Claims BUSINESS ANALYST

1 week ago

Tampa, FL, United States RIT Solutions, Inc. Full time
Title- Claims BUSINESS ANALYST
Duration-6 - 12 months +++

Hybrid 3 Days a week:
Charlotte, NC; Chicago, IL; Colorado Springs, CO; Conshohocken, PA; Dallas, TX; Fargo, ND; Garden City, NY; Houston, TX; Jacksonville, IL; Lenexa, KS; Los Angeles, CA; Lubbock, TX; Morristown, NJ; Mt Juliet, TN; New York, NY; Purchase, NY; Topeka, KS\

PLS NOTE MUST HAVE GUIDEWIRE CLAIMS CENTER NOT POLICY EXPERIENCE ONLY AND WORKERS COMP CLAIMS

  • 7+ years of business analysis experience, with 3+ years within the space of Workers Comp Claims.
  • Must have a clear understanding and experience with the statutory and compliance reporting requirements and best practices for multi-jurisdictional Workers' Compensation claims.
  • Extensive experience with integrating multiple vendors needed for Workers' Compensation claim handling.
  • Strong experience with claims management and medical bill review solutions.
  • Experience with iterative and agile methodologies, with working knowledge of both SDLC & PMLC processes.
  • Sys implementation - for each jurisdiction there's different complien req edi calls; Verisk exp VERY HELPFUL, pbm, medical bill mngt, etd to adjudicate a wc claim

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