85 senior analyst jobs found

SUMMARY    Responsible to plan, organize, direct, , and lead market research activities within the Medicare Strategy and Performance business unit; Use qualitative and quantitative methods to derive data and insights that support strategy, planning and performance activities.  The ideal candidate for this department will:  Be a strategic thinker with deep business and industry knowledge of government programs.   Use data and visualization tools to drive insights to support strategy.  Possess a willingness to learn in complex industry and adaptive landscape.    ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.  1. Support activities that are directly related to the development, design, and administration of methods and procedures, including surveys, to assess consumer preferences, the health care environment and the competitive landscape.  2. Interpret and predict trends derived from the collection, study, and...

Company: Marsh McLennan Agency Description: Senior Benefits Analyst – Employee Health & Benefits Our not-so-secret sauce. Award-winning, inclusive, Top Workplace culture doesn’t happen overnight. It’s a result of hard work by extraordinary people. The industry’s brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can make your mark as a Senior Benefits Analyst at MMA. Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With offices across North America, we combine the personalized service model of a local consultant with the global resources of the world’s leading professional services firm, Marsh (NYSE: MRSH). A day in the life. As our Senior Benefits Analyst on the Employee Health & Benefits team,...

SUMMARY Responsible for the collection, evaluation and preparation of internal data and/or documents in support of investigation related to suspected fraud, waste, abuse, and error (FWA) within claims. Resolve non-prosecutable analyst cases and prepare and maintain department investigative files and case information systems. Assist in planning and special project activities as required by the Director, Manager and Senior Analyst.   DEPARTMENTAL PREFERENCES Seeking candidates with previous experience in clinical settings. This position focuses on clinical review of patient medical records and provider billing. Candidates must be able to interpret patient claims data for inconsistencies, completeness and quality.    ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned.    Identify instances of fraud, waste, abuse, or error in Blue Cross Blue Shield of Michigan (BCBSM) claims using Healthcare Fraud Shield, the...

OBJECTIVE Agency Support Analyst Objective To provide Level I technical support in a call center environment for up to 2,400 end-users. To provide proactive communication to all appropriate parties regarding online production system issues and outages. To provide problem analysis, resolution and coordination services to customers who require assistance in solving day-to-day operating problems related to specific application software systems, generic use utility software, personal computers and related equipment; network access; production batch output; and technical operating procedures. To recognize, analyze, and report ongoing problem trends and document solutions in a service desk tracking system. RESPONSIBILITIES Agency Support Analyst Responsibilities Provide end-user problem support by giving immediate response to end-user problems and questions related to computer hardware, application and system software, network...

Position Title Sr. Technology Security Analyst   Location Troy, MI 48098   Job Summary The Sr. Technology Security Analyst is a highly experienced and expert-level individual contributor who serves as a subject matter expert in multiple areas of cybersecurity. This role is responsible for driving the most complex security initiatives, conducting advanced threat research, architecting security solutions, and providing critical guidance during major security incidents. The Senior Analyst plays a pivotal role in shaping the long-term security strategy and ensuring the highest level of protection and compliance for the organization's critical assets   Job Responsibilities: Act as a recognized subject matter expert, leading and executing highly complex security investigations, advanced threat hunting, and the identification of sophisticated nation-state or organized crime activities. Architect, design, and implement enterprise-level security solutions and frameworks,...

SUMMARY:  Primarily responsible for the following:  Authority to evaluate which submitted vendor physical and phone audits and decide which require further analysis; approval, completion and processing mail audits; processing adjustments, and reviewing phone and physical audits requiring further review in a multi-functional business unit.  Provides direct customer service via phone, fax, and e-mail to internal and external customers including, but not limited to; Business Development Consultants and Service Center representatives, Finance, and other Premium Audit staff, as well as agents, attorneys, NCCI / regulatory bureaus, and policyholders. PRIMARY RESPONSIBILITIES: •   Actively engages in the identification of solutions for multiple or cross-functional business areas.  Has an understanding of the direction of the overall industry and evaluates the related impact. •   Evaluate and decide in a timely manner which vendor audits submitted require further review and provide...

SUMMARY:  Primarily responsible for the following:  Authority to evaluate which submitted vendor physical and phone audits and decide which require further analysis; approval, completion and processing mail audits; processing adjustments, and reviewing phone and physical audits requiring further review in a multi-functional business unit.  Provides direct customer service via phone, fax, and e-mail to internal and external customers including, but not limited to; Business Development Consultants and Service Center representatives, Finance, and other Premium Audit staff, as well as agents, attorneys, NCCI / regulatory bureaus, and policyholders. PRIMARY RESPONSIBILITIES: •   Actively engages in the identification of solutions for multiple or cross-functional business areas.  Has an understanding of the direction of the overall industry and evaluates the related impact. •   Evaluate and decide in a timely manner which vendor audits submitted require further review and provide...

Position Title Fraud Detection Analyst   Location Troy, MI 48098   Job Summary The Fraud Detection Analyst plays a critical role in protecting the Bank’s assets by proactively identifying and mitigating fraudulent activity. This position is responsible for reviewing daily fraud detection reports, analyzing suspicious transactions, and making timely, risk-based decisions to prevent losses. The analyst follows established procedures to ensure timely and accurate resolution of fraud cases while supporting a secure and trustworthy banking experience for customers. The role also supports internal and external stakeholders by responding to fraud-related inquiries and collaborating with industry peers to strengthen fraud prevention efforts.   Job Responsibilities: Fraud Detection & Case Review Analyze daily detection reports to identify potential fraud. Make real-time decisions on transaction clearance, extended holds, account flags, and service restrictions....

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Our Culture Culture is meaningful to us. It's in the way we interact with one another and with our clients. We believe in being our authentic selves with one another and have cultivated an approach that is "we" not "I". We honor the commitments that we make to our clients and one another. This is our culture. We actively engage in the communities where we live and encourage our teammates to use Volunteer Time Off and to engage with our Spotlight Charities and causes meaningful to teammates. About The Role This position performs a variety of sales support and administrative assignments that support the overall functions of the Sales Department. Responsibilities include creating sales collateral (one pagers, case studies, presentations for prospect and finalist meetings), RFP support, data entry, generating sales reports, and...

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description Auto-Owners Insurance, a top-rated insurance carrier, is seeking motivated individuals to join our team for summer internships for Business and Quality Analysts. This internship is in-person, 5 days per week and located in Lansing, MI. The positions require, but are not limited to, the following: Act as liaison between the business and technology teams Organize and lead meetings with business, technology, and quality assurance teams Work closely with the business subject matter experts in the definition, training, implementation, and support of business requirements Define requirements through interviews, workshops, surveys, and existing system documentation or procedures Develop business requirements and related business rules based on business decision(s) Work...

A career at Auto-Owners is challenging and rewarding.  Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description Auto-Owners Insurance, a top-rated Insurance Carrier, is seeking a motivated individual to join our team as an Investigator/Analyst Intern with the Special Investigation Unit. This is a great opportunity for students to learn and apply investigative and analytical skills in the private sector. The position requires the person to: Become familiar with insurance coverage and the claim handling process Evaluate facts of loss in claims that may constitute insurance fraud Assist in the investigation and analysis of questionable claims submissions Work with investigators and analysts on various projects or assignments Gain skills in Open Source Intelligence, predictive analysis, performing background and social media checks etc. Utilize various claims...

Position Title Card Services Analyst   Location Jackson, MI 49201   Job Summary This position is responsible for monitoring and maintaining card agreements through exception reports, cases and individual requests from customer facing internal departments. Additional job responsibilities include, various reconciliation of card related transactions are also important roles for which this position will be responsible. Rules and regulations for card dispute processing must be administered in all aspects of responsibilities.   Job Responsibilities: Card Maintenance Queue- — Process all debit/ atm orders for consumers and businesses. Completing cases such as expedited debit card requests and travel exceptions as requested by the customer. Service Level Agreement Review — Responsible for monitoring and working the case queues to ensure 100% of Service Level Agreements (SLAs) are met Card Maintenance Reports- Process exceptions reports, such as lE56,...

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure’s promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. Amerisure is currently recruiting for a Software Engineering II that can do a hybrid approach onsite in our Farmington Hills office. Experience with Guidewire Studio , Product Model, Rating, and Policy Transactions are required for the role. The ideal candidate will also possess the following skill set.  Summary...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   This role reports to the Meemic Insurance sector of AAA Auto-Club Group. Eligible candidates must reside within the state of Michigan for consideration and have a valid state driver's license. Sr. Michigan Large Loss Homeowner Claims Field Specialist– AAA The Auto Club Group Reports To: Claim Manager as appropriate What you will do: Work under less supervision with a high-level of authority to handle highly complex technical issues and the most complex claims. Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system. Complete coverage analysis on the most...

The Financial Coordinator will play a critical role in supporting the budgeting, forecasting, capital planning, cost monitoring, and variance analysis for Medicare Advantage direct administrative expenses, ensuring alignment with financial goals and any related regulatory requirements. This position will also provide expert financial guidance through reporting, trend analysis, and collaboration with cross-functional teams. Oversees decision support oriented financial reporting for a division, customer or segment that may include linking financial information from various sources to provide meaningful financial reports or to assure appropriate data reconciliation.   Financial data may include claims data, general ledger transaction activity, settlement activity, membership, billing and revenue activity, and audit findings. Prepares and publishes various financial reports and/or statements for management outside the department and/or parties’ external to the Company (e.g....

Job Description About Acrisure    A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing   cutting-edge   technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services – and more .       In the last twelve years, Acrisure has grown in revenue from $38 million to almost   $5 billion   and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.     Job Summary     Acrisure is seeking a   Director, Finance Services & Automation Governance & Operational Excellence   to join our growing team in   Grand Rapids .    The   Director,...

Description Still in school but ready to launch your career? Be among the first to join our inaugural class of the Early Career Foundations Program! This unique experience is designed to give you hands-on exposure to the financial services industry while allowing you to provide invaluable feedback that will help shape the future of this program. Who should apply?   This program is ideal for ambitious sophomore undergraduates majoring in Human Resources or related fields, students studying Finance with an interest in Compensation, or anyone curious about other HR areas such as Talent Acquisition, Learning & Development, and more. If you are also curious about the financial services industry and eager to gain practical experience that goes beyond building a résumé, this role is for you! You’ll develop skills, expand your professional network, and open doors to future opportunities, both...

Position Title Compliance Training Manager Location Troy, MI 48098 Job Summary Pay Range: 74 - 137K The Compliance Training Manager is responsible for developing and maintaining a Compliance Management Program (CMP) for the Bank that reasonably ensures compliance with applicable laws, rules, and regulations (LRR), addresses associated risks of harm to consumers and customers and integrates Regulatory Compliance into the day-to-day responsibilities of its management, employees, and contractors. The Compliance Training Manager is a visible role reporting to the Head of Banking Compliance and is responsible for leading the management of the Banks Regulatory Compliance Training Program and its related maintenance and administration designed to provide the Business Units (BU) education on the LRR applicable to their processes. This includes but is not limited to prioritizing work, reviewing work product, providing periodic updates to Compliance Leaders on matters requiring...

It’s a great time to join AAA The Auto Club Group!   JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time   Exempt/Non Exempt:   Salary Job Description:   Sr. Claim Specialist (Medical Management Unit) – The Auto Club Group What you will do: The Auto Club Group is seeking prospective Senior Claim Specialist who can work under less supervision with a high-level of authority to handle highly complex technical issues and the most complex claims. In this position, you will have the opportunity to: Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system. Complete coverage analysis on the most complex claims Ensure all possible policyholder benefits are identified. Create additional sub-claims if needed....