Claims Analyst Jobs in Dayton, OH

The Claims Analyst position at Cincinnati Specialty Underwriters involves managing property and casualty claims and litigation files, providing underwriting support, and assisting in product developme...

The Actuarial Analyst III will conduct complex actuarial studies and manage diverse projects related to Medicare Advantage Risk Adjustment. This role involves analyzing risk contracts, preparing manag...

The Audit & Reimbursement Senior will support Medicare Administrative Contracts by evaluating complex Medicare cost reports and reimbursement processes. This role involves mentoring associates, conduc...

The Compliance Analyst III is responsible for supporting the Compliance program by assessing compliance risks, detecting non-compliance, and providing corrective action support. This role involves col...

The Financial Analyst IV is responsible for leading the analysis of financial trends, costs, and revenues to predict future financial outcomes and communicate insights to management. This role involve...

The Casualty Litigation Specialist will manage and oversee the processing of large and complex casualty claims, including litigation and defense strategies. This role requires evaluating claims, provi...

The Configuration Analyst/Administrator serves as a subject matter expert for large Government Implementations in Medicaid, Med/Surgical, and Medicare programs. This role involves data analysis, troub...

The Loss Control Consultant for Commercial Insurance will conduct on-site surveys and provide risk evaluation reports to insurance clients. This role requires extensive experience in commercial Proper...

The Behavioral Health Clinical Quality Audit Analyst SR is responsible for conducting complex behavioral health quality studies and audits, analyzing data to ensure compliance with regulatory standard...

The Configuration Analyst/Administrator is responsible for managing and configuring medical plan benefits using the Facets platform. This role requires strong SQL and database skills, along with a dee...

The Actuary II position at The Cincinnati Insurance Companies involves leading actuarial support for Commercial Operations in California, providing pricing recommendations, and monitoring pricing and...

SAIC is seeking an experienced Master Scheduler to support the United States Air Force by developing and maintaining program execution schedules. The role involves utilizing project management techniq...

The Analytics Engineer I will support the Commercial Lines department by leveraging data awareness and project management skills to create meaningful statistical-based analysis and reporting. This rol...

The Medical/Clinical & Reimbursement Policy Writer is responsible for researching and developing medical, administrative, and reimbursement provider policies while ensuring compliance with company, st...

The PBM Formulary Analyst II is responsible for translating business needs into application software requirements and ensuring these requirements are incorporated into system design and testing. This...

The PBM Formulary Analyst II is responsible for translating business needs into application software requirements and ensuring that these requirements are incorporated into system design and testing...

The Nurse Audit Sr is responsible for identifying and analyzing aberrant patterns of utilization and fraudulent activities by healthcare providers through claims review and auditing. This role involve...

The Senior Analyst, Medical Economics will analyze key business issues related to cost, utilization, and revenue for Molina Healthcare products. This role involves conducting complex analyses to ident...

The Senior Financial Analyst at Carelon Health is responsible for preparing financial analyses, budgets, forecasts, and reports to support business performance and investment opportunities. This role...

The Medical/Clinical Policy Writer is responsible for researching and developing medical, behavioral health, and reimbursement policies while ensuring compliance with relevant regulations. This role i...

The Group Underwriter Consultant, Senior is responsible for assessing the acceptability of insurance risks and determining appropriate premium rates for large and complex group cases. This role requir...

The Group Underwriter Consultant, Senior is responsible for assessing insurance risks and determining appropriate premium rates for large and complex group cases. This role involves providing guidance...

The Program Analyst Sr. is responsible for directing all phases of programs from inception to completion, ensuring alignment with business and financial objectives. This role involves managing cost, s...

The Nurse Case Manager II is responsible for managing care for members with complex and chronic needs by developing and implementing care plans. This role involves conducting assessments, coordinating...

SRC, Inc. is seeking an Analyst to design, develop, and evaluate high-fidelity models of sensors and communication links for the Air Force Research Lab. The role involves conducting experiments in ele...