- LAZ Parking (Nashville, TN)
- …Responsible for claims and safety related training, prevention initiatives, and claims processing including claims investigation, client and guest ... compliance and ensuring the operation follows audit protocol. Responsible for payroll processing ; ensuring sign off on hours in timely manner; collaborate with the… more
- LAZ Parking (Santa Cruz, CA)
- …Responsible for claims and safety related training, prevention initiatives, and claims processing including claims investigation, client and guest ... compliance and ensuring the operation follows audit protocol. Responsible for payroll processing ; ensuring sign off on hours in timely manner; collaborate with the… more
- LAZ Parking (Auburn, AL)
- …Responsible for claims and safety related training, prevention initiatives, and claims processing including claims investigation, client and guest ... the operation follows audit protocol. - Responsible for payroll processing ; ensuring sign off on hours in timely manner;...service skills and abilities. - Ability to mitigate and lead others to overcome challenges (Never Ever Give Up… more
- LAZ Parking (Santa Barbara, CA)
- …Responsible for claims and safety related training, prevention initiatives, and claims processing including claims investigation, client and guest ... ensuring the operation follows audit protocol. Responsible for payroll processing ; ensuring sign off on hours in timely manner;...customer service skills and abilities. Ability to mitigate and lead others to overcome challenges (Never Ever Give Up… more
- AssistRx (Orlando, FL)
- …and support all operational and financial processes related to claim processing activities. In addition, manager will ensure effective day-to-day operations and ... and external business review meetings. Responsible for forecasts and analyzing claims data to determine Copay utilization, establish escrow account minimum balances… more
- NTT DATA North America (Ontario, CA)
- …Xcelys System **Job Summary** The Xcelys Team Lead will oversee a team of claims examiners, ensuring the accurate and timely processing of medical claims ... sourcing strategy. NTT DATA Services currently seeks Xcelys Medical Claims Team Lead to join our team...provide constructive feedback to team members. **Xcelys Platform and Claims Processing ** + Maintain subject matter expertise… more
- Sedgwick (Cincinnati, OH)
- …growth, and inclusion. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Best Workplaces in Financial Services & Insurance General Liability Claims Team Lead | Premise Liability Experience... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting… more
- APTIM (Santa Fe, NM)
- …reviewers, estimators, and support personnel to ensure timely, accurate, and compliant claims processing in alignment with federal regulations and program ... **Job Overview:** The Team Lead -- Claims Review is responsible...minimum of ten (10) years of combined experience in claims /case processing roles including customer service, data… more
- CVS Health (Blue Bell, PA)
- …leading modernization efforts. + Strong understanding of regulatory compliance in claims processing . + Excellent communication and stakeholder management skills. ... do it all with heart, each and every day. **Position Summary:** The Lead Director of Software Engineering is responsible for leading engineering teams that support… more
- Centene Corporation (Harrisburg, PA)
- …as the subject matter expert for other Claims Liaisons. + Analyze trends in claims processing issues and identify work process solutions + Lead meetings ... potential configuration related work process changes + Analyze trends in claims processing issues and assist in identifying and quantifying issues and reviewing… more
- Integra Partners (Troy, MI)
- …is responsible for leading complex projects and initiatives related to claims adjudication, processing , compliance, and operational improvements. This role ... requires deep subject matter expertise in healthcare claims systems, workflows, and regulatory requirements. The PM will...PM's responsibilities include but are not limited to: + Lead and manage end-to-end projects focused on healthcare DME… more
- HCA Healthcare (Nashville, TN)
- …Physician's Services Group and other corporate departments that will mutually benefit the Claims Department and the organization. + Lead and/or participate in ... Do you want to join an organization that invests in you as a Senior Claims Supervisor? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300… more
- CHS (Clearwater, FL)
- … claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and ... the client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims Department in delivering exceptional service to… more
- AIG (Atlanta, GA)
- …Law Firms with an annual spend of less than $500K for Insurance Claims processing and adjudication commodities. This shall include; + Negotiate commercial ... customers to manage risk. Join us as a Senior Claims Law Firm Analyst to play your part in...from AIG's Law Firm contract template; + Participate and lead Law Firm pricing negotiations; + Document and summarize… more
- CHS (Clearwater, FL)
- …guidelines, and reporting requirements; Federal and state regulations; and timeliness of claims processing . + Utilize Excel, prepares tracking and trending ... up-to-date working knowledge on regulatory requirements associated with billing and claims processing , as well as HIPAA guidelines/established Encryption… more
- Athene (West Des Moines, IA)
- …A Claims Representative at Athene is responsible for researching and processing claims requests while observing contractual and regulatory guidelines. The ... empathize with customers during difficult times. Accountabilities: + Initiates processing of new claims , investigates and reviews...potential issues with claims and refers questionable claims to Escalation-Team, Team Lead or Manager.… more
- Dignity Health (Bakersfield, CA)
- …of complex healthcare claims . This position requires expert knowledge of claims processing , coding, and regulatory compliance. The Claims Examiner ... **Minimum Qualifications:** + 3-5 years of experience in healthcare claims processing , with at least 2 years...of scale across provider types and geographies and will lead the effort in developing Dignity Health's Medicaid population… more
- CTG (CA)
- **CTG is seeking to fill an Epic Hospital Billing Claims Analyst opening for our client in California.** **Location:** Remote **Duration:** 18 months **Duties:** + ... Lead and oversee the configuration, maintenance, and support of Epic Hospital Billing (HB) Claims functionality, with a specialized focus on Behavioral Health and… more
- CVS Health (CT)
- …This critical role involves addressing significant challenges related to enrollment, billing, and claims processing on the Majesco LA&H Core Suite. The ideal ... on resolving high-priority defects and systemic issues impacting enrollment, billing, and claims processing + Deep-Dive Analysis & Root Cause Identification:… more
- The Cigna Group (Nashville, TN)
- …not limited to) Root cause analysis of systemic issues that impact claims processing , performance management, or process improvement. **A fundamental ... understanding of claims processing , configuration, and adjudication is required...issue cause and appropriate solutioning suggestions + **Facilitation** - lead and document idea sessions around problem resolution to… more
