Claims and Risk Analyst
Cincinnati, OH ยท Hybrid
The position provides exposure to claim strategy, loss analysis, insurance program administration, and crossfunctional coordination with internal stakeholders, brokers, insurers, and thirdparty ...
Cincinnati, OH ยท Hybrid
The position provides exposure to claim strategy, loss analysis, insurance program administration, and crossfunctional coordination with internal stakeholders, brokers, insurers, and thirdparty ...
Cincinnati, OH ยท Hybrid
The position provides exposure to claim strategy, loss analysis, insurance program administration, and crossfunctional coordination with internal stakeholders, brokers, insurers, and thirdparty ...
Parsippany, NJ ยท On-site
$65 - $70/hr
Analyst is accountable for submitting payments within deadlines and in compliance with CMS ... Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company, state ...
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Parsippany, NJ ยท On-site
$65 - $70/hr
Analyst is accountable for submitting payments within deadlines and in compliance with CMS ... Prior Medicaid Claim processing experience with a Pharmaceutical and/or med Device company, state ...
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 ...
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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 ...
San Antonio, TX ยท On-site
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 ...
San Antonio, TX ยท On-site
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 ...
Phoenix, AZ ยท Remote
Ability to analyze claims EOP pend/denial codes and troubleshoot why claim did not pass business requirements * Collaborate with Customer Service Analysts to educate/re-educate a network of providers ...
Phoenix, AZ ยท Remote
Ability to analyze claims EOP pend/denial codes and troubleshoot why claim did not pass business requirements * Collaborate with Customer Service Analysts to educate/re-educate a network of providers ...
Tulsa, OK ยท On-site
Monitor claim status and follow up with carriers, adjusters, and internal stakeholders. * Assist in gathering documentation needed for claim investigations including incident reports, contracts ...
Tulsa, OK ยท On-site
Monitor claim status and follow up with carriers, adjusters, and internal stakeholders. * Assist in gathering documentation needed for claim investigations including incident reports, contracts ...
San Antonio, TX ยท On-site
$19.80 - $31.25/hr
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 ...
San Antonio, TX ยท On-site
$19.80 - $31.25/hr
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 ...
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 ...
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 ...
Romulus, MI ยท On-site
The primary responsibility of this position is to analyze each cargo claim based on investigation findings and documentation to determine claim validity to for best resolution. The Claims Analyst ...
Romulus, MI ยท On-site
The primary responsibility of this position is to analyze each cargo claim based on investigation findings and documentation to determine claim validity to for best resolution. The Claims Analyst ...
San Antonio, TX ยท On-site
$19.80 - $31.25/hr
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 ...
San Antonio, TX ยท On-site
$19.80 - $31.25/hr
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 ...
San Antonio, TX ยท On-site
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 ...
San Antonio, TX ยท On-site
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 ...
East Longmeadow, MA ยท On-site
$60K - $70K/yr
The Claims Compliance Analyst is responsible for maintaining a deep knowledge of the claim processes, can process claims, and is expected to comply with internal company policies and procedures. The ...
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East Longmeadow, MA ยท On-site
$60K - $70K/yr
The Claims Compliance Analyst is responsible for maintaining a deep knowledge of the claim processes, can process claims, and is expected to comply with internal company policies and procedures. The ...
San Antonio, TX ยท On-site
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 ...
San Antonio, TX ยท On-site
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 ...
San Antonio, TX ยท On-site
$19.80 - $31.25/hr
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 ...
San Antonio, TX ยท On-site
$19.80 - $31.25/hr
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 ...
$15 - $20/hr
Communicate claim status and requirements with internal teams and external parties as appropriate ... Strong analytical skills and attention to detail * Ability to interpret policy language and claim ...
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$15 - $20/hr
Communicate claim status and requirements with internal teams and external parties as appropriate ... Strong analytical skills and attention to detail * Ability to interpret policy language and claim ...
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 ...
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 ...
San Antonio, TX ยท On-site
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 ...
San Antonio, TX ยท On-site
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 ...
Phoenix, AZ ยท Hybrid
Review claim activity and recommend claim closures, reserve changes, and settlements in accordance ... Analyze claim data to identify trends, risks, and opportunities to improve outcomes, duration, and ...
Phoenix, AZ ยท Hybrid
Review claim activity and recommend claim closures, reserve changes, and settlements in accordance ... Analyze claim data to identify trends, risks, and opportunities to improve outcomes, duration, and ...
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 ...
Quick apply
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 ...
Parsippany, NJ ยท On-site
$50 - $70/hr
Medicaid Claim processing function; manipulation of large datasets, negotiation/conflict resolution ... Analyst is accountable for submitting payments within deadlines and in compliance with CMS ...
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Parsippany, NJ ยท On-site
$50 - $70/hr
Medicaid Claim processing function; manipulation of large datasets, negotiation/conflict resolution ... Analyst is accountable for submitting payments within deadlines and in compliance with CMS ...
$14.66 - $18.05
14% of jobs
$20.07 is the 25th percentile. Wages below this are outliers.
$18.05 - $21.44
19% of jobs
The median wage is $23.67 / hr.
$21.44 - $24.83
26% of jobs
$24.83 - $28.21
9% of jobs
$29.98 is the 75th percentile. Wages above this are outliers.
$28.21 - $31.60
13% of jobs
$31.60 - $34.99
11% of jobs
$34.99 - $38.37
2% of jobs
$38.37 - $41.76
2% of jobs
$41.76 - $45.15
1% of jobs
$45.15 - $48.54
2% of jobs
$48.54 - $51.92
1% of jobs
$14
$27
$51
A claims analyst works for an insurance company, government agency, or medical billing department. As a claims analyst, your responsibilities include reviewing insurance claims filed by policyholders to ensure they are accurate and complete, that the individual understands their benefits, and that the policies cover the claims. Your duties include monitoring each claim throughout the process, determining reimbursement eligibility, negotiating payments to each party, and following up to ensure the parties make their payments. You then provide documentation and report the necessary information to each party. You are the primary contact for groups and members to answer questions and solve any issues. You may work in a variety of medical and insurance subsets in the claims industry, like dental or vision health, disability, and even construction.

Full-time
Posted 27 days ago
Position Summary
The Claims & Risk Analyst supports the corporate risk management department in the administration and analysis of property and casualty claims and related insurance activities. This role is wellsuited for an earlycareer claims professional who has developed a foundation in general liability claims handling and is seeking to transition into a clientside corporate claims and risk management role.
The position provides exposure to claim strategy, loss analysis, insurance program administration, and crossfunctional coordination with internal stakeholders, brokers, insurers, and thirdparty administrators. The Analyst plays a key role in ensuring claims are properly reported, tracked, and analyzed while developing broader clientside risk management skills.
What You'll Do:
Claims Support & Coordination:
Loss Data & Reporting:
Insurance & Risk Management Support:
CrossFunctional Collaboration
What You'll Bring:
The ideal candidate will have 2-3 years of general liability claims experience, typically gained at an insurance carrier or thirdparty administrator, and will be seeking to move into a clientside claims and risk management role. This individual is motivated to expand beyond individual claim handling into broader loss analysis, insurance program support, and portfoliolevel exposure management.
Required
Preferred
Core Competencies
Work Environment
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.