Claims Analyst

Job SummaryDel Monte Fresh Produce Company NA Inc is seeking a highly skilled Claims Analyst to join our team. As a Claims Analyst, you will play a critical role in researching open invoices and processing pending open claims in a timely manner.Key Responsibilities:Review and research deductions on customers to ensure compliance with company policies and...

About the RoleWe are seeking a highly skilled Claims Analyst to join our Risk Management team at Lennar Homes. As a Claims Analyst, you will play a critical role in protecting the financial assets of our company by analyzing, advising on, and managing Workers' Compensation, General Liability, Property, Builders Risk, and Auto claims.Key...

Job OverviewAbout PayerFusion:PayerFusion is a dynamic service-oriented organization, recognized as a licensed third-party administrator. We are committed to attracting exceptional talent and seasoned professionals to surpass our clients' expectations. Our innovative strategies are designed to provide a distinctive experience for healthcare providers,...

Job OverviewCompany Overview:PayerFusion Holdings LLC is a premier service organization dedicated to providing exceptional solutions as a licensed Third-Party Administrator. We are actively seeking talented and knowledgeable professionals who can exceed our clients' expectations. Our commitment to innovation ensures a unique experience for healthcare...

Job SummaryWe are seeking a detail-oriented and experienced Veterinary Technician to join our team at Kanguro Insurance. In this role, you will be responsible for reviewing and processing medical records related to new business policies and claims. Your expertise in veterinary medicine will play a critical role in ensuring the accuracy and completeness of...

Job OverviewWe are seeking a dedicated Pharmacy Benefit Compliance Analyst to join our team. This role is essential in ensuring adherence to pharmacy benefit management standards and contractual obligations.Key Responsibilities:Primary duties include:Analyzing and interpreting PBM contracts to identify relevant pricing provisions.Reviewing plan design...

About the RoleWe are seeking a highly skilled Epic Senior Analyst Resolute Patient Billing to join our team at the University of Miami Health System. As a key member of our Information Technology Department, you will play a critical role in overseeing and leading the implementation, build, and modification of the Resolute Patient Billing application.Key...

Job SummaryWe are seeking a highly skilled Epic Senior Analyst to join our team at the University of Miami. As a key member of our revenue cycle management team, you will be responsible for overseeing and leading the implementation, build, and modification of the Epic Resolute Hospital Billing application.Key ResponsibilitiesInitiate the design, development,...

Job OverviewPalm Medical Centers is seeking a skilled Data Analyst to work closely with essential corporate and health plan stakeholders. The primary objective is to develop and deliver comprehensive reporting and analytical capabilities that enhance overall business performance.Key Responsibilities:Conduct root-cause analysis of data discrepancies,...

Job Title: Sr. Business AnalystJob Summary:The Sr. Business Analyst will be responsible for conducting thorough data analysis, designing and implementing analytic programs, generating reports, and collaborating with various teams to ensure the company has the necessary data to optimize resources, product performance, and maximize market share.Key...

Job Title: Epic Senior Analyst Resolute Patient BillingJob Summary:The University of Miami Health System is seeking a highly skilled Epic Senior Analyst to join our team. As a key member of our Resolute Patient Billing team, you will be responsible for overseeing and leading the implementation, build, and modification of the application, as well as...

Job Title: Senior Risk AnalystAligned Solutions is seeking a highly skilled Senior Risk Analyst to join our team. As a key member of our risk management department, you will be responsible for overseeing the analysis, assessment, and management of risks across our insurance programs.Key Responsibilities:Risk Assessment and Analysis: Conduct in-depth analysis...

Job Title: Senior Risk AnalystAligned Solutions is seeking a highly skilled Senior Risk Analyst to join our team. As a key member of our risk management department, you will be responsible for overseeing the analysis, assessment, and management of risks across our insurance programs.Key Responsibilities:Risk Assessment & Analysis: Conduct in-depth analysis...

Job SummaryWe are seeking a highly skilled Epic Senior Analyst to join our team in Resolute Professional Billing. As a key member of our team, you will be responsible for overseeing and leading the implementation, build, and modification of the application, as well as collaborating with stakeholders, end-users, and application team members to optimize the...

Job SummaryWe are seeking a highly skilled Epic Senior Analyst to join our team in Resolute Hospital Billing. As a key member of our team, you will be responsible for overseeing and leading the implementation, build, and modification of the Epic Resolute Hospital Billing application.Key ResponsibilitiesLead the implementation, build, and modification of the...

Job OverviewThe Regulatory Compliance and Risk Oversight Specialist plays a crucial role in supporting the Compliance Manager in the development and execution of Compliance and Risk Management Programs. This position ensures adherence to relevant local, state, and federal regulations, as well as industry standards.Key Responsibilities:Assist in the...

Job DescriptionJob DescriptionWe are offering an exciting opportunity for a Senior Claims Analyst to join our team in Miami, Florida. As Senior Analyst, you will play a crucial role in bridging the gap between our business objectives and technology capabilities, leveraging your skills in areas such as Atlassian Jira, CRM, Database, EO/IR systems, and Agile...

We are Lennar Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity...

We are Lennar Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity...

We are Lennar Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity...

Job DescriptionJob DescriptionPurpose of Position:This position will work closely with Credit and Collections, Sales Department, Traffic Claims to research open invoices, and to process pending open claims in a timely manner. In this role, will also maintain compliance with company guidelines, and will perform clerical duties as needed.Accountabilities:...

Job DescriptionJob DescriptionReviews all medical/surgical billings for reasonable and necessary charges. Examines coding of operative reports, procedures, and multiple and complicated surgeries.Performs hospital length of stay reviews to determine reasonable and necessary care, and appropriateness of stay. Recommends appropriate payments of dispute of...

We are Lennar Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity...

Job DescriptionJob DescriptionCOMPANY OVERVIEW:Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for a Guidewire Business Analyst to join our team. Family-owned, UAIC, is one of the largest privately held property and casualty insurance companies in the United States. The key to our growth and success...

Job Overview:The Senior Risk Analyst will be responsible for overseeing the analysis, assessment, and management of risks across the company’s insurance programs. This includes evaluating existing policies, identifying areas of potential risk, and implementing strategies to minimize exposure. The role requires a deep understanding of various insurance...

Job Overview:The Senior Risk Analyst will be responsible for overseeing the analysis, assessment, and management of risks across the company’s insurance programs. This includes evaluating existing policies, identifying areas of potential risk, and implementing strategies to minimize exposure. The role requires a deep understanding of various insurance...

Job DescriptionJob DescriptionJob Overview:The Senior Risk Analyst will be responsible for overseeing the analysis, assessment, and management of risks across the company's insurance programs. This includes evaluating existing policies, identifying areas of potential risk, and implementing strategies to minimize exposure. The role requires a deep...

We are looking for an Office Assistant / Junior Analyst with 0-3 years of experience to join our Healthcare law firm. This is a full-time role based out of our firm's South Miami office location. Responsibilities include general office support, scanning documents, and assisting the firm's support staff with various administrative and analytical tasks. The...

Job DescriptionJob DescriptionCOMPANY OVERVIEW:Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for a Senior Predictive Analyst to join our team. Family-owned, UAIC, is one of the largest privately held property and casualty insurance companies in the United States. The key to our growth and success...

About the RoleAbarca Health is seeking a highly skilled PDE Analyst to join our team. As a PDE Analyst, you will play a critical role in conducting investigations and resolving complex issues related to Medicare Part D claims.Key ResponsibilitiesInvestigate and Resolve PDE Errors: Conduct thorough investigations to identify and resolve PDE errors, ensuring...

We are seeking an experienced Senior Claims Broker with a strong background in reinsurance to join our team in our Brickell, Miami office. The ideal candidate will have extensive experience managing complex claims, especially within the reinsurance sector, and proficiency in utilizing Eclipse software for claims processing and documentation. This role will...

We are seeking an experienced Senior Claims Broker with a strong background in reinsurance to join our team in our Brickell, Miami office. The ideal candidate will have extensive experience managing complex claims, especially within the reinsurance sector, and proficiency in utilizing Eclipse software for claims processing and documentation. This role will...

We are seeking an experienced Senior Claims Broker with a strong background in reinsurance to join our team in our Brickell, Miami office. The ideal candidate will have extensive experience managing complex claims, especially within the reinsurance sector, and proficiency in utilizing Eclipse software for claims processing and documentation. This role will...

What you'll do In a few words... Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning... As a PDE Analyst, you will be asked to conduct investigations and resolve complex issues, putting your strong analytical and communication...

We are looking for an Office Assistant / Junior Analyst with 0-3 years of experience to join our Healthcare law firm. This is a full-time role based out of our firm's South Miami office location. Responsibilities include general office support, scanning documents, and assisting the firm's support staff with various administrative and analytical tasks. The...

We are looking for an Office Assistant / Junior Analyst with 0-3 years of experience to join our Healthcare law firm. This is a full-time role based out of our firm's South Miami office location. Responsibilities include general office support, scanning documents, and assisting the firm's support staff with various administrative and analytical tasks. The...