Claims Data Specialist

As a Medical Claims Resolution Specialist, you will play a vital role in ensuring accurate reimbursement for healthcare providers. Your responsibilities will include contacting insurance companies to follow up on outstanding medical claims and navigating complex billing and coding rules.Key Responsibilities:Follow-up and Resolution:You will initiate calls to...

Health Insurance Claims ProfessionalWe seek an individual to process and evaluate health insurance claims with accuracy and fairness.Key Responsibilities:Verify policy coverage, eligibility, and supporting documents.Coordinate hospital visits, Third-Party Administrator (TPA) interactions, and customer communication for seamless claim resolution.Ensure timely...

Freelance Data ScientistWe are seeking a skilled Freelance Data Scientist to leverage their analytical expertise and domain knowledge in the healthcare space.The ideal consultant will uncover insights, build predictive models, and support data-driven decision-making.Responsibilities:Data Analysis: Extract, clean, and analyze large-scale claims and provider...

Finance Specialist Job SummaryWe are seeking an experienced Finance Specialist to join our team. This role will involve working closely with the finance and actuarial teams to ensure the integrity of financial data and compliance with industry standards throughout a large-scale transformation program.This is a challenging opportunity for a skilled...

Job Title / RoleDuckcreek Clarity/ Duckcreek Insight DeveloperKey Responsibilities:Design, develop, and implement Duck Creek Clarity solutions for policy, billing, and claims modules.Work on Example Platform versions 6X & 7X.Develop data insights and reports using Duck Creek Clarity, SSRS/SSIS, and Snowflake.Collaborate with actuarial, underwriting, and...

We are looking for an experienced Billing Specialist to join our team. Responsibilities: Understands the entire billing lifecycle – invoicing, claims submissions, post payments and collections using the Central Reach platform. Provide administrative support to internal employees. Identify billing inconsistencies and provide claims guidance Process...

Job Opportunity: Data Insight SpecialistWe are seeking a skilled professional to fill the role of Data Insight Specialist.As a Data Insight Specialist, you will be responsible for analyzing complex data sets, identifying trends and patterns, and creating data models to inform business decisions.Key Responsibilities:Extracting actionable insights from large...

Job Title: Data Validation SpecialistWe are seeking a skilled Data Validation Specialist to join our team. As a Data Validation Specialist, you will be responsible for designing and executing test cases to validate data transformations across various layers.Key Responsibilities:Design and execute test cases to Validate data transformations across various...

Enterprise Data SpecialistWe are seeking a highly skilled professional to join our team as an Enterprise Data Specialist. This role combines hands-on data engineering, business intelligence, and power BI reporting delivery.The ideal candidate will be technically proficient in SQL, SSIS, SSRS, and Power BI, capable of building scalable data pipelines while...

Job Role: Data Insights SpecialistWe are seeking a skilled professional to take on the role of Data Insights Specialist.About This OpportunityThis is a key position in our organization, requiring an individual who can analyze and interpret complex data sets to inform business decisions.The successful candidate will have strong analytical skills, with the...