Top 189 Claims analyst Jobs in Bloomfield, Nj

Claims Administrative Analyst
MetroPlusHealth —New York, NY
- $65,000 - $70,000 a year
- Hybrid work
- Inventory management
- Mid-level
- Analysis skills
Quick Apply
Claims Negotiation Analyst (Out of Network Mandates)
Horizon Blue Cross Blue Shield of New Jersey —Newark, NJ
- $58,029 - $77,074 a year
- Full-time
- Basic math
- Research
- Mid-level
- Health insurance
- Dental insurance
LOGISTICS ANALYST
Formosa Plastics Corporation, USA —Livingston, NJ
- $82,706 - $107,462 a year
- Full-time
- Mid-level
- Microsoft Office
- Analysis skills
- Paid holidays
- Disability insurance
Compliance Analyst
Verisk —Jersey City, NJ
- Full-time
- Hybrid work
- 18 years or older
- Microsoft Excel
- Mid-level
- Health insurance
- Paid time off
Medical Policy Analyst
Horizon Blue Cross Blue Shield of New Jersey —Newark, NJ
- $70,500 - $94,395 a year
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
9d
Claims Operations Analyst
EmpiRx Health, LLC —Montvale, NJ
- Full-time
- Research
- Office
- SQL
- Disability insurance
- Health insurance
Quick Apply
10d
Analyst, Customs and Trade Compliance – North America
Michael Kors —East Rutherford, NJ
- $85,000 - $95,000 a year
- Full-time
- Mid-level
- 3 years
- Analysis skills
Claims Review Analyst
EmblemHealth —New York, NY
- $48,600 - $83,160 a year
- Mid-level
- Analysis skills
- Bachelor's degree
Quality Assurance Analyst (Health Edge, Health Rules Payer)
MetroPlus Health Plan —New York, NY
- $85,000 - $95,000 a year
- Full-time
- Remote
- Customer service
- Mid-level
- 3 years
Claims Administrative Analyst
MetroPlus Health Plan —New York, NY
- $65,000 - $70,000 a year
- Full-time
- Hybrid work
- Inventory management
- Mid-level
- Office
Financial Application Analyst II - Full Time - Days - Corporate
Atlantic Health System —Morristown, NJ
- Full-time
- Microsoft Excel
- Microsoft Access
- Mid-level
- 403(b) matching
- AD&D insurance
CLAIM ADMIN-PRGM ANALYST
Dassault Falcon Jet Corp —Little Ferry, NJ
- $70,000 - $90,000 a year
- Overtime
- Computer Science
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply
Provider Configuration Analyst
MetroPlus Health Plan —New York, NY
- $85,000 - $95,000 a year
- Full-time
- Remote
- Computer Science
- 5 years
- Bachelor's degree
5d
Risk Analyst
MetroPlus Health Plan —New York, NY
- $63,600 - $73,600 a year
- Full-time
- Hybrid work
- Microsoft Word
- Research
- Mid-level
Senior Quality Assurance Analyst
ASCOT GROUP —Iselin, NJ
- $110,000 - $120,000 a year
- Full-time
- Hybrid work
- Office
- Microsoft Office
- 3 years
- Health savings account
- AD&D insurance
Technical QA Analyst II
Judi Health —New York, NY
- $95,200 - $119,000 a year
- Hybrid work
- Computer Science
- Writing skills
- Mid-level
Quick Apply
Billing Analyst, Physician Billing
Hackensack Meridian Health —Hasbrouck Heights, NJ
- $30.92 an hour
- Full-time
- Mid-level
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
6d
Data Exchange Analyst - Claims Operations
Judi Health —New York, NY
- $96,800 - $121,000 a year
- Hybrid work
- HIPAA
- Mid-level
- Office
Quick Apply
SERFF Filing Analyst II
Verisk —Jersey City, NJ
- Full-time
- Remote
- 18 years or older
- Mid-level
- 3 years
- Health insurance
- Paid time off
12d
Senior Analyst, Vendor Payment Integrity - Remote
EmblemHealth —New York, NY
- $68,040 - $118,800 a year
- Remote
- Oracle
- Master's degree
- Bachelor's degree

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claims analyst jobs near bloomfield, nj

Claims Administrative Analyst

MetroPlusHealth -
New York, NY

Quick Apply

Job Details

$65,000 - $70,000 a year

Qualifications

Bachelor's degree
CRM system proficiency
Productivity software
Technical Proficiency

Full Job Description

Position Overview

The Salesforce Analyst is accountable for performing analysis and administrative support specifically to Salesforce (SF) for the Claims Department. Incumbent will triage new cases and route/reroute cases as needed, assign salesforce cases to staff, will monitor, analyze, track and trend salesforce cases, will assist with compilation of key salesforce case metrics and will perform routine administrative case functions within the salesforce system. Salesforce will also make recommendations for improvement to the SF application to improve department efficiency and quality.

Scope of Role & Responsibilities

Under direction from manager, coordinates the administration aspects of the Salesforce tool and inventory management of cases.
Under direction from manager, manually assigns cases to staff and/or routes to queues.
Triages new cases, tracking and trending and routing appropriately.
Assists with monitoring of case age and routing.
Performs administration case updates in salesforce application as appropriate.
Supports preparation of case activity and production reports.
Works with Salesforce IT team to develop reports.
Assists with any Salesforce training needs.
Performs other duties, as assigned by management.

Required Education, Training & Professional Experience

Bachelor’s degree required.
Minimum 3 years’ health plan experience with a CRM tool; Salesforce a plus.
Proficient in MS Office applications.

Professional Competencies

Integrity and Trust.
Customer Focus.
Functional/Technical skills.
Excellent verbal and written communication skills, with the ability to effectively communicate.
Strong organizational and analytical skills.
Ability to solve practical problems and recommend solutions.
Ability to plan work, work with staff, at all levels of the organization.
Show initiative and flexibility.
Ability to manage time and make decisions within the scope of assigned authority.
Ability to multi-task.
Must be able to work in a fast-paced environment.

#LI-Hybrid

#MHP50

Quick Apply

Refine Your Search

claims analyst jobs in bloomfield, nj

Claims Administrative Analyst

Claims Negotiation Analyst (Out of Network Mandates)

LOGISTICS ANALYST

Compliance Analyst

Medical Policy Analyst

Claims Operations Analyst

Analyst, Customs and Trade Compliance – North America

Claims Review Analyst

Quality Assurance Analyst (Health Edge, Health Rules Payer)

Claims Administrative Analyst

Financial Application Analyst II - Full Time - Days - Corporate

CLAIM ADMIN-PRGM ANALYST

Provider Configuration Analyst

Risk Analyst

Senior Quality Assurance Analyst

Technical QA Analyst II

Billing Analyst, Physician Billing

Data Exchange Analyst - Claims Operations

SERFF Filing Analyst II

Senior Analyst, Vendor Payment Integrity - Remote

I want to receive the latest job alert for claims analyst in bloomfield, nj

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