicate with all parties...Claims
- ...accurate COB information for our members in New York. This role involves researching other health insurance coverage and supporting claims adjudication by maintaining records and compliance with Medicare regulations. Candidates should have a high school diploma and...Claims
- ...critical role in ensuring billing accuracy, which supports patient access to infusion therapy. You will prepare and submit insurance claims, process claims to various payers, and maintain billing compliance. This role requires strong attention to detail, a customer-...ClaimsRemote work
$70k
...A growing automotive dealership is seeking a Business Development Agent for their Call Center team in Florida. This role offers the potential to earn up to $70,000 annually through competitive pay and benefits, including health care and paid time off. Responsibilities...- ...potential. The Sales Director is in the center of our critical relationships with our clients... ...(BA/BS) Auto OR Workers Compensation Claims experience (Preferred) IME sales... ...as assigned dependent on the needs of the business. Special Skills and Attributes: Business...ClaimsTemporary workLocal areaRemote work
- A leading claims adjusting company based in the United States is looking for Independent Insurance Claims Adjusters. This role offers a rewarding career path, where you'll support individuals and businesses during their recovery from unforeseen disasters. With a focus...Claims
- ...regulations. Responsibilities include reviewing unbilled cases, monitoring billing accuracy, and following up on claims. Candidates should have 5 years of Surgical Center billing experience and strong knowledge of outpatient surgical procedures. This role offers essential...Claims
- 200 CRC Insurance Svcs LLC is looking for a Complex Claims Manager specializing in construction defect and environmental claims in New York. The ideal candidate must have a Bachelor's degree and at least 5 years of experience in managing insurance claims. The role involves...Claims
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