- 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
- Wittenberg Weiner Consulting LLC (Santa Fe, NM)
- …contract to support disaster relief. This position involves receiving, evaluating, and processing claims for compensatory damages for injuries resulting from the ... meticulous attention to detail and adherence to FEMA guidelines. Claims Reviewers - Senior (Team Lead ) will...Office ( Claims Office), by receiving, evaluating, and processing claims for compensatory damages for injuries… more
- Prime Therapeutics (Lincoln, NE)
- …fuels our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit ... and adjustments as required. + Implementation and maintenance of claims processing programs and procedures + Verify...and administrative duties as required by business need. + Lead and implement positive changes with a high level… more
- Healthfirst (NY)
- …+ Assists in the development of strategic plans to ensure modern and efficient claims processing across the entire lifecycle with a focus on a unified, ... institution + Experience with Healthedge specifically with HRP implementation and claims processing + Prior experience with claims and provider payment… more
- Wittenberg Weiner Consulting LLC (Santa Fe, NM)
- …contract to support disaster relief. This position involves receiving, evaluating, and processing claims for compensatory damages for injuries resulting from the ... team leads. Ability to support ancillary tasks for team lead and team members to efficiently process claims...Office ( Claims Office), by receiving, evaluating, and processing claims for compensatory damages for injuries… more
- Axis (Alpharetta, GA)
- …Lines market in North America. As a direct report to the Head of Financial Lines Claims , the successful candidate will lead a sophisticated team of claims ... top talent and developing appropriate succession plans + Reviewing, processing , and assigning new D&O claims to...maintaining relationships with internal and external partners as their lead contact within the claims department for… 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 ... help customers to manage risk. Join us as a 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
- 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 ... an organization that invests in you as a Sr Claims Supervisor? At HCA Healthcare, you come first. HCA...assigned jurisdictions required + Proficient computer skills with word processing and database competency required + Possess critical thinking,… more
- Golden State Foods (Irvine, CA)
- …and oversees claims handling procedures and program enhancements to streamline claims processing and mitigate loss + Manage quarterly claim review with ... or university. + 5-7+ years of progressive experience as an Insurance Claims Adjustor, TPA Team Lead , or Corporate Risk Manager with a high acuity for workers… 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
- 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… 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
- Lincoln Financial (Helena, MT)
- …and concerns. * Meeting all established quality assurance benchmarks. * Ensuring claims processing is consistent with applicable policies, procedures, and ... will provide leadership and direction to a team of claims specialists, technical claim specialists, and lead ...of claims specialists, technical claim specialists, and lead claim specialists. You will be responsible for the… more
- US Tech Solutions (Columbia, SC)
- …verification of correct coding of procedures and diagnosis codes. + Ensures claims are processing according to established quality and production standards. ... desk procedures and guidelines and refers these to a lead or manager for resolution. + Identifies and reports...**Experience:** + 2 Years Customer service including 1 year claims or appeals processing **Skills:** + Strong… more
- Elevance Health (Richmond, VA)
- …The **Clinical Document Improvement Director** is responsible for leading encounter processing , diagnostic documentation and claims integrity across CareBridge. ... cycle management (RCM) organizations, with specific understanding in end-to-end claims / encounter processing , as well as ensuring...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- MVP Health Care (Rochester, NY)
- …**Your key responsibilities:** + Mentor, support, and build a high-performing team within Claims Operations. + Supervise claims processing activities related ... improvement. To achieve this, we're looking for a Leader, Claims Support to join #TeamMVP. If you have a...supervisory experience or 2 years' experience as a team lead /senior. Knowledge of ICD-10, CPT-4, and HCPCS coding preferred.… more
- Elevance Health (Boston, MA)
- ** Claims Representative I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... - Friday, between the hours of 7 am - 6 pm EST. The ** Claims Representative I** is responsible for successfully completing the required basic training. Able to… more
- Elevance Health (Indianapolis, IN)
- **Title: Claims Representative I (Health & Dental) - FEP** **Indianapolis, IN** **Location:** This role enables associates to work virtually full-time, with the ... 9/15/2025** **Hours:** **8 AM - 4:30 PM EST, Monday - Friday.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- WestRock Company (Evadale, TX)
- …and Technical area within Smurfit Westrock Mill Division has an opportunity for a Claims Coordinator who is the first point of contact when a customer experiences a ... issue or problem. The position will be responsible for efficiently processing customer complaints while fostering strong customer relationships. Your role will… more
- Nestle (Bridgewater, NJ)
- …and nutrition for patients and consumers. **POSITION OVERVIEW:** The Customer Solutions and Claims Specialist serves as the primary point of contact for the customer ... order touches. + Identify and resolve demand capture failures to ensure timely processing . + Monitor and address account specific issues upon receipt of order;… more