- OneMain Financial (Baltimore, MD)
- The Claims Analyst / Investigator has an above average understanding, background and aptitude related to personal loan and credit card claim/chargeback ... Challenge o Ability to discuss feasibility and appropriateness of high dollar Fraud claims with Customers o Ability to differentiate Fraud types and work with… more
- Allied Solutions (Plano, TX)
- …and exceed all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and ... coverage to certain claim types prior to the assignment to a Claims Adjuster or Analyst . The key responsibilities of this job are both administrative and… more
- State of Arkansas (Little Rock, AR)
- …*Presenting evidence * Interviewing witnesses Job Summary: Review Incident and Accident claims as assigned by the lead investigator Perform a thorough ... GRANTS ANALYST Date: Feb 4, 2025 Req ID: 46930...DPSQA Hiring Official: LaQuisha Shead This position is an INVESTIGATOR . This position may travel. PREFERRED QUALIFICATIONS: *Experience with… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated analytics to ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- **Job Description** This position serves as Appeals Analyst for Central Billing Office management. Responsible for monitoring contractual allowances, analyzing and ... appeals opportunities with payors and networks, and reporting performance on underpaid claims . **Qualifications** + Bachelor's degree or greater in related field or… more
- University of Rochester (Rochester, NY)
- …direction and considerable use of independent judgment, the Financial Analyst II will utilize financial concepts, communication skills, and experience/knowledge ... to Investigators. RESPONSIBILITIES: Budget Development Develops and seeks Principal Investigator approval for CTMS coverage analysis. Develops cost and time… more
- Mount Sinai Health System (New York, NY)
- …data warehouse team and a research data services team. The Healthcare Data Analyst will collaborate with clinical Informaticist and researchers to define and develop ... of 5 years? experience working with electronic health record (EHR) and/or healthcare claims data; experience with Epic?s Clarity & Caboodle databases is needed. +… more
- State of Georgia (Fulton County, GA)
- …team, which typically includes a prosecutor, investigators, an auditor, a nurse investigator , and an intelligence analyst . Duties & Responsibilities + Obtains ... meet one or more of the following: . Audit experience in medical claims and/or claims data. . Certification as a CPA or a CFE (Certified Fraud Examiner).… more