- APTIM (Santa Fe, NM)
- **Job Overview:** The Team Lead -- Claims Review is responsible for supervising a multidisciplinary team of claims reviewers, estimators, and ... + Provide coaching, feedback, and refresher training to ensure team proficiency in claims systems and regulations + Coordinate with SMEs, site inspectors,… more
- Centene Corporation (Indianapolis, IN)
- …to ensure payment integrity and provide immediate feedback on findings including high dollar claims , coaching for quality review claims and internal audits. ... increasing the overall claims knowledge to the Claims Operations team . Manage day to day...a smooth and timely work flow. + Manage the Claims Quality Analysts to perform quality review … more
- Sedgwick (Indianapolis, IN)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead | Auto Liability Bodily Injury | Remote Are ... technical staff? If so, this is your opportunity to lead a high-performing team in a role...management reports and takes appropriate action. + Performs quality review on claims in compliance with audit… more
- Sedgwick (Norfolk, VA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | VA Jurisdiction | Remote **Are you ... and negotiate settlements; and to provide backup for team lead when out of the office....management reports and takes appropriate action. + Performs quality review on claims in compliance with audit… more
- Sedgwick (Rancho Cordova, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Team Lead - Commercial Trucking Are you looking for an ... team of examiners for liability and commercial trucking claims ; to monitor colleagues' workloads, provide training, and monitor...management reports and takes appropriate action. + Performs quality review on claims in compliance with audit… more
- Sedgwick (New York, NY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | NY Jurisdictional Knowledge We are seeking ... a highly motivated and experienced **Workers' Compensation Claims professionals** to join our team . The...management reports and takes appropriate action. + Performs quality review on claims in compliance with audit… more
- Sedgwick (Seatac, WA)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Workers Compensation - Sea Tac, WA - ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- ENFRA (Metairie, LA)
- …than just values-they are the pillars of our continued success. **Overview** The Lead Claims Specialist is responsible for the overall administration of property ... and Worker's Compensation). Works closely within the Risk Management team ( Claims , Legal, and Operations Senior Leadership)...brokers, and TPAs in the handling of construction casualty claims . * Review claims for… more
- AON (NY)
- …virtual training followed by a hybrid or 100% remote work schedule. Responsibilities: + Review and service claims in accordance with plan provisions. + Examine ... claim submissions and documentation to confirm coverage and assess claims . + Review medical records, itineraries and...with customers through verbal and written communication. Skills that lead to success: + Claims adjudication experience.… more
- CHS (Clearwater, FL)
- … as well as the client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims Department in delivering exceptional ... of focus on continual quality improvement. * Coordination of all activities of the Claims Department Management Team . This includes Supervisors and/or Team … more
- USAA (Colorado Springs, CO)
- … handling experience required with demonstrated proficiency. + 2 years of direct team lead , supervisory or management experience. + Experience using and ... special and impactful. **The Opportunity** As a dedicated Manager, Claims Operations, you will lead and be...for this position. **What you'll do:** + Inspect and review quality of claim files and provide feedback to… more
- Dignity Health (Bakersfield, CA)
- …areas of the organization to ensure customer resolution is complete - Lead investigations into claims overpayments, underpayments, and billing issues, ensuring ... point of contact for the providers and/or provider relations team regarding claims research issues, facilitating effective...claims processing and research activities. - Schedule and lead meetings with all affected areas to provide status… more
- MAPFRE Insurance (Webster, MA)
- …our Casualty Claims Department as a **Supervisor** , where you'll lead a dynamic unit responsible for the investigation, development, and resolution of casualty ... mentoring staff, while contributing to strategic initiatives that enhance team performance and claims handling efficiency. If...Casualty claims and 3rd Party Homeowner liability claims . + Review and monitor files to… more
- USAA (Denver, CO)
- … handling experience required with demonstrated proficiency. + 2 years of direct team lead , supervisory or management experience. + Experience using and ... what truly makes us special and impactful. **The Opportunity** As a dedicated Manager, Claims Operations, you will manage and be accountable for property, and other … more
- ICW Group (Sacramento, CA)
- …Create and delivers regular reports on operating metrics to Claims leadership. ** Lead and develop a team to provide best-in-class customer service.** + ... issues and trends.** + Communicate consistently with the Claims Leadership team regarding claims ...to submit to senior leadership along with recommendations. + Review reports/data to identify and address adverse trends and… more
- JB Hunt Transport (Lowell, AR)
- …**City:** Lowell **Full/Part Time:** Full time **Job Summary:** Under administrative direction, lead a team of managers, examiners, and intake representatives ... of the business to understand business needs, align on claim decisions, establish/ review processes to effectively respond to claims requests. + Work… more
- JB Hunt Transport (Lowell, AR)
- …ensure accurate and timely processing of casualty claims . This role will serve as a team lead to less experienced team members, lead initiatives when ... documentation of all findings for each claim within the claims matter management system for management review ... Examiner I and II roles within the Casualty team to assist with onboarding of new team… more
- ENFRA (Metairie, LA)
- …successfully with the carriers, brokers, and TPAs in the handling of construction casualty claims . + Review claims for coverage and when applicable, submit ... and Worker's Compensation). Works closely within the Risk Management team ( Claims , Legal, and Operations Senior Leadership)...+ Maintains updated records and prepares required reports. + Lead in claims cost control. + Contact… more
- Walmart (Bentonville, AR)
- …effective workload distribution. - Foster a high-performing, collaborative culture that supports team development and claims excellence. - Review escalated ... claims manager teams and driving performance across a multi-jurisdictional claims operation/business unit. This individual will lead the execution of… more
- AIG (Atlanta, GA)
- …due diligence documentation in line with the team 's standard operating process. + Lead discussions with Claim leadership to develop Claims Law Firm / Vendor ... of the team . Make your mark in Claims Stewardship Our Claims team ...will have managed oversight over the eBilling process and review of Law Firm / Vendor billing. Position Description… more