Claims Operations Analyst Job at Michael James Associates (London)

Claims Operations Analyst

Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for an...

Location

United States , Atlanta

Salary:

50000.00 - 55000.00 USD / Year

Berkshire Hathaway Specialty Insurance

Expiration Date

Until further notice

Requirements

Strong interpersonal and relationship skills
ability to work in a team environment
Strong analytical, critical thinking and problem-solving skills, and demonstrated attention to detail
Excellent organization and time management skills
ability to prioritize and manage multiple responsibilities and accompanying workflows
Demonstrated integrity, passion for excellence, collaboration across functions
Strong computer and mathematical skills and basic bookkeeping
Inquisitive, flexible and adaptable to changing environment
Strong communication skills and ability to interact professionally with a diverse group of individuals
Proficient working knowledge of Microsoft products, including Excel

Job Responsibility

Evaluate, review, and analyze policies compared to new claim loss reports to determine claim type and appropriate policy coverage provisions
decision making for correct coding and claims handler assignments as well as responses to brokers, insureds, and third-party administrators (TPA)
Understand key insurance concepts regarding policy coverages and deductibles as related to the impact on claim submissions processing
Acknowledge claims to insureds, brokers and TPAs in a professional, accurate and timely manner according to account specific guidelines
Focus on processing incoming work items within established turn-around times with high quality and accurate claim coding
Contribute to process efficiencies by providing input from learned procedures and team interactions
Learn, understand, and utilize technology for work processing in a changing and evolving environment
Focus on processing incoming work within established turn-around times with high quality and data accuracy
Process other claim support tasks in support of claim handler adjusting processes as experience is achieved

What we offer

Comprehensive Health, Dental and Vision benefits
Disability Insurance (both short-term and long-term)
Life Insurance (for you and your family)
Accidental Death & Dismemberment Insurance (for you and your family)
Flexible Spending Accounts
Health Reimbursement Account
Employee Assistance Program
Retirement Savings 401(k) Plan with Company Match
Generous holiday and Paid Time Off
Tuition Reimbursement

Fulltime

New

Fraud & Claims Operations Manager

Wells Fargo is seeking a Fraud & Claims Operations Manager in the Claims Assista...

Location

United States , Chandler

Salary:

Not provided

Wells Fargo

Expiration Date

June 26, 2026

Requirements

4+ years of Fraud Claim Investigations or Policy Violations, Risk Management or Compliance experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education
2+ years Leadership experience

Job Responsibility

Manage and develop a team of supervisors, analysts, Assist Associates, or consultants, and engage management, vendors or related functional areas associated with fraud and claims investigations
Identify and recommend opportunities for implementation of procedures, controls, and trend data to ensure proactive identification, prevention execution, detection, investigation, recovery, and government or internal reporting of fraud and claims activity for both frontline and Assist employees
Make decisions and resolve issues regarding fraud and claims to meet business objectives
Interpret and develop data and reports on emerging risk in the fraud environment to implement functional area policies or procedures which will maximize efficiency and enhance customer service for frontline and Assist employees
Collaborate and consult with customers, vendors, and other functional areas to resolve escalated issues
Interact directly with fraud and claims management to develop and implement functional area policies or procedures to support Wells Fargo's business goals
Manage allocation of people and financial resources for Fraud and Claims Operations
Mentor and guide talent development of direct reports and assist in hiring talent

Fulltime

!

Senior Professional Billing And Claims Analyst

Our client is seeking a Senior Professional Billing and Claims Consultant for a ...

Location

United States , Des Moines

Salary:

50.00 - 55.00 USD / Hour

Medasource

Expiration Date

Until further notice

Requirements

5+ years of Epic Professional Billing and/or Claims experience in a healthcare environment
Strong understanding of Charge Router, payments & remittance workflows, claims processing, denial management, and revenue cycle operations
Experience supporting new Epic site implementations and go-live activities, including workflow validation, build review, and operational readiness
Knowledge of Rural Health billing, Critical Access Hospital Method II billing, and Provider-Based billing
Experience supporting Epic upgrades, including review and analysis of Nova Notes, system testing, and workflow impact assessments
Proven ability to troubleshoot and resolve complex ticketing and workflow issues
Experience mentoring or leading junior staff members, providing knowledge transfer and workflow guidance
Strong communication, organizational, and stakeholder management skills
Epic Professional Billing and Claims Certifications

Job Responsibility

Provide senior-level support for Epic Professional Billing and Claims operations, including configuration, troubleshooting, and optimization of Charge Router and related billing workflows
Support payments and remittance workflows, including payment posting, reconciliation, denial analysis, and remittance troubleshooting
Investigate and resolve complex billing, claims, and revenue cycle tickets within established SLA timelines
Partner with operational and technical teams, as well as third-party vendors, to improve billing efficiency, claims accuracy, and reimbursement outcomes
Support new Epic site implementations, including pre-implementation planning, workflow validation, build review, operational readiness, integrated testing, defect resolution, and end-user support during go-live stabilization
Assist with cutover planning and post-go-live optimization activities
Provide subject matter expertise in Rural Health Clinic (RHC) billing, Critical Access Hospital (CAH) Method II billing, and Provider-Based Billing workflows
Ensure workflows and configurations align with regulatory and reimbursement requirements, supporting operational teams in identifying compliance risks and reimbursement optimization opportunities
Participate in Epic upgrade activities, including review and analysis of Nova Notes, system testing and validation, workflow impact assessments, and coordination of upgrade-related changes
Recommend system enhancements and operational improvements based on Epic best practices and organizational needs

What we offer

Competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage
401k plan with company match fully vested after eligibility
Paid time off, sick time, and paid company holidays
Employee Assistance Program (EAP) providing virtual counseling, financial services, legal services, life coaching

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

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

Operations Analyst

We’re working with a leading London Market insurance business seeking an Operati...

Location

United Kingdom , City Of London

Salary:

60000.00 GBP / Year

Arthur Recruitment

Expiration Date

Until further notice

Requirements

Experience in the Lloyd’s or London Market, ideally with exposure to delegated authority or broking operations
highly organised and detail-oriented
confident communicator with strong stakeholder management skills
proactive, adaptable, and process-driven approach

Job Responsibility

Support delegated authority and open market broking activities across Lloyd’s and London Market
Coordinate placement, servicing, and administration activities with brokers, insurers, MGAs, and internal teams
Assist with client onboarding, market submissions, and ongoing relationship support
Maintain accurate documentation, MI reporting, and data quality standards
Support compliance, regulatory requirements, and internal controls
Assist with premium, claims, and settlement processes
Support production of MRC slips, binders, line slips, and cover holder agreements
Identify and escalate operational or process issues where needed

Fulltime

Reinsurance Operations Analyst

Reinsurance Operations Analyst | Hybrid – London I’m currently working with a gl...

Location

United Kingdom , London

Salary:

Not provided

Arthur Recruitment

Expiration Date

Until further notice

Requirements

Strong analytically with good Excel skills
Organised and detail-oriented
Proactive with a willingness to learn
Interested in the insurance/reinsurance market
Previous insurance or claims experience is advantageous but not essential

Job Responsibility

Reinsurance claims and reporting
Financial and operational processes
Data analysis and account reconciliation
Working closely with reinsurers, brokers and claims teams

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

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Claims Operations Analyst

Job Description

Requirements

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Claims Operations Analyst

Claims Operations Analyst

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