Claims Analyst Jobs in Columbia, SC

Analyze and validate Medicare Advantage member medical records to ensure accurate risk adjustment submissions to CMS. Collaborate with healthcare providers and improve coding quality for optimal reimb...

Accelerate your career as a Property Claims Examiner, utilizing technology to investigate, evaluate, and settle moderate homeowner claims. Collaborate with vendors and customers to deliver exceptional...

Pioneer a transformative approach in commercial transportation claims, balancing leadership and hands-on support. Leverage technology to enhance team performance and client satisfaction while driving...

Drive the transformation of complex Auto Casualty claims operations by leading innovative strategies, optimizing processes, and ensuring regulatory compliance, all while championing a culture of teamw...

Lead the charge in optimizing clinical appeals processes, ensuring compliance and high-quality outcomes. Manage a skilled team while collaborating with stakeholders to enhance operational effectivenes...

Deliver innovative pricing solutions as an Actuarial Analyst, leveraging statistical analysis to enhance insurance models. Collaborate with teams to ensure compliance and execute complex projects that...

Champion health management initiatives by developing and optimizing programs that enhance patient care and drive strategic outcomes, including cost-saving analyses and reporting mechanisms. Collaborat...

Join a dynamic team as you leverage your actuarial expertise to develop innovative solutions in pricing, reserving, and financial modeling, while collaborating across departments to influence strategi...

Drive growth and retention strategies for customer accounts, ensuring high satisfaction levels while fostering strong relationships and facilitating multi-level engagement across client teams for opti...

Lead the evolution of reinsurance pricing strategies and actuarial models, driving innovation and technical excellence. Engage with senior leadership to communicate analytical insights clearly and sha...

Unlock potential by driving the integration of PLM solutions through technical documentation, collaborative process development, and compliance support in engineering environments, ensuring alignment...

Empower patients by overseeing complex pharmacy reimbursement cases, coordinating timely actions, and ensuring seamless communications among stakeholders. Drive quality improvements and mentor colleag...

Analyze and manage complex General Liability claims while collaborating with internal teams and TPAs. Use your expertise to drive excellence and innovation in claims management, ensuring timely resolu...

Lead the charge in ensuring quality compliance for clinical audits, utilizing expert knowledge in claims auditing and healthcare protocols to enhance process efficiency and accuracy across various cli...

Drive impactful decision-making by developing robust analytical tools and frameworks. Collaborate with senior leaders to address business needs through innovative solutions, while enhancing your exper...

Shape your career by optimizing internal controls while implementing AI solutions across financial reporting engagements. Collaborate with business partners to enhance risk management frameworks and d...

Lead quality assurance for clinical DRG audits, ensuring accuracy and consistency in coding. Mentor auditors, recommend process changes, and analyze errors to enhance performance. Collaborate effectiv...

Drive impactful business analysis to enhance organizational efficiency, improving IT-business integration. Collaborate with stakeholders and leverage Agile principles to support project delivery and o...

Contribute to innovative solutions by leveraging your expertise in technical issue resolution and project management, while enhancing systems in support of academic and healthcare operations to drive...

Drive timely resolution of Workers Compensation claims through analysis, negotiation, and effective communication, ensuring client satisfaction and adherence to industry standards. Join a supportive t...

Manage and resolve complex General Liability claims, emphasizing strategic analysis, investigation, and efficient resolutions across diverse programs. Leverage expertise in coverage interpretation and...

Drive the resolution of complex commercial casualty claims through litigation, managing injury cases from investigation to settlement or trial with minimal oversight, collaborating effectively with de...

Empower the Property and Casualty team by analyzing data and trends to support State Managers. You'll provide project leadership, insights, and recommendations to enhance product strategies and meet c...

Join a team that's dedicated to optimizing revenue processes, analyzing denial trends, and driving improvements in reimbursement strategies. This role offers advanced analytical opportunities and coll...

Transform life underwriting by analyzing applications, making independent decisions, and enhancing customer experiences. Utilize medical knowledge and risk assessment skills to ensure effective outcom...