claims Jobs

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Claims Examiner - Workers Compensation

TAJ Technologies, Inc.

•

Remote

Contract

Its a remote position. Mandatory: Work comp claims handling experience is needed; loss time. Minimum 6+years of relevant WC experience required. PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation
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Posted 6 hours ago | Updated 6 hours ago

EPIC Analyst(Billing & Claims and Remittance)

Zenox Global, LLC

•

San Francisco, California, USA

Third Party, Contract

Job Title: Application Analyst - Epic Resolute Professional Billing & Claims and Remittance Role Description: We are seeking a skilled and experienced Application Analyst with expertise in Epic Resolute, and Claims and Remittance modules o join our dynamic team. This Epic Applications Analyst plays a critical role in the implementation and installation of Epic applications, module upgrades, new components, and modifications. This position is responsible for workflow configurations, go-live suppo
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Posted 13 days ago

Sr Business Analyst Techno-Functional (P and C -PAS/Claims)

My IT LLC

•

Atlanta, Georgia, USA

Full-time

Job Title: Sr Business Analyst Techno-Functional (P&C - Client / Claims ) Location: Atlanta, GA Type: FTE Exp. Level: Senior / Lead Reports To: Product Owner / Delivery Manager Job Description Our client's customer success team in Atlanta, GA is seeking a Sr Business Analyst with a techno-functional profile, who has deep expertise in P&C insurance, especially in Policy Administration Systems (Client) and/or Claims management platforms. This individual will work closely with our clients to
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Posted 1 day ago | Updated moments ago

Application Analyst - Epic Resolute Professional Billing & Claims and Remittance

AgreeYa Solutions

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San Francisco, California, USA

Third Party, Contract

Title: Application Analyst - Epic Resolute Professional Billing & Claims and Remittance Location: San Francisco/Sacramento CA or Alpharetta, GA Duration: 12 + Months Role Description: We are seeking a skilled and experienced Application Analyst with expertise in Epic Resolute, and Claims and Remittance modules o join our dynamic team. This Epic Applications Analyst plays a critical role in the implementation and installation of Epic applications, module upgrades, new components, and modificati
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Posted 13 days ago | Updated 9 days ago

Application Analyst Epic Resolute Professional Billing, Claims & Remittance

Tranzeal, Inc.

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Remote or San Francisco, California, USA

Contract

Application Analyst Epic Resolute Professional Billing, Claims & Remittance Job Summary: We re seeking an experienced Application Analyst with deep expertise in Epic Resolute Professional Billing, Claims, and Remittance modules. This role will be key in implementing, optimizing, and supporting Epic billing applications, enhancing revenue cycle workflows, and ensuring system integrity and performance. Key Responsibilities: Lead configuration and implementation of Epic Resolute and Claims/Remittan
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Posted 13 days ago | Updated 6 days ago

Audit Services, Claims (Executive)

USAA

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San Antonio, Texas, USA

Full-time

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As the Audit Services, Claims (Execu
Posted 1 hour ago

Legal Administrative Temp - Claims Support

Software Guidance & Assistance

•

Raleigh, North Carolina, USA

Contract

Software Guidance & Assistance, Inc., (SGA), is searching for a Legal Administrative Temp - Claims Support for a contract assignment with one of our premier Human Resources services clients in NC. This role will be remote. *MUST BE LOCAL TO NC/SC Responsibilities : We are seeking a detail-oriented and organized Legal Administrative Temp to provide essential support to the firm's Employment Practices Liability ( "EPL") Claims team. This role will assist with administrative tasks including pul
Posted 5 days ago | Updated 11 hours ago

Claims Examiner-Lost Time

Sunrise Systems, Inc.

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New Haven, Connecticut, USA

Contract

Job Title: Claims Examiner-Lost Time Location: 555 Long Wharf Drive, New Haven, CT06511-5941 Duration: 3 Months (Possible Extension or Conversion) Position Type: Hourly contract Position (W2 only) Note: Job Schedule- 5 days on-site Job hours-8:30am-5:00pm EST 3+ years of Workers Compensation Lost Time Claim Examiner or Commensurate Experience (Having experience in worker s compensation is not a requirement but a nice thing to have, as long as the skills they do have are transferable.) Duties
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Posted 43 days ago | Updated 8 hours ago

Claims Correspondence Associate

Gainwell Technologies LLC

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Roseville, California, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary At Gainwell you can contribute your skills as we harness the power of technology to help our clients improve the health and wel
Posted 27 days ago | Updated 9 hours ago

Enterprise Data Architect with Claims Adjudication Process

ProCorp Systems Inc.

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Remote

Contract, Third Party

Enterprise Data Architect with Strong Healthcare (Claims Adjudication Process) Location: Remote Duration: 12 months Requisition Job Description The Lead Data Architect is responsible for designing, building, and maintaining efficient and scalable Application architecture within an organization. They collaborate with various stakeholders to understand technical requirements, create robust solutions, and ensure the integrity, security, and performance of the application infrastructure. This includ
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Posted 1 day ago | Updated 1 day ago

Senior Data Scientist (100% Remote): Pharma & Claims Data Expert (Contract-to-Hire)

Rower

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Remote

Contract

Rower is hiring a Full-Time Data Scientist with deep experience in the pharmaceutical space and a proven track record working with healthcare claims data. This is a contract-to-hire role, ideal for someone who can hit the ground running and wants to grow into a long-term strategic position on high-impact projects. What We re Looking For: 8+ years of hands-on experience in data science, analytics, or statistical modeling Deep pharma domain knowledge including commercial analytics, market access,
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Posted 1 day ago

Pharmacy Sr Business Analyst - Claims & Configuration SME

Gainwell Technologies LLC

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Kansas City, Missouri, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Pharmacy Sr Business Analyst - Claims & Configuration SME at Gainwell, you can contribute your skills as we harness the po
Posted 6 days ago | Updated 9 hours ago

Epic Dorothy Home Care Billing & Claims Application Analyst I, II, III-(Open to experienced remote in ID, NE, MO, OK, TX)

PIH Health

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Remote or Whittier, California, USA

Full-time

Determination for the Epic Application Analyst (I, II or ), Dorothy Home Care Billing & Claims roles will be based on experience and qualifications. PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will be eligible
Posted 7 hours ago

Enterprise Data Architect with Claims Adjudication Process - Remote

ProCorp Systems Inc.

•

Remote

Contract, Third Party

Enterprise Data Architect with Claims Adjudication Process Location: Remote Duration: 12 months Healthcare Background Mandatory Requisition Job Description The Lead Data Architect is responsible for designing, building, and maintaining efficient and scalable Application architecture within an organization. They collaborate with various stakeholders to understand technical requirements, create robust solutions, and ensure the integrity, security, and performance of the application infrastructure.
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Posted 9 hours ago

Senior Claims Specialist

Crox Consulting Inc

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Chicago, Illinois, USA

Full-time

Position Description: The Senior Claims Specialist is responsible for the coverage analysis, investigation, negotiation and resolution of complex and excess casualty claims. Qualifications 3-7 years of claims experience handling excess and complex casualty claims. Experience in general liability claims including bodily injury, property damage, New York Labor Law, public sector and/or construction matters preferred. Experience with evaluating complex risk transfer issues. Experience handling high
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Posted 60+ days ago | Updated 18 hours ago

Claims and Mailroom Clerk - Madison, WI - On-site

Gainwell Technologies LLC

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Madison, Wisconsin, USA

Full-time

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work
Posted 35 days ago | Updated 9 hours ago

Epic Resolute Professional Billing & Claims and Remittance

Tranzeal, Inc.

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Remote

Contract

Title- Senior Systems Analyst Location- Oakland, CA Job Information Job Description: Job Title: Application Analyst - Epic Resolute Professional Billing & Claims and Remittance Role Description: We are seeking a skilled and experienced Application Analyst with expertise in Epic Resolute, and Claims and Remittance modules o join our dynamic team. This Epic Applications Analyst plays a critical role in the implementation and installation of Epic applications, module upgrades, new components, and m
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Posted 13 days ago

Epic HB/HB Claims Analyst - Certified

InterSources Inc.

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San Mateo, California, USA

Full-time, Contract

Title: Epic HB/HB Claims Analyst - Certified Location: San Mateo, California What We're Looking For: Epic Certification: Required: Active Epic Hospital Billing (HB) Certification Required: Active Epic Hospital Billing Claims (HB Claims) Certification Epic Experience (2+ years): Proven experience in Epic design, build, and implementation within a healthcare setting. Strong preference for Epic Patient Billing experience. Proficiency with Epic "assisted application " modules. Education: Bachelor's
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Posted 28 days ago | Updated moments ago

Excellent Job Opportunity || Claims Assist - Solution Architect || Charlotte, NC

Sysmind, LLC

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Illinois, USA

Third Party, Contract

Dear Job Seeker My name is Leo and I work as a Sr. US IT Recruiter with SYSMIND. We have been serving fortune 500 clients in the industry to bridge their staffing gap since the past 25 years. I have an Excellent opportunity with one of our clients. Description: Role Name: Claims Assist - Solution Architect Location: Charlotte, NC Duration: 6+ months with possible extension Required Qualifications: Bachelor's Degree in Computer Science, or related technical discipline with proven experience
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Posted 40 days ago | Updated 6 hours ago

SQL Claims Analyst

Apex Systems

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Montgomery, Alabama, USA

Full-time

Job#: 2069329 Job Description: Position: SQL Claims Analyst - Medicaid Location: ONSITE - 501 Dexter Ave, Montgomery, AL 36104 Duration: 12-month Contract-to-Hire Pay Rate: $50 - $60/hr. Overview: AL EDS is the new Alabama Medicaid Data warehouse, This position will support the Agency in the rollout and usage Responsibilities: Support the Agency with their Analytic StaffProvide on-site help desk supportCreate Power BI reports at the request of the AgencyProvide data analysis at the request
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Posted 60+ days ago | Updated 2 hours ago