Claims Analyst I Job at Tucker Parker Smith Group (San Diego)

Reimbursement Analyst I

This position is responsible for developing reports based on a number of interna...

Location

United States , Tulsa, OK; Albuquerque, NM; Chicago, IL; Helena, MT; Richardson, TX

Salary:

55900.00 - 123500.00 USD / Year

Health Care Service Corporation

Expiration Date

Until further notice

Requirements

Bachelor Degree in Business Administration or Computer Science with 3 years’ experience in data analysis and reimbursement OR 7 years’ experience to include data analysis, reimbursement analysis/modeling, and college courses
Experience and basic understanding of reimbursement methods and financial modeling
Health Care data experience and knowledge of Medicare pricing methodologies (RBRVS, DRG, ASC)
Verbal and written communication skills as well as interpersonal skills necessary to work in a team environment
Analytical skills
Self-starter with ability to work with minimal supervision to meet deadlines
PC proficiency to include MS Office or other spreadsheet and word processing software for Windows

Job Responsibility

Developing reports based on a number of internal/external databases using SAS or a similar programming language
Pricing models for network negotiations and fee schedule updates used for claims adjudication
Pricing information into the PREMIER Pricer
Validating and researching report results using the original operation systems and reporting databases
Presenting reports to internal/external customers
Responding to follow-up questions

Fulltime

Associate Actuary / Sr. Actuarial Analyst, Claims Analytics

We're disrupting the transportation space and growing rapidly in both the U.S. a...

Location

United States , Seattle, Washington; San Francisco, California; Chicago, Illinois

Salary:

118000.00 - 145500.00 USD / Year

Uber

Expiration Date

Until further notice

Requirements

BA/BS Math, Statistics, Economics, Actuarial Science or similar
Candidate with 4+ CAS Exams and a minimum of 3 years of Property & Casualty (P&C) actuarial experience
Excel skills, proficient with SQL (or similar querying language)

Job Responsibility

Deploy traditional actuarial skills in innovative ways to provide timely, accurate, and actionable claims insights that optimize Uber's insurance program
Perform deep dive analysis on claims data to identify operational opportunities, claims trends, and estimate impacts
Design, build, and maintain claims analysis tools that visualize, highlight, and summarize claims insights
Work cross-functionally with claims, data science, insurtech, and actuarial peers on analytics deliverables and communication of findings

What we offer

Eligible to participate in Uber's bonus program
May be offered an equity award & other types of comp
Eligible to participate in a 401(k) plan
Various benefits

Fulltime

New

EDI Technical Analyst (Claims)

Develops technical documentation, designs, analyzes, tests, provides end user su...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

1 year of college-level coursework in system requirements design and interpretation and/or support of production systems (Level 1)
3 years of experience in computer technology and/or information systems (Level 2 – 4)
2 years of experience in data analysis, data management and integration, extracting and analysis reporting. (Level 2-4)
2 years of EDI experience (Level 1)
High-School Diploma or GED in general field of study (All Levels)
Intermediate skill in use of office equipment, including copiers, fax machines, scanner and telephones
Intermediate PC proficiency
Intermediate proficiency in spreadsheet, database, flow charting, and word processing software
Intermediate knowledge of data mapping techniques and data analysis software
Intermediate knowledge of computer operating systems

Job Responsibility

Track and resolve basic or routine processing problems, coordinating with all areas
Research, analyze, track and resolve basic production problems
Develop business objectives, processing requirements, and technical specifications
Analyze files and map data from one system to another
Responsible for production cycles, solving production incidents and notification of problems
Write SQL queries needed for production support
Ability to query Splunk and App insight for logging results
Develop basic test data
Process test files and analyze test results
Create test files

Fulltime

Claims Analyst

As a Claims Analyst, you will serve as a subject matter expert and critical prob...

Location

United States , Phoenix

Salary:

Not provided

Arrive Logistics

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Business Administration, Finance, Accounting, or related field, or 3 years of professional experience in customer service, administrative support, or the insurance industry
5+ years of experience managing claims required
Exceptional organization skills and high attention to detail
Proficient in Google Suite
conduct basic risk analysis and general data reporting
Superior written and verbal communication skills
Ability to work both independently and collaboratively
Strong critical thinking, judgment, and decision-making skills

Job Responsibility

Independently manage a portfolio of complex cargo claims from initial filing to final resolution, ensuring efficient, accurate, and timely handling
Lead and manage all high-level external communications and relationships with minimal management assistance
Comprehensively manage and reconcile all financial aspects of a claims portfolio, ensuring accurate balancing of all receivables and payables
Master the management of complex and high-value claims, frequently exceeding $100,000
Leverage deep business acumen and a comprehensive understanding of the transportation industry to strategically oversee claim operations

What we offer

Medical, dental, vision, life, disability, and supplemental coverage
Matching 401(k) program
Employee Resource Groups
Free counseling sessions through Employee Assistance Program
Company paid holidays, paid vacation time and wellness days
100% paid parental leave
Referral Program

Fulltime

Claims Analyst

As a Claims Analyst, you will serve as a subject matter expert and critical prob...

Location

United States , Columbus

Salary:

Not provided

Arrive Logistics

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Business Administration, Finance, Accounting, or related field, or 3 years of professional experience in customer service, administrative support, or the insurance industry
5+ years of experience managing claims required
Exceptional organization skills and high attention to detail
Proficient in Google Suite
conduct basic risk analysis and general data reporting
Superior written and verbal communication skills
Ability to work both independently and collaboratively
Strong critical thinking, judgment, and decision-making skills

Job Responsibility

Advanced Claims Operations & Trend Analytics: Independently manage a portfolio of complex cargo claims from initial filing to final resolution, ensuring efficient, accurate, and timely handling
This includes skillfully negotiating settlements, precisely processing all related financial transactions, and analyzing claims trends to identify recurring issues and significant financial exposure, with actionable findings presented to leadership
High-Level External Relations & Advocacy: Lead and manage all high-level external communications and relationships with minimal management assistance
Independently lead scheduled meetings with external parties, addressing complex inquiries, driving resolutions, and identifying actionable items to bring back to management for strategic consideration
Financial Integrity & Legal Compliance: Comprehensively manage and reconcile all financial aspects of a claims portfolio, ensuring accurate balancing of all receivables and payables
Possess a deep understanding of the distinctions between various payment methods and the strategic reasons for issuing legal documents like releases and assignments of rights in advance of cash payments
Utilize financial insights from claim trends to inform proactive strategies and protect the company’s financial interests
Expert Claim Resolution & Mentorship: Master the management of complex and high-value claims, frequently exceeding $100,000
Leverage deep industry knowledge to navigate intricate investigations and apply a comprehensive understanding of regulations, terms, and conditions to all claim values
Provide mentorship and guidance to junior team members on processing claims across the full range of values

What we offer

Take advantage of our comprehensive benefits package, and supplemental coverage
Invest in your future with our matching 401(k) program
Build relationships and find your home at Arrive through our Employee Resource Groups
Maximize your wellness with free counseling sessions through our Employee Assistance Program
Take time to manage your physical and mental health – we offer company paid holidays, paid vacation time and wellness days
Receive 100% paid parental leave when you become a new parent
Get paid to work with your friends through our Referral Program

Fulltime

Claims Analyst

As a Claims Analyst, you will serve as a subject matter expert and critical prob...

Location

United States , Tampa

Salary:

Not provided

Arrive Logistics

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Business Administration, Finance, Accounting, or related field, or 3 years of professional experience in customer service, administrative support, or the insurance industry.
5+ years of experience managing claims required. Experience in cargo claims in a 3PL environment preferred.
Exceptional organization skills and high attention to detail.
Proficient in Google Suite
conduct basic risk analysis and general data reporting.
Superior written and verbal communication skills. You understand that proactive communication is key.
Ability to work both independently and collaboratively.
Strong critical thinking, judgment, and decision-making skills.

Job Responsibility

Independently manage a portfolio of complex cargo claims from initial filing to final resolution, ensuring efficient, accurate, and timely handling.
Skillfully negotiate settlements, precisely process all related financial transactions, and analyze claims trends to identify recurring issues and significant financial exposure, with actionable findings presented to leadership.
Lead and manage all high-level external communications and relationships with minimal management assistance.
Comprehensively manage and reconcile all financial aspects of a claims portfolio, ensuring accurate balancing of all receivables and payables.
Possess a deep understanding of the distinctions between various payment methods and the strategic reasons for issuing legal documents.
Master the management of complex and high-value claims, frequently exceeding $100,000.
Provide mentorship and guidance to junior team members on processing claims across the full range of values.
Leverage deep business acumen and a comprehensive understanding of the transportation industry to strategically oversee claim operations.
Drive and foster highly effective, cooperative working relationships with all internal departments.

What we offer

Medical, dental, vision, life, disability, and supplemental coverage
Matching 401(k) program
Employee Resource Groups
Free counseling sessions through Employee Assistance Program
Company paid holidays, paid vacation time and wellness days
100% paid parental leave
Referral Program

Fulltime

Claims Analyst

As a Claims Analyst, you will serve as a subject matter expert and critical prob...

Location

United States , San Antonio

Salary:

Not provided

Arrive Logistics

Expiration Date

Until further notice

Requirements

Bachelor's degree in Business Administration, Finance, Accounting, or related field, or 3 years of professional experience in customer service, administrative support, or the insurance industry
5+ years of experience managing claims required
Experience in cargo claims in a 3PL environment preferred
Exceptional organization skills and high attention to detail
Proficient in Google Suite
conduct basic risk analysis and general data reporting
Superior written and verbal communication skills
Ability to work both independently and collaboratively
Strong critical thinking, judgment, and decision-making skills.

Job Responsibility

Independently manage a portfolio of complex cargo claims from initial filing to final resolution
Skillfully negotiate settlements and precisely process all related financial transactions
Analyze claims trends to identify recurring issues and significant financial exposure
Lead and manage all high-level external communications and relationships
Independently lead scheduled meetings with external parties
Comprehensively manage and reconcile all financial aspects of a claims portfolio
Possess a deep understanding of legal documents like releases and assignments of rights
Master the management of complex and high-value claims, frequently exceeding $100,000
Provide mentorship and guidance to junior team members
Leverage deep business acumen to strategically oversee claim operations

What we offer

Medical, dental, vision, life, disability, and supplemental coverage
Matching 401(k) program
Employee Resource Groups
Free counseling sessions through Employee Assistance Program
Company paid holidays, paid vacation time and wellness days
100% paid parental leave
Referral Program

Fulltime

Claims Analyst

As a Claims Analyst, you will serve as a subject matter expert and critical prob...

Location

United States , Chicago

Salary:

58000.00 - 72000.00 USD / Year

Arrive Logistics

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Business Administration, Finance, Accounting, or related field, or 3 years of professional experience in customer service, administrative support, or the insurance industry
5+ years of experience managing claims required
Experience in cargo claims in a 3PL environment preferred
Exceptional organization skills and high attention to detail
Proficient in Google Suite
conduct basic risk analysis and general data reporting
Superior written and verbal communication skills
Ability to work both independently and collaboratively
Strong critical thinking, judgment, and decision-making skills

Job Responsibility

Advanced Claims Operations & Trend Analytics
High-Level External Relations & Advocacy
Financial Integrity & Legal Compliance
Expert Claim Resolution & Mentorship
Operational Strategy & Cross-Functional Synergy

What we offer

Medical coverage
Dental coverage
Vision coverage
Life insurance
Disability coverage
Matching 401(k) program
Employee Resource Groups
Office wide engagement activities
Team events
Happy hours

Fulltime

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Claims Analyst I

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