Claims Data Specialist

JOB TITLE: Claims SpecialistWe are seeking an experienced and skilled Claims Specialist to join our team. This role is responsible for monitoring and handling all legal issues regarding claims matters, as well as recovering costs and expenses incurred by our company from third parties.Key Responsibilities:Maintain up-to-date knowledge of relevant laws and...

Claims Resolution SpecialistAs a Claims Resolution Specialist, you play a pivotal role in ensuring timely and accurate reimbursement from insurance companies and patients. Your responsibilities include navigating complex billing and coding rules to resolve outstanding medical claims.Key Responsibilities:Initiate calls to insurance companies to inquire about...

Health Insurance Claims ProfessionalOur organization seeks a highly skilled and empathetic Health Insurance Claims Professional to handle claims with accuracy, fairness, and efficiency.This role requires strong analytical skills to evaluate health insurance claims, as well as excellent communication skills to coordinate with hospitals, TPAs, and...

Senior Claims Analyst Job DescriptionWe are seeking a skilled Senior Claims Analyst to process Life Insurance and Living benefits Claims for Canadian customers, coordinate with onshore teams and the client, and ensure timely processing of Claims transactions.The ideal candidate will have excellent analytical skills, strong communication abilities, and the...

Job Description: Our team is seeking a skilled Finance Specialist with expertise in insurance finance systems to support a large-scale transformation programme.The role focuses on validating end-to-end financial processes, emphasizing process validation, reconciliation, and lifecycle testing.Develop test cases for finance processes, including process...

Job Title: Scientific Data SpecialistWe are seeking a detail-oriented and highly motivated individual to fill the role of Scientific Data Specialist.The successful candidate will require expertise in AI-assisted curation, API extraction, data modeling, and data schema creation & manipulation. A strong understanding of multi-omics data types, including...

Medical Coding SpecialistAs a Medical Coding Specialist, you will be responsible for ensuring accurate coding and resubmission of claims to prevent revenue leakage. You will perform various activities involving the coding of medical records, assigning accurate diagnosis and CPT codes according to ICD-10 and CPT-4 coding systems.ResponsibilitiesCoding:...

Healthcare Data Engineer – AI/ML Enablement Job SummaryWe are seeking a skilled Healthcare Data Engineer to support our organization's AI/ML initiatives through advanced data preparation and management.This role involves cleaning, rationalizing, normalizing, and integrating large healthcare datasets (claims, member, provider, clinical data) to ensure...

Job Title: Data Governance SpecialistWe are seeking an experienced Data Governance Specialist to join our team. As a key member of our data management team, you will be responsible for implementing and maintaining our data governance program.Required Skills and Qualifications:Collibra Experience: Hands-on experience with Collibra Data Intelligence Platform...

Job OverviewClarity Developer PositionWe are seeking an experienced Clarity developer to join our team. The ideal candidate will have a strong background in software development and excellent problem-solving skills.The successful candidate will be responsible for designing, developing, and implementing Duck Creek Clarity solutions for policy, billing, and...