Senior Claims Analyst Job at The Emerald Group Ltd, Search and Selection (London)

Claims Innovation - Senior Analyst - Casualty or Commercial PD

GEICO is hiring a Innovation Analyst to join their Claims Innovation team. As an...

Location

United States , Chevy Chase; Richardson; Poway; Palo Alto; Tucson

Salary:

82000.00 - 172200.00 USD / Year

Geico

Expiration Date

Until further notice

Requirements

3+ years of experience in business process optimization, business analysis, consulting, innovation, or process engineering
Leadership experience in P&C insurance claims
Bachelor’s degree in Business, Finance, Economics, Statistics, or related field
Knowledge of innovation methodologies, processes, and principles
Strong analytical skills and ability to interpret data for decision-making
Effective communicator with strong collaboration skills
Demonstrated ability to adapt and learn in a fast-paced environment
Commitment to diversity, equity, and inclusion

Job Responsibility

Evaluate and analyze existing claims processes, data, and performance metrics to identify areas of opportunity for efficiency, effectiveness, or accuracy
Gather and analyze data to provide insights into claims processes and performance metrics
Support the development of actionable strategies and assist in implementing process and technology enhancements
Assist the Director, Claims Innovation in establishing priorities, goals, and objectives
Collaborate with Operations, Product, AI/ML, and Engineering teams to define and prioritize requirements
Prepare reports and presentations summarizing findings, recommendations, and project progress
Contribute to and/or lead pilot programs, POC’s, or A/B testing and reporting on performance and progress
Participate in innovation workshops, ideation sessions, and design sprints
Monitor project risks, benefits, and performance metrics
escalate issues as needed

What we offer

Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family’s overall well-being
Financial benefits including market-competitive compensation
a 401K savings plan vested from day one that offers a 6% match
performance and recognition-based incentives
and tuition assistance
Access to additional benefits like mental healthcare as well as fertility and adoption assistance
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year

Fulltime

Senior Claims Data Analyst

The Senior Claims Data Analyst sits within the Store Operations & Support team a...

Location

Salary:

Not provided

Chemist Warehouse

Expiration Date

Until further notice

Requirements

2–3 years’ experience in a similar role, ideally within claims, data, analytics, or a business-focused environment
Intermediate to advanced Microsoft Excel skills, with the ability to analyse data and produce meaningful insights
Strong understanding of how Business, IT, and Finance functions intersect within an organisation
Excellent written and verbal communication skills, with the confidence to deliver training and liaise with a wide range of stakeholders
Highly adaptable and comfortable working in an environment with evolving processes and priorities
Exceptional attention to detail, with the ability to identify, investigate, and resolve process issues
Strong time management skills, able to juggle multiple tasks while maintaining a high standard of quality
Proactive, results-driven, and willing to take initiative with a hands-on, practical approach

Job Responsibility

Deliver periodic group training sessions for Profectus users to support consistent and effective system use
Manage the end-to-end claim generation process through the Profectus system, liaising with a range of internal and external stakeholders
Support senior leadership with the Profectus audit process
Identify root causes of process issues and recommend practical solutions to improve accuracy, efficiency, and control
Prepare distributor breakdown reports for suppliers as required
Develop new reports and dashboards that provide both detailed insights and high-level reporting for senior management

What we offer

Career growth and development opportunities in a supportive and collaborative working environment
Access to discounts across all our affiliated brands, as well as other retail partnerships
Free annual flu vaccinations
Access to our Employee Assistance Program

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

Analyst / Senior Analyst, Indirect Tax

The Indirect Tax Analyst supports global indirect tax compliance, reporting, and...

Location

United States , Columbus

Salary:

Not provided

Abercrombie and Fitch Co.

Expiration Date

Until further notice

Requirements

BA/BS Degree in Accounting, Finance, Tax or related field preferred
4+ year prior accounting and/or indirect tax experience preferred
Demonstrated ability to manage multiple priorities while consistently meeting compliance deadlines
Proven capacity to work independently and drive tasks to completion
Strong sense of ownership, curiosity, and commitment to continuous learning
Collaborative mindset with the ability to build effective cross‑functional relationships
Strategic thinker with the ability to anticipate risks, identify opportunities, and contribute to long‑term planning
Strong accounting and technology skills to drive process efficiencies

Job Responsibility

Prepare and assist with indirect tax returns — Support preparation of miscellaneous Sales Tax, VAT, GST, and other indirect tax filings across multiple jurisdictions, ensuring accuracy and timely submission
Prepare annual incentive workpapers — Compile and maintain Incentive documentation
coordinate with vendors to obtain required tax information and validate completeness
Support refund claims and spend analysis — Assist with refund claims, including data gathering, reconciliation, and monthly spend analysis to identify refund opportunities
Perform month‑end close activities — Prepare assigned journal entries and account reconciliations related to indirect tax accounts
Identify process improvement opportunities — Evaluate existing workflows, propose enhancements, and help implement more efficient tax processes and controls
Support tax audits — Assist with audit requests, documentation gathering, and responses to tax authorities
Assist with e‑invoicing initiatives — Contribute to e‑invoicing compliance projects, including data validation and process alignment with regulatory requirements
Participate in cross‑functional projects — Provide tax support for special projects as needed, ensuring indirect tax considerations are incorporated into business decisions

What we offer

Incentive bonus program
401(K) savings plan with company match
Annual companywide review process
Flexible spending accounts
Medical, dental and vision insurance
Life and disability insurance
Associate assistance program
Paid parental and adoption leave
Access to fertility and adoption benefits through Carrot
Access to mental health and wellness app, Headspace

Fulltime

Delivery Senior Analyst

Location

India , Bangalore

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

Experience working within the Healthcare Provider domain, with a strong understanding of hospital workflows and operational support
Incident & Problem Management: Investigate, troubleshoot, and resolve L2/L3 incidents for COTS healthcare applications, ensuring timely restoration of services and adherence to SLAs
perform root cause analysis for recurring issues
Application Monitoring & Maintenance: Proactively monitor application health, interfaces, and batch jobs
perform regular maintenance, patch validation, and upgrades in coordination with vendors and internal teams
Change & Release Support: Assess, implement, and validate application changes (configurations, patches, upgrades) through controlled release processes, including impact analysis and rollback planning
Stakeholder & Vendor Coordination: Act as a liaison between business users, IT teams, and third-party vendors for issue resolution, enhancements, and escalations, particularly for regulated healthcare workflows
Compliance & Documentation: Maintain knowledge articles, runbooks, and audit documentation
ensure adherence to healthcare regulations (e.g., HIPAA), security standards, and data privacy requirements
Understanding of claims lifecycle, billing rules, payer edits, ERA/EOB reconciliation

Job Responsibility

Incident & Problem Management: Investigate, troubleshoot, and resolve L2/L3 incidents for COTS healthcare applications, ensuring timely restoration of services and adherence to SLAs
perform root cause analysis for recurring issues
Application Monitoring & Maintenance: Proactively monitor application health, interfaces, and batch jobs
perform regular maintenance, patch validation, and upgrades in coordination with vendors and internal teams
Change & Release Support: Assess, implement, and validate application changes (configurations, patches, upgrades) through controlled release processes, including impact analysis and rollback planning
Stakeholder & Vendor Coordination: Act as a liaison between business users, IT teams, and third-party vendors for issue resolution, enhancements, and escalations, particularly for regulated healthcare workflows
Compliance & Documentation: Maintain knowledge articles, runbooks, and audit documentation
ensure adherence to healthcare regulations (e.g., HIPAA), security standards, and data privacy requirements

Global Warranty Senior Analyst

DUTIES: Perform quarterly and annual vehicle warranty studies for and calculati...

Location

United States , Warren

Salary:

Not provided

General Motors

Expiration Date

Until further notice

Requirements

Bachelor's degree in Accounting, Finance, Business Administration, or related field of study and Two (2) years of experience as a Financial Analyst, Warranty Analyst, Inventory Analyst, Product Cost Analyst, or related role. Two (2) years of experience with the following: Financial Reporting and Analysis
Accounting Software and ERP Systems
Internal Controls and Auditing
Data Analytics
and Reconciliation and Consolidation.

Job Responsibility

Perform quarterly and annual vehicle warranty studies for and calculations of base passenger vehicle warranty for GM North America and GM International Product Center (IPC) for GM Middle East Region
Calculate and report on monthly accruals for global warranty expenses and liabilities for vehicles including warranty claims spend by GM NA and IPC entities for base warranty and other coverages
Perform monthly warranty account reconciliations in the Accounting Reconciliation Manual (ARM) system
Perform warranty quarterly adequacy adjusting entries into Profit and Loss (P&L) and Balance Sheet accounts
Use SAP Enterprise Resource Planning System (ERP) to make journal entries and report all conventional ICE, Hybrid Electric Vehicle (HEV) and Battery Electric Vehicle (BEV) warranty coverages such as base, extended powertrain, courtesy transportation, small campaigns, and electrification
Collaborate with Quality and Engineering teams, and perform data driven analysis to understand emerging trends and provide information to stakeholders.

Fulltime

Senior Analyst, Plan Sponsor Liaison

This position will be a minimum of 3 days a week ( Tuesday, Wednesday, and Thurs...

Location

United States , New York

Salary:

46988.00 USD / Year

CVS Health

Expiration Date

June 29, 2026

Requirements

Must be willing to commute a minimum of 3 days a week to the client's office: 200 West Street, New York, NY 10282
1-2 years experience working alongside the account team and leadership
2-3 years handling escalations including effectively communicating what occurred and what the resolution and action plans
2-5 years of claim and benefit knowledge
Client relationship management experience

Job Responsibility

Ensure that the plan sponsors intent is communicated and administered accurately by the Aetna One Advocate team
Responsible for making sure that the Aetna One Advocate program is accurately administered by the Aetna One Advocate team in relationship to the plan sponsors overall benefit outlook
Collaborate with the Account Team and other Aetna personnel to ensure a smooth customer service experience and serve as the customer's primary link to the Aetna Services Organization
Collaborates with the Senior Directors, Managers and Clinical/Member advocate teams to review performance, implement improvement plans, provide customer specific training and act as the subject matter expert for all aspects of the plan
Monitor Aetna's overall performance for the account, including Key Performance Measures and Performance Guarantees as well as conduct root cause and trend analysis to proactively identify opportunities to continuously improve our service

What we offer

Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs
Bonus, commission or short-term incentive program

Fulltime

!

Delivery Senior Analyst

We are currently seeking a Delivery Senior Analyst to join our team in Noida, Ut...

Location

India , Noida

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

Experience working within the Healthcare Provider domain, with a strong understanding of hospital workflows and operational support
Incident & Problem Management: Investigate, troubleshoot, and resolve L2/L3 incidents for COTS healthcare applications, ensuring timely restoration of services and adherence to SLAs
perform root cause analysis for recurring issues
Application Monitoring & Maintenance: Proactively monitor application health, interfaces, and batch jobs
perform regular maintenance, patch validation, and upgrades in coordination with vendors and internal teams
Change & Release Support: Assess, implement, and validate application changes (configurations, patches, upgrades) through controlled release processes, including impact analysis and rollback planning
Stakeholder & Vendor Coordination: Act as a liaison between business users, IT teams, and third-party vendors for issue resolution, enhancements, and escalations, particularly for regulated healthcare workflows
Compliance & Documentation: Maintain knowledge articles, runbooks, and audit documentation
ensure adherence to healthcare regulations (e.g., HIPAA), security standards, and data privacy requirements
Understanding of ambulatory clinical workflows (scheduling, charting, orders)

Job Responsibility

Investigate, troubleshoot, and resolve L2/L3 incidents for COTS healthcare applications
perform root cause analysis for recurring issues
Proactively monitor application health, interfaces, and batch jobs
perform regular maintenance, patch validation, and upgrades in coordination with vendors and internal teams
Assess, implement, and validate application changes through controlled release processes
Act as a liaison between business users, IT teams, and third-party vendors for issue resolution
Maintain knowledge articles, runbooks, and audit documentation
ensure adherence to healthcare regulations (e.g., HIPAA), security standards, and data privacy requirements

Fulltime

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Senior Claims Analyst

Job Description

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