25 Results for

Claims Analyst Jobs in Missouri

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New!

Joplin, MO6 days ago

$100,000–$140,000 Per Year
Full-time

CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.

Chesterfield, Missouri18 days ago

Adhere to departmental Best Practices by: Establishing, reviewing and adjusting case reserves in a timely manner within proper authority levels supported by data driven insights and A.I. The role also leverages Advanced Analytics and Assisted Intelligence (A.I.) tools to enhance claim evaluation, reserve accuracy, and settlement strategies, supporting data-driven decision-making and continuous improvement.

Earth City, MO30+ days ago

$25–$35 Per Hour

The three main calls they will take will be: - Dealerships calling with repairs required on car to determine if the repairs needed will be covered by the auto warranty, they will have a list of guidelines that will allow them to determine if the claims should be approved or denied. • Technology proficient in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing, as well as the ability to navigate multiple software systems and monitors while assisting customers on the phone.

New!

Kansas City, MO3 days ago

$101,000–$151,500 Per Year

Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. You will be accountable for all aspects of the Stop Loss Quality Program, ensuring superior customer service for internal and external clients while overseeing functional training programs within Stop Loss Operations.

Kansas City, MO16 days ago

Good understanding or ability to learn in house systems (Workflow/Imaging System, Life Insurance Policy Administration systems, Microsoft Office applications). Our newly renovated offices are conveniently located in downtown Kansas City, within walking distance of your favorite restaurants and attractions.

St. Louis, Missouri30+ days ago

In addition, the Senior Credit Analyst works to resolve any customer disputes or complaints and escalates to the credit manager if determined that the customer is unwilling or unable to pay in accordance with agreed upon payment terms.   . Whether it’s driving innovation within our industry, making the impossible possible for our customers, providing a safe, respectful workplace for employees or supporting our local communities, our purpose is clear.

Jefferson City, Missouri17 days ago

Partnering across Special Programs, Accounting, and Government Affairs to establish best-in-class billing workflows, maximize allowable services under the Medicaid Program and ensure all payments are accurately forecasted, collected, and recorded. · Collaborate with Special Programs to identify billable student services and code encounters per state and federal program guidelines Prepare, submit, reconcile, and resubmit claims to state and federal agencies, ensuring timely payment.

St. Louis, MO30+ days ago

Remote

This role owns end‑to‑end financial modeling, contract validation, payor benchmarking, and savings/KPI development, while also managing weekly pipeline reporting to Finance to ensure visibility into negotiation pacing, value realization, and downstream revenue impacts. The role challenges legacy assumptions, improves model accuracy in areas where data reliability is limited, and develops negotiation-ready analytics and presentation materials for executive and payor audiences.

New!

Saint Louis, MO5 days ago

Participates in regular meetings with payor representatives, clinical departments, or hospital facilities studies data, identifies discrepancy patterns, and presents solutions analyzes clinical or payor data to make informed decisions on the remediation of patient accounts. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach, and community health programs and regional economic development.

Kansas City, MO30+ days ago

Remote

Full-time

Collaborate with multiple business partners including but not limited to Contracting Administration, Corporate Compliance, Claims Administration, and Legal to create strategies for contract templates while being proactive in preventing non-compliance. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

Kansas City, MO30+ days ago

Remote

Full-time

Technical Skills: Knowledge of the healthcare industry; expertise with data modeling & data mining; experience with data architecture, design & development, with DB2 and MS SQL DBMS, one or more OLAP/Reporting tools (Cognos and Microsoft Analysis Services, ETL tools (Cognos Data Manager or MS SQL EIS); experience with Tableau; strong knowledge of Excel, Access, and query language/software. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.

New!

St. Louis, MO4 days ago

In addition, the Senior Credit Analyst works to resolve any customer disputes or complaints and escalates to the credit manager if determined that the customer is unwilling or unable to pay in accordance with agreed upon payment terms.  . · Demonstrates strong initiative and self-motivation by proactively identifying risks, improving processes, and driving tasks to completion with minimal supervision.

Chesterfield, Missouri30+ days ago

Healthcare Fraud Shield is seeking a part-time Fraud, Waste and Abuse (FWA) Analyst Intern for our health care Fraud, Waste and Abuse software platform. Use knowledge of Fraud, Waste and Abuse (FWA) to research, test and identify effective alerts and algorithms targeting FWA detection and prevention on claims.

KCMO, MO30+ days ago

You will be responsible for maintaining ongoing contact with stakeholders including, Lessors, Contracting Officers, Transaction Managers, Building Managers, Regional Legal Counsel, Data Managers, Budget Analysts, and Finance to resolve any issues promptly. If you enjoy analytical work, structured processes, and meaningful public-sector impact - this role offers stability, growth, and exposure to federal real estate lease administration support.

Jefferson City, Missouri30+ days ago

Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world's leading financial centers - New York, London, San Francisco, Los Angeles, Chicago and Boston.

St. Louis, Missouri17 days ago

The Technical Analyst routinely interacts with all levels of management, participates in or leads operational projects, including system evaluations, selections, and/or implementations, and serves as a knowledgeable resource across the department. Communication: excellent verbal, written, and interpersonal communication skills, including the ability to present information to managers, clients, and stakeholders.

Kansas City, MO30+ days ago

Remote

Full-time

Analyzes data by combining multiple data sources and researching various system and healthcare issues in order to perform on time research and analysis to formulate solutions for issues of low to moderate scope and complexity. • Works with management to understand and interpret the impact of decisions made by retrieving, analyzing and identifying variations and trends in healthcare data, and communicating the information obtained from analysis.

St Louis, MO30+ days ago

o Serves as a key resource for an assigned customer area to understand and explain business and technical issues and to provide viable technology solutions. o Serves as a subject matter expert on the revenue cycle data domains such as Registration, Scheduling, Accounting and Billing, Cost Accounting and Claims.

KCMO, MO10 days ago

Remote

This role is perfect for professionals who enjoy analytical, detail-oriented work and have experience in areas such as: Hospital or clinical environments (medical records, HIM, clinical documentation, case management). Meaningful, Sensitive Work: Engage with afterlife care as part of the donation process, approaching each case with compassion, respect, and a strong sense of purpose.

New!

Kansas City, MO5 days ago

Financial Intelligence & Property Services Generalist I will work semi-independently under the direction of the Enterprise Fraud Officer & Property Manager & Physical Security & Investigations Manager and is responsible for the ongoing review of daily responsibilities focused on new account review, large check deposit review, Zelle investigations, fraudulent activity claims from clients to include wire transfers, etc. This position will serve as back-up to the FIU Analyst I & II and FIU Alert Analysts 1 & II on BSA/AML/Fraud system-generated alerts, reviewing all alerts and evaluating any contributing evidence taking immediate action to mitigate bank losses through account/access restrictions and case escalation.

St. Louis, MO30+ days ago

Remote

Full-time

Oversee architecture changes for all data ingestion solutions and provide technical advice on complex data mappings and transformations, including production support guidance, researching, and responding to security vulnerability findings, and working with multiple vendors and teams to leverage existing architecture components. - Facilitate the creation of architectures that consider how the current system interacts with other internal and external systems and environments and ensure that the new system behaves and performs correctly, including: prioritizing backlog projects and coordinating with system and network administration personnel on maintenance, upgrades, changes, and performance needs.

Springfield, MO30+ days ago

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

Springfield, MO8 days ago

The position requires hands-on management of regulatory filings, data collection, consultant oversight, and cross-functional coordination to maintain compliance and audit readiness across packaging, electronics/batteries, vehicle/boat components, bottle bills, plastics/PFAS, recycling labeling, and other emerging product stewardship programs. Execute or coordinate execution of EPR registrations, reporting, and filings across U.S. state packaging EPR programs and Canadian provincial programs; maintain or coordinate maintenance of Producer Responsibility Organization (PRO) relationships.

Rogersville, MO16 days ago

Full-time

OCCASIONAL (up to 33%): standing, stooping, kneeling, squatting, body-twisting, sense of touch, manual dexterity, lifting over 10 lbs. to 50 lbs., reaching, range-of-motion, lifting, carrying, pushing, pulling, climbing ladders, climbing stairs, balancing. This position ensures the productivity of daily operations, working closely with management to determine recruiting/hiring needs, deadlines, and safety protocols to enforce among the crew.

Kansas City, MO14 days ago

Full-time

OCCASIONAL (up to 33%): standing, stooping, kneeling, squatting, body-twisting, sense of touch, manual dexterity, lifting over 10 lbs. to 50 lbs., reaching, range-of-motion, lifting, carrying, pushing, pulling, climbing ladders, climbing stairs, balancing. Furnishes General Foreperson and utility representative with reports of orders completed, units of work completed, crew time, minor damage repairs and distribution, etc.

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Claims Analyst Jobs in Missouri

Claims Examiner Medical Malpractice Diedre Moire Corp.

Claims Analyst II Berkley

Mechanical Claims Analyst Masco Corporation

Associate Director, Stop Loss Claims Support and Development Sun Life Financial

Complex Claims Examiner I Americo Financial Life and Annuity

Sr Credit Analyst Metal Exchange

Medicaid Analyst Stride, Inc.

Senior Analyst - Managed Care Eye Care Partners Career Opportunities

Accounting Analyst Aya Healthcare

Contract QC Analyst TriWest Healthcare Alliance

Business Intelligence Analyst TriWest Healthcare Alliance

Senior Credit Analyst Premier Staffing Solution

FWA Analyst Intern Healthcare Fraud Shield

Analyst (Admin. Team) - Lease Administration Support NVE

Temporary Application Analyst Baker Tilly Advisory Group, LP

Technical Analyst, Operations NISA Investment Advisors, LLC

Data Analyst TriWest Healthcare Alliance

Technical Analyst TechDigital

Clinical Review Specialist - Remote (MO, KS and IL Only) Saving-Sight

Financial Intelligence & Property Services Generalist Dickinson Financial Corporation

Data Architect Maximus

Reporting Specialist Maximus

EPR & Product Stewardship Specialist Cabelas

Foreperson - NON-UNION Asplundh Tree Expert

Foreperson Level 2 - Union Asplundh Tree Expert

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