Claims Analyst Jobs in Cleveland (QLD)
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Search Results - Claims Analyst Jobs in Cleveland (QLD)
Summa Health-Cleveland QLD
and to comply with state and federal regulations mandating fraud plans and practices. Skilled at conducting analysis of claims data, medical records and claims coding to identify aberrant patterns and support investigative activities.
Maintains knowledge...
Unison Risk Advisors-Cleveland QLD
Evaluation & Clinical Analysis
• Review and analyze PBM contracts, including rebate guarantees, pricing, and performance terms
• Analyze pharmacy claims data to identify trends, utilization patterns, and cost drivers
• Evaluate clinical programs and make...
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AmTrust Financial Services, Inc.-Cleveland QLD
goals and improve business processes.
• Develop ETL processes to extract data from various sources, transform it into a format suitable for analysis.
• Create data models and database schemas optimized for querying and analysis.
• Design validation...
AmTrust Financial Services, Inc.-Cleveland QLD
for unpaid commercial insurance policy premiums. This includes functions that support the analysis and review of settlement negotiations, civil litigation as well as bankruptcy cases. These matters include, but are not limited to, case assignment to legal...
AmTrust Financial Services, Inc.-Cleveland QLD
for an Accountant III level position, come join our team. We are looking for someone who is motivated, dynamic, and agile to perform a variety of general and statutory accounting, financial reporting and analyses for the North American property and casualty...
Insurance Office of America-Cleveland QLD
of the account management team.
• Handle customer service requests, policy administration, billing, claims, and coverage analysis.
• Manage policy expirations and renewals.
• Conduct client research, prepare submissions, negotiate coverages, and present proposals...
Grange Insurance-Cleveland QLD
Underwriting, Product Management, Claims, Risk Control, etc.) to identify and capitalize on opportunities, solve problems, share key competitor and industry intel, and provide voice of our agents/customers.
• Leadership Responsibilities: Provides leadership...
Insurance Office of America-Cleveland QLD
Competence:Maintain a high degree of technical competence and industry expertise.
• Team Leadership:Direct daily activities and workflow of the account management team.
• Customer Service:Handle customer service requests, policy administration, billing, claims...
Insurance Office of America-Cleveland QLD
customer service requests, policy administration, billing, claims, and coverage analysis.
• Policy Management: Manage policy expirations and renewals.
• Renewal Process: Conduct client research, prepare submissions, negotiate coverages, and present...
VA Detroit-Cleveland QLD
findings to enhance patient delivery care for improved patient outcomes.
• Ability to participate clinically in the development of the PA patient care audit processes involving in-depth review and analysis of medical records.
References: VA Handbook 5005...
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