Claims Analyst
2 weeks ago
POSITION SUMMARY/RESPONSIBILITIES
Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff in complex claim issue resolution. Work cooperatively with Configuration in testing of contracts used in business operations and reporting to assure auto adjudication. Perform in accordance with company standards and policies. Promote harmonious relationships within own department, with other departments and within CFHP. Operate under limited supervision.
EDUCATION/EXPERIENCE
High school diploma or GED equivalent is required. Five years HMO/PPO claims experience required. Amisys claims processing system experience preferred. Knowledgeable of all benefit programs offered by the CFHP, Medicaid, HMO, PPO, ASO.
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Claims Analyst
2 weeks ago
San Francisco, United States BRIDGE Housing Full timeSummary The Claims Analyst is responsible for completing requests for certificates of insurance and ensuring that property and general liability claims are completed accurately and . The Analyst also provides day-to-day support to Insurance team related to all lines of insurance, incident reporting/tracking and policy renewals, based on the direction of the...
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Claims Analyst
2 weeks ago
San Francisco, United States Bridge Housing Corporation Full timeJob DescriptionJob DescriptionSummaryThe Claims Analyst is responsible for completing requests for certificates of insurance and ensuring that property and general liability claims are completed accurately and. The Analyst also provides day-to-day support to Insurance team related to all lines of insurance, incident reporting/tracking and policy renewals,...
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Claims Analyst
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San Francisco, United States BRIDGE Housing Full timeSummary The Claims Analyst is responsible for completing requests for certificates of insurance and ensuring that property and general liability claims are completed accurately and . The Analyst also provides day-to-day support to Insurance team related to all lines of insurance, incident reporting/tracking and policy renewals, based on the direction of the...
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Claims Analyst
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Claims Analyst
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Claim Analyst
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San Antonio, United States Insight Global Full timeRequired Skills & Experience * Bachelor of Science degree in Health Information Management, Information Systems, Data Processing, Mathematical, or Clinical.* 8 years' experience in product management or product ownership role(s)* MUST have 5 years' experience in Health Care, specifically dealing with Health Plan (MCO) claims and clinical data.* Technical...
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Claims Analyst
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