Claims Manager (Health Claims Operations)

Scope: The Long-Term Disability (LTD) Claims Consultant is responsible for evaluating and administering long-term disability insurance claims in accordance with policy provisions, regulatory requirements, and established service-level standards. This role requires strong analytical and decision-making abilities to assess claim eligibility, interpret medical and vocational information, and make accurate claim determinations. The consultant exercises independent judgment, demonstrates excellent cu

Healthcare Business Analyst Health Plan Location - REMOTE / EST work hours Tentative Duration - 6 months + We are seeking an experienced Healthcare Business Analyst with strong Health Plan/Payer experience to support business and technology initiatives within the healthcare insurance domain. Key Responsibilities & Qualifications: 5+ years of Business Analyst experience, including 3+ years supporting Health Plans/Payers. Strong experience with Claims, Enrollment, Eligibility, Benefits, Provid

Immediate need for a talented Case Manager. This is a 09+ Months Contract opportunity with long-term potential and is located in CA (Remote). Please review the job description below and contact me ASAP if you are interested. Job ID:26-22331 Pay Range: $25 - $30/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Requirements and Technology Experience: Remote Options (Fully Remot

Role: Claims Tester Location: Remote Duration: 12 Months Job description: Responsible for claims testing for MMIS health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, designs and develops test plans, ensures quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire life cycle. Responsible to meet customer expectations, troubleshoot pro