The Claims Processor I is responsible for the accurate and timely processing of claims, including verifying codes and resolving claims errors. This role requires strong analytical and organizational skills and involves coordinating with internal departments to ensure compliance with business regulations and standards.

The Processor, Claims II reviews and adjudicates complex claims, determining payment per organizational guidelines. Responsibilities include entering claims into the system, verifying accuracy, correcting errors, resolving issues, and assisting in training new employees.

As a Business Test Analyst II, you will develop and execute test plans while coordinating implementation and debugging of new software. You will analyze technical documentation to create test matrices, identify system issues, create statistical reports, and prepare recommendations for improving operational workflows.

The Developer III position at CGS Administrators involves performing application systems analysis and design, coding, testing, and maintaining applications. The developer will also analyze production systems, recommend enhancements, and provide documentation and support to the team.

This role involves reconciling general ledger accounts, processing journal entries, preparing financial reports for analysis and budgeting, and assisting with audits. Additional tasks include maintaining documentation and supporting financial operations. The job emphasizes strong communication, organization, and analytical skills.

The Analyst, Quality Assurance performs quality control audits and reviews operations to ensure standards are met. Responsibilities include providing feedback for training improvements, documenting findings, and assisting in the development of new procedures. The role involves analyzing weaknesses and making recommendations for enhancements.

As an Operations Analyst, you will evaluate procedures to recommend improvements, monitor performance metrics, assist in system implementation, and conduct workflow audits. You will also document processes, provide training for employees, and liaise with management and other departments on operational issues.

The Senior ITAM Specialist supports the asset management life cycle of IT hardware and software assets, implementing policies and processes for IT Asset Management (ITAM) and integrating it with procurement and incident management. Responsibilities include analyzing inventory data, auditing hardware, forecasting utilization, ensuring licensing compliance, and leading IT Asset Disposition activities while identifying cost savings opportunities.

As a Project Assistant, you will provide administrative support, coordinate project tasks, maintain confidential files, manage supplies and vendor relationships, and assist with reporting and invoicing tasks while supporting 40 team members.

The Analyst, Financial I will conduct financial analyses, document financial projects, and assist in improving operational and financial effectiveness. Responsibilities include extracting data, performing accounting analysis, developing financial reports, and training others on systems usage.

The Specialist, Training I is responsible for developing and delivering blended learning solutions, conducting assessments, and evaluating training effectiveness while managing compliance with organizational policies. The role involves collaborating with Subject Matter Experts and maintaining training systems to ensure high-quality instructional materials are developed and executed.

As a Business Test Analyst II, you will develop test plans, conduct testing and reporting for system changes. You'll coordinate implementation and debugging of software, address systems issues, and work with customers to improve operational workflows.

As a Provider Enrollment Analyst, you will review, analyze, and process provider enrollment applications, ensuring compliance with standards. Responsibilities include data verification, managing provider information in databases, and improving enrollment processes while providing quality customer service.

The Processor, Claims I is responsible for accurately processing claims by verifying procedure and diagnosis codes, resolving claims errors through research, and coordinating with internal departments as needed.

As a Provider File Specialist I, you will establish and maintain healthcare provider files, ensure accurate claims adjudication, and assist with provider directories. Responsibilities include verifying information, maintaining provider data, and participating in special projects to enhance department performance.

The Senior Quality Assurance Analyst performs quality control audits to evaluate the effectiveness of departmental operations such as claims and customer service. Responsibilities include documenting findings, recommending improvements, developing quality control programs, generating performance reports, and training new employees.

The Quality Assurance Analyst performs quality control audits and monitoring of various operational functions including claims and customer service. The role involves identifying issues, analyzing causes, and making recommendations for improvements. Additionally, the analyst generates performance reports and assists in training documentation and development. Communication and documentation of processes are key aspects of the role.

The Business Analyst I assists in defining systems scope, conducting analyses, and facilitating improvements. They support the documentation of operations, tests system functionality, and ensure accurate reporting. Responsibilities include understanding major operations, analyzing system issues, and communicating business changes.

The Processor, Claims I is responsible for accurately processing claims according to regulations and internal standards. This role involves verifying codes, resolving claims errors, and coordinating with various departments on necessary updates. Strong analytical and communication skills are essential for effectively handling claims tasks.

Responsible for the accurate processing of claims by researching and verifying coding, resolving edits and errors, and coordinating with internal departments for necessary updates.