Top 13 Claims analyst remote Jobs in Manchester, Nh

Claims Analyst
Berkley —Bedford, NH
- $70,000 - $80,000 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Analysis skills
- Profit sharing
- Paid parental leave
Claims Analyst - REMOTE
Ryder System —Concord, NH
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Authorization Specialist
New England Life Care —Concord, NH
- $21 - $22 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Customer service
- Disability insurance
- Health insurance
Quick Apply
Senior Claims Analyst
Riverstone Resources —Manchester, NH
- Remote
- Bachelor's degree
- Mentoring
- Contracts
Quick Apply
Senior Manager, Client Business Analytics Consultant
CVS Health —Concord, NH
- $67,900 - $182,549 a year
- Full-time
- Remote
- 5 years
- SQL
- Project management
- Health insurance
- Dental insurance
1d
Inpatient Coding Auditor
Huron Managed Services LLC —Concord, NH
- $38.46 - $52.40 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Dental insurance
Quick Apply
8d
Commercial Insurance Consultant, Claims Insights- Remote
CSAA Insurance Services, Inc. —Fremont, NH
- $122,850 - $164,000 a year
- Full-time
- Remote
- Computer Science
- Mid-level
- SQL
- 401(k) matching
6d
Commercial Pricing Actuary (Mobility) - Remote
CSAA Insurance Services, Inc. —Fremont, NH
- $122,850 - $164,000 a year
- Full-time
- Remote
- Bachelor of Science
- 3 years
- Analysis skills
- 401(k) matching
6d

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Claims Analyst - REMOTE
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Claims Analyst - REMOTE
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Interacts with Law Department on significant cases, and updates field operations personnel on claim status. Investigates and adjusts claims, as well as directs…
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Claims Analyst

Berkley -
Bedford, NH

Apply Now

Job Details

Full-time
$70,000 - $80,000 a year

Benefits

Profit sharing
Paid parental leave
Health savings account
Internal mobility program
Employee stock purchase plan
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Parental leave
Vision insurance

Qualifications

Medical claims processing
Medical coding
Insurance medical billing
Math
Productivity software
Cross-functional collaboration
Cross-functional communication

Full Job Description

Company Details:

Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With our entrepreneurial culture and a strong emphasis on analytics, we can help employers better manage their risk. We offer a broad range of products, including employer stop loss, benefit captives, provider stop loss, HMO reinsurance, and specialty accident. The key to Berkley’s success is our nimble approach to risk – our ability to quickly understand, think through, and devise a plan that addresses each client’s challenges, coupled with the strong backing of a Fortune 500 company. Our parent company, W. R. Berkley Corporation, is one of the largest and best managed property/casualty insurers in the United States.

#LI-AV1 #LI-Remote

The company is an equal employment opportunity employer.

Responsibilities:

As a Stop Loss Claims Auditor (a.k.a. "Claims Analyst"), you'll perform quality review and evaluation of all claim submissions received and logged into our claims system to determine whether the amount requested is eligible for reimbursement.

This position can either be fully remote (if not within commutable distance to the office) or based in one of our offices:

Hamilton Square, NJ
West Hartford, CT
Marlborough, MA
Harleysville, PA

We offer hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.

What you can expect:

Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
Internal mobility opportunities
Visibility to senior leaders and partnership with cross functional teams
Opportunity to impact change
Benefits – competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education

We'll count on you to:

Process an average of 5 to 7 claims per day
Maintain a processing accuracy of 99% or better
Determine, on a timely basis, the eligibility of assigned claim by applying the appropriate contractual provisions to the medical facts and specifications of the claim
Review and adjudicate claims within approved authority limits
Maintain assigned claim block and assist other team members while meeting departmental guidelines
Document rationale of claim decisions based on review of the contractual provisions, plan specifications and the analysis of medical records, etc.
Elevate issues to next level of supervision, as appropriate
Other duties as assigned

Qualifications:

What you need to have:

3-5+ years stop loss claims experience
Prior experience handling first dollar payer insurance (medical healthcare claims)
Experience with medical billing practices, CPT codes, revenue codes, and/or universal billing
Ability to use mathematics to adjudicate claims
Detail oriented with a high degree of accuracy and ability to multitask
Strong problem solving, decision-making, reporting and analytical skills
Must possess good judgment and work effectively with internal business areas, peers and co-workers
Demonstrated proficiency in Microsoft Office software

What makes you stand out:

Prior experience handling stop loss claims at the reinsurance level (medical healthcare claims)
Ability to work independently, prioritize, organize and assign own work to meet deadlines
Ability to accept changing priorities with a minimum of disruption

Additional Company Details: We do not accept any unsolicited resumes from external recruiting firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees including: • Base Salary Range: $70,000 - $80,000 • Benefits include: Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and generous profit-sharing plan The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details: Sponsorship not Offered for this Role

Apply Now

Refine Your Search

claims analyst remote jobs in manchester, nh

Claims Analyst

Claims Analyst - REMOTE

Authorization Specialist

Senior Claims Analyst

Senior Manager, Client Business Analytics Consultant

Inpatient Coding Auditor

Commercial Insurance Consultant, Claims Insights- Remote

Commercial Pricing Actuary (Mobility) - Remote

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