insurance claims analyst

Salem Township Hospital

Join the Salem Township Hospital business services department as a claims analyst. This position assists with patient registration and billing tasks as needed, accepts patient payments, and performs clerical duties such as filing, typing, and scanning documents. Responsible for providing excellent customer service.Schedule<ul><li>Full-time</li><li>Monday &ndash; Friday</li><li>8:00 am &ndash; 4:30 pm</li></ul>Hourly Pay Range<ul><li>$19.00&ndash;$22.80</li><li>Actual hourly pay rate depends on experience (DOE).</li></ul>Qualifications<ul><li>High School graduate or equivalent, with courses in accounting, business, coding or medical billing, and English.</li><li>A general understanding of accounting principles is desired.</li><li>Must be efficient, productive, and fast-moving.</li><li>Able to make impactful decisions efficiently based on insurance and revenue cycle guidelines.</li><li>Outstanding organization and computer skills.</li><li>Proficient in Microsoft software products including Word, Excel, and Outlook.</li><li>Ability to handle multiple tasks simultaneously, meet time-sensitive deadlines, and organize workload with general supervision.</li></ul>Responsibilities<ul><li>Maintains and keeps current with relevant hospital rules and regulations, as well as all insurance billing requirements.</li><li>Must have independent judgment and decision-making abilities, as well as analytical skills.</li><li>Demonstrates competency in working with computer software such as Epic, demonstrates competency in working conflicting claims, identifying system issues, and managing claim workload.</li><li>Claim submission; claim re-submission when necessary due to edits and/or rejected claims; and completing the necessary research to correct rejected claims.</li><li>Works to ensure that claims are billed efficiently and accurately to promote timely reimbursement and management of Salem Township Hospital&rsquo;s accounts receivable.</li></ul>View benefits offered to employees of Salem Township Hospital: https://salemtownhosp.com/employee-benefits/ Salem Township Hospital is an Equal Opportunity Employer. Salem Township Hospital is committed to provide excellence in health care and promote wellness for our community through compassionate care, personalized service, and teamwork.Job Type: Full-timePay: $19.00 - $22.80 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Employee discount</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul>Education:<ul><li>High school or equivalent (Required)</li></ul>Work Location: In person

Claims Analyst

Acrisure LLC

<div><h2 class="jobSectionHeader">Job Description</h2>
About Acrisure 
A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more.
In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.
JOB SUMMARY
Acrisure is seeking a Claims Analyst II to manage multi-state workers&rsquo; compensation claims, including indemnity, employer&rsquo;s liability, and subrogation exposures. This role is responsible for independently handling claims from assignment through resolution, ensuring timely, accurate, and compliant claim outcomes.
The Claims Analyst II will evaluate coverage, determine compensability, manage litigation, and coordinate all aspects of the claims process. This position is well suited for an experienced claims professional who is comfortable working in a fast paced environment and managing multiple files with a high level of autonomy.
Responsibilities<ul><li>
Manage a caseload of multi-state workers&rsquo; compensation claims, including indemnity, employer&rsquo;s liability, and subrogation exposures</li><li>
Conduct initial claim investigation, including coverage verification, compensability determination, and timely contact with involved parties</li><li>
Communicate with injured workers, employers, medical providers, attorneys, and other stakeholders to support claim resolution</li><li>
Set and manage reserves to ultimate probable cost within established authority levels</li><li>
Ensure timely delivery of benefits and required notices in accordance with jurisdictional requirements</li><li>
Coordinate return to work efforts in alignment with medical guidance and employer programs</li><li>
Manage litigation, including directing defense counsel and attending hearings or depositions as needed</li><li>
Negotiate settlements with injured workers, attorneys, and other parties</li><li>
Identify and pursue subrogation opportunities and manage third party recoveries</li><li>
Review medical and expense bills for accuracy, causation, and appropriateness</li><li>
Maintain accurate and timely documentation within the claims system</li><li>
Prepare claim status reports and participate in claim review meetings</li><li>
Assign and coordinate nurse case management resources when appropriate</li><li>
Collaborate with leadership on complex claims requiring additional support or escalation</li></ul>
Requirements<ul><li>
Experience handling workers&rsquo; compensation claims required</li><li>
2 to 5 years of relevant claims experience or equivalent experience required</li><li>
Strong understanding of workers&rsquo; compensation laws, claims processes, and jurisdictional requirements</li><li>
Experience managing indemnity claims, litigation, and claim resolution strategies</li><li>
Strong analytical skills, decision making ability, and attention to detail</li><li>
Strong communication and negotiation skills</li><li>
Ability to manage multiple claims in a fast paced environment</li><li>
Strong organizational and time management skills</li><li>
Proficiency with Microsoft Office and claims management systems</li><li>
Ability to work independently with limited supervision</li><li>
Litigation experience beneficial</li></ul>
Education and Licenses<ul><li>
High school diploma required, bachelor&rsquo;s degree beneficial</li><li>
Relevant state licensing beneficial or ability to obtain as required</li></ul>
Pay Details:
The base compensation range for this position is $60,000 - $71,050. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.
Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership. 
Why Join Us:
At Acrisure, we&rsquo;re building more than a business, we&rsquo;re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.
Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York. 
Employee Benefits
We also offer our employees a comprehensive suite of benefits and perks, including:<ul><li>
Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.</li><li>
Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.</li><li>
Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.</li><li>
Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.</li><li>
&hellip; and so much more!</li></ul>
This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location. 
Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com.
Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws. 
California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy. 
Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice. 
Welcome, your new opportunity awaits you.</div>

Claims Analyst II

Harbor Claims LLC

<div>Description: Job Overview
Our Claims Analyst III&rsquo;s are highly-seasoned residential property (1st party) and/or liability (3rd party) claims professionals who are dedicated to doing an outstanding job of accurately and effectively handling a heavy claims file load of the full range of routine to complex claims for the Company. Additionally, our Claims Analyst III&rsquo;s provide constant, top-quality and highly-responsive service to successfully handle even the most advanced claims inquiries and/or issues from policyholders, agents, third party representatives and other Company team members.
Job Responsibilities 
In the spirit of our Company&rsquo;s mission, values and culture, the duties listed below serve as illustrations of the various types of work that may be performed by our Claims Analyst II&rsquo;s. We may also expect our Claims Analyst II&rsquo;s to carry out other responsibilities that are similar, related or a logical assignment to this job class.<ul><li>
With minimal supervision, provides outstanding service to Harbor Claims external and internal customers; utilizes tact, diplomacy and professional communication skills to positively represent Harbor Claims in telephone and email contacts; per Company claims guidelines, Company quality and time standards and governmental regulations and with minimal supervision, appropriately and correctly responds via telephone and email interactions to a wide range of routine to complex claimants&rsquo;, agents&rsquo; and third party representatives&rsquo; claims, policy and other related inquiries and issues.</li><li>
Within designated levels of authority and required time frames and with minimal supervision, assigns applicable claims to independent and/or Harbor Claims field adjusters; provides professional and responsive assistance on pending claims to independent and/or Harbor Claims field adjusters; develops and maintains effective working partnerships with independent and field adjusters to ensure prompt and appropriate claims&rsquo; actions; correctly reviews, assesses and applies independent and/or field adjusters&rsquo; findings in order to appropriately handle the respective claims.</li><li>
Within designated authority levels and time frames, with minimal supervision and adeptly utilizing assigned tools, analyzes claims information to determine appropriate settlement; as required, requests, obtains, reviews and evaluates outside experts&rsquo; (including engineers, architects, construction contractors and attorneys) opinions and/or information and confers with experts; communicates with claimant regarding settlement and effectively negotiates, when necessary; as required, interviews and records statements of claimants and witnesses to gather pertinent information; communicates with claimant regarding settlement and effectively negotiates, as necessary; settles claim and closes a wide spectrum of files including those with increased complexity, severity and/or exposure and/or which may be attorney- or third-party-represented; when claim is outside scope of authority or is attorney or third-party represented, actively and professionally works the file while maintaining clear communication and ongoing interaction with management, internal legal counsel and/or outside legal counsel, as appropriate, to ensure prompt timely and fair resolution of claims; may participate in mediation and/or court proceedings.</li><li>
Maintains exceptionally thorough, accurate claims files in compliance with governmental regulations and Company standards; efficiently and effectively utilizes multiple Carrier and Harbor Claims Information Systems/Programs to accurately maintain Claims files and file diaries.</li><li>
Reviews assigned files for subrogation potential; as warranted, identifies potential subrogation opportunities; clearly communicates findings to subrogation specialist and provides follow-up assistance and support, as necessary.</li><li>
Actively contributes as a member of the Harbor Claims Team by providing assistance and support to assigned claims, underwriting, customer support, product, sales and/or other team members; as requested, researches routine to more difficult policy, coverage and eligibility provisions; develops and communicates provision findings, analyses and/or recommendations to appropriate internal and/or external contacts .</li><li>
Participates in and/or actively assists with &ldquo;special&rdquo; Company projects, including CAT planning, organization, and preparation, vendor management or others, as directed.</li><li>
Dynamically enhances Company&rsquo;s success by taking advantage of learning and development opportunities and personally integrating positive actions to improve individual performance.</li></ul>
Requirements: Skills and Expertise 
Qualities: quality- oriented; detail-oriented; self-starter; team player; multi-tasker; adaptability; flexibility; strong work ethic; positive &ldquo;can do&rdquo; attitude; collaborator; financially-oriented; service-oriented; coachable; dependable.
Strong skill sets in the following areas: effective decision-making; time management/working under tight deadlines; information and financial review and analyses; organization; problem analyses/solving; active listening; asking productive questions with an ability to apply learned information to a variety of related or similar situations; oral and written communication; interpersonal communication.
Strong knowledge of: advanced understanding of personal lines products, including residential homeowners and personal umbrella products; depending on area of focus, advanced understanding of property-related (1st party) and/or liability-related (3rd party) principles, practices, processes and terminology; business writing, grammar and punctuation rules; telephone and email business etiquette rules; desktop computer operations; standard business software and web-based engine operations (e.g., Microsoft Word, Microsoft Excel, Microsoft Outlook and Internet Explorer). MS Access, MS PowerPoint a plus. Thorough knowledge of Xactimate required.
Licenses, Education and/or Experience 
For external candidates applying to a Claims Analyst III position: Bachelor&rsquo;s Degree and five or more years residential property (1st party) or liability (3rd party) experience or equivalent. Must hold a current 6-20 Claims Adjuster or equivalent (for other applicable states) license, as required by job opening.</div>

Claims Analyst III (Residential Property and/or Liability)

Kforce Inc

<div>
 
 Responsibilities
 
 
 
 Kforce is partnering with a leading organization in Saint Louis, MO to identify a Lead Claims Analyst to join their team. This hybrid opportunity offers the chance to work with a well-established company known for its strong leadership and collaborative culture. Duties Include:
 
 
 <ul>
 <li>
 Oversee complex third-party claims through resolution, including monitoring administrators, reviewing reserve levels, and ensuring proper reporting to carriers
 </li>
 <li>
 Analyze claims data and trends to identify risk exposures and recommend process improvements or mitigation strategies
 </li>
 <li>
 Serve as a liaison with legal counsel, insurance partners, and internal teams to assess potential liability and support claim resolution
 </li>
 <li>
 Conduct detailed claims analysis and reporting, using internal and external data sources to evaluate outcomes and recommend actions to leadership
 </li>
 <li>
 Operate independently as a subject matter expert, providing guidance to colleagues and reviewing work while supporting overall claims management processes
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 <ul>
 <li>
 Bachelor's degree in Business or a related field (or equivalent experience)
 </li>
 <li>
 Certifications in Property &amp; Casualty Claims Handling and Liability Investigation
 </li>
 <li>
 15+ years of experience handling Property &amp; Casualty claims and working as a Liability Claims Representative
 
 
 </li>
 </ul>
 The pay range is the lowest to highest compensation we reasonably in good faith believe we would pay at posting for this role. We may ultimately pay more or less than this range. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. This range may be modified in the future.
 
 
 We offer comprehensive benefits including medical/dental/vision insurance, HSA, FSA, 401(k), and life, disability &amp; ADD insurance to eligible employees. Salaried personnel receive paid time off. Hourly employees are not eligible for paid time off unless required by law. Hourly employees on a Service Contract Act project are eligible for paid sick leave.
 
 
 Note: Pay is not considered compensation until it is earned, vested and determinable. The amount and availability of any compensation remains in Kforce's sole discretion unless and until paid and may be modified in its discretion consistent with the law.
 
 
 This job is not eligible for bonuses, incentives or commissions.
 
 
 Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
 
 
 By clicking &ldquo;Apply Today&rdquo; you agree to receive calls, AI-generated calls, text messages or emails from Kforce and its affiliates, and service providers. Note that if you choose to communicate with Kforce via text messaging the frequency may vary, and message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You will always have the right to cease communicating via text by using key words such as STOP.
</div>

Nemours Children's Health

<div>Nemours is seeking a Sr. Medical Reimbursement Analyst in Jacksonville, FL.
The primary function of the Senior Medical Reimbursement Analyst is the resolution of open high dollar insurance balances through collections. The position is responsible for researching unpaid, underpaid and denied high dollar insurance claims then applying contractual billing and payment guidelines to ensure timely resolution and meet collection goals. The position also uses knowledge of the revenue cycle to analyze, report and work reimbursement issues with various internal departments and external entities at all levels to create reliable methods for future resolution.
Essential Functions 
 
<ul><li>Work accounts until all charges are paid or denied by the insurance carrier, while utilizing their ability to multitask, maintain process efficiencies and production levels.
</li><li>Understand and apply principles of reimbursement to all aspects of the revenue cycle including but not limited to billing, coding, reimbursement, recovery, and patient responsibility.
</li><li>Account for high dollar balances and keep abreast of insurance trends while identifying and reporting payor trends and issues to management and huddle board in order to affect timely resolution.
</li><li>Pursue payment from payors related to both denials and underpayment through various means of communication including verbal and written platforms i.e email, appeals, etc.
</li><li>Accurately enter patient demographics, guarantor and coverage information into Epic system. As well as, accurately perform retro adjudication, change filing order, request necessary adjustments / reversal of adjustments, or refile claims.
</li><li>Apply problem solving skills to resolve discrepancies while maintaining a professional demeanor that promotes patient, staff and customer satisfaction, and reflects the Mission, Vision, and Values of Nemours when working with either insurers or the insured.
</li><li>Work jointly with all departments along the revenue cycle to resolve issues, including attending meetings both internally and externally. Building relationships which could result in an increase of collection % as well as, ensure timely processing of claims.
</li><li>Keep abreast of all insurance and system changes, Payor Plan Standards, contractual updates, etc.
</li><li>Apply balance adjustments as appropriate and accurately bill the guarantor for patient responsibility if applicable.
</li></ul>Requirements
High School Diploma
1-3 years of experience
About Us
Nemours Children's Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida - along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.
Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children's health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive.
Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.
Learn more at Nemours.org .</div>

Medical Reimbursement Analyst Sr

The Hartford

<div>Sr Claims Analyst FL - CV08DE
We&rsquo;re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals &ndash; and to help others accomplish theirs, too. Join our team as we help shape the future. 
The Global Financial Lines Senior Claims Analyst - Allied Health Professional Liability manages complex primary and excess financial lines claims under claims‑made policies. This role applies strong technical expertise and sound judgment to evaluate, manage, and resolve claims in accordance with company standards and regulatory requirements.
Job duties include:
Claim File Management<ul><li>
Plan, recommend, reserve, and execute file strategies including investigation, valuation, disposition, and settlement of assigned claims of low to moderate exposure and/or complexity, in a manner consistent with corporate claim settlement policies and procedures, and statutory, regulatory and ethics requirements</li><li>
Appropriately escalate matters to Team Lead/management per escalation protocols</li><li>
Independently draft and issue timely reservation of rights letters on all files and independently draft denials for management review</li><li>
Properly assesses the exposure of assigned claims. Plan and organize, establish priorities, anticipate issues, determine realistic completion dates, know and communicate the status of assignments, appropriately manage vendors</li><li>
Demonstrate increasing ability and continued development with respect to appropriately interpreting and applying financial lines insurance coverage concepts, including how to trigger other insurance when indicated</li><li>
Demonstrate development regarding technical and jurisdictional expertise</li><li>
Maintain current knowledge of claim loss cost management initiatives, and utilize them appropriately and in a manner consistent with company practices and procedures</li><li>
Identify and properly utilize mitigation, subrogation, and other recovery opportunities</li></ul>
Customer Service<ul><li>
Maintain dedication to meeting or exceeding expectations and requirements of internal and external customers</li><li>
Obtain first-hand customer information; use it for improvements in products and services</li><li>
Establish and maintain effective relationships with customers, gaining their trust and respect. Demonstrate diplomacy and tact to effectively avoid or diffuse high-tension situations.</li></ul>
Business Acumen and Technical Expertise<ul><li>
Utilize verbal and numerical critical thinking skills to gather information, apply sound reasoning, and draw appropriate conclusions; make sound decisions based upon mixture of analysis, experience, and judgment.</li><li>
Accurately resolve coverage and compensability issues.</li><li>
Demonstrated experience investigating, evaluating, and successfully negotiating/mediating claims to appropriate disposition.</li><li>
Possess superior analytical and critical thinking skills.</li><li>
Excellent time management abilities</li><li>
Possess the technical knowledge to properly reserve claims</li><li>
Properly apply statutory laws and regulations of applicable jurisdiction</li><li>
Demonstrate advanced expertise to utilize claim management practices to effectively manage loss costs</li><li>
Contribute to loss cost management by recognizing potential for Subrogation and Special Investigation</li></ul>
Teamwork and Team Building<ul><li>
Support and help create a team environment that celebrates diversity and Inclusion</li><li>
Support and assist in building a high performing team with diverse characteristics, where individual differences are valued</li><li>
Build appropriate rapport and constructive and effective relationships with people inside and outside the organization</li><li>
This position will handle files in more than one claims systems</li></ul>
Qualifications<ul><li>
College degree required, J.D. strongly preferred</li><li>
At least two to three years of successful relevant experience handling third-party professional liability claims or litigation, with a career history of increasing responsibility</li><li>
Experience handling allied health or medical malpractice matters strongly preferred</li><li>
Technical expertise in managing claims</li><li>
Self-starter, resourceful and independent</li><li>
Ability to work in a fast-paced environment and ability to prioritize work</li><li>
Outside the box thinking to negotiate creative resolutions</li><li>
Strong computer proficiency in utilizing software programs, knowledge of ECOS claim system a plus</li><li>
Strong communication skills, oral, written, collaboration and negotiation</li><li>
Excellent time management and organizational skills</li><li>
Superior customer service skills</li><li>
Adept at managing conflict as an opportunity to listen and share information while negotiating a win/win outcome that supports The Hartford's and the insured&rsquo;s best interests</li><li>
State adjusting licenses will be required; a plus if already obtained</li><li>
Proficiency in using Microsoft Word and Excel</li><li>
Operate under the mindset of The Hartford's Behaviors: be courageous, break through, and better the experience</li></ul>
This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our office locations (Hartford, CT, San Antonio, TX, Lake Mary, FL, Phoenix, AZ, Naperville, IL, Alpharetta, GA) will have the expectation of working in an office 3 days a week (Tuesday through Thursday). Candidates who do not live near an office will have a remote work arrangement, with the expectation of coming into an office as business needs arise.
Compensation
The listed annualized base pay range is primarily based on analysis of similar positions in the external market. Actual base pay could vary and may be above or below the listed range based on factors including but not limited to performance, proficiency and demonstration of competencies required for the role. The base pay is just one component of The Hartford&rsquo;s total compensation package for employees. Other rewards may include short-term or annual bonuses, long-term incentives, and on-the-spot recognition. The annualized base pay range for this role is:
$108,800 - $163,200
Equal Opportunity Employer/Sex/Race/Color/Veterans/Disability/Sexual Orientation/Gender Identity or Expression/Religion/Age</div>

Senior Claims Analyst - Allied Health Professional Liability

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10000 insurance claims analyst jobs Near Me

Claims Analyst

Claims Analyst II

Claims Analyst III (Residential Property and/or Liability)

Claims Analyst

Medical Reimbursement Analyst Sr

Senior Claims Analyst - Allied Health Professional Liability

Senior Claims Analyst - Allied Health Professional Liability