3 payment integrity analyst ii jobs found

The Treasury Accountant is responsible for reviewing, analyzing, processing, and troubleshooting a variety of accounting and financial activities across the Treasury Services group, and focuses on one of the following areas: escheatment processing, EFT operations, or cash posting/billing. The role supports accurate financial activity across a large number of bank accounts while meeting strict internal controls and customer requirements. Candidates must be comfortable working in a fast ‑ paced, detail ‑ driven environment. This is a hybrid position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Monitor, track, analyze, and research outstanding or misapplied payments using internal tools and third ‑ party systems Research and resolve account discrepancies, payment variances, invoice/payment issues, and reconciliation items across workflows relating to escheatment, EFT, and cash posting/billing May process and maintain EFT setups, direct deposit registrations, and updates...

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.  This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as...

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of the Claims Department and of CorVel.  This is a position is open to remote or hybrid. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgement of the claim Determines the validity and compensability of the claim Establishes reserves and authorizes payments within established reserving authority limits Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties as assigned   KNOWLEDGE & SKILLS: Excellent customer service skills Excellent written and verbal communication skills Fast learner; develops knowledge...