- Humana (Indianapolis, IN)
- …and help us put health first** Humana Healthy Horizons in Indiana is seeking a Senior Claims Research & Resolution Professional who is dedicated to reviewing ... on matters that require SIU review or investigation. The Senior Claims Research & Resolution ...submissions. + Works with the Special Investigation Unit (SIU) Manager to assure that service billing and utilization issues… more
- Providence (NM)
- …and retain the best people, we must empower them._** **Providence is calling a Senior Claims Insurance Manager - Medical Professional Liability Claims ... defense counsel, and others + Monitor and advise on disclosure and early resolution opportunities + Ensure compliance with relevant claims reporting procedures… more
- AIG (Alpharetta, GA)
- Senior Claims Analyst Join us as...liability assessment and quantum analysis, to timely and accurate resolution . + Your goal will be timely, accurate and ... a Senior Claims Analyst to take on key responsibilities within a...customer-focused claim resolution , minimizing indemnity exposure and mitigating vendor and legal… more
- HNTB (Seattle, WA)
- …in the Seattle area or willing to relocate." HNTB is seeking a highly valued Senior Scheduler with claims experience to play a crucial role in supporting WSDOT ... local WSDOT construction offices to review schedule delays and claims and will support resolution of delay...the schedule. + Leads the planning effort alongside Project Manager , collaborates and makes recommendations to project management team… more
- New York State Civil Service (Albany, NY)
- …HELP No Agency DASNY - Dormitory Authority of the State of New York Title Senior Cost Control / Claims Analyst - Albany, NY Occupational Category Other ... analysis, estimating, bidding, contract formation, bonding, delay and dispute resolution . Experience in financial management systems, project management systems, and… more
- Magna (Troy, MI)
- Claims Manager , Workers' Compensation Job Number: 66364 Group: Magna Corporate Division: Magna Services of America (Troy Office) Job Type: Permanent/Regular ... **About the Role** We are seeking a highly skilled Claims Manager , Workers' Compensation to join our...and score performance on established gold-standard criteria. + Engage Senior Leadership by providing monthly, quarterly, and annual Workers'… more
- Amazon (New York, NY)
- …companies. * Field and address business partners on-going questions and issues through claims resolution as needed. * Partner with other internal partners to ... day in the life You will report to a Senior Risk Manager and be enthusiastic about...- 5+ years robust understanding of litigation process and claims handling from inception to resolution -… more
- Walmart (Bentonville, AR)
- …in the claim/image management system. + Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of ... significant reserve increases; monitoring reserves for all open claims ; authorizing payment for approval or facilitating denial of the claim; and reserving file for… more
- Amazon (Houston, TX)
- …and TPAs. . Field and address business partners on-going questions and issues through claims resolution as needed. . Partner with internal teams to proactively ... a successful candidate will support and report to a Senior Risk Manager and be enthusiastic about...and address business partners on-going questions and issues through claims resolution as needed. Internal job description… more
- Molson Coors Beverage Company (Milwaukee, WI)
- …health & safety, legal, finance, procurement functions. This position reports to the Senior Manager , Insurance & Claims and works closely withthe ... **The Headlines** **:** In the role of Insurance and Claims Manager working in Milwaukee, WI you...tracking, financial and actuarial reporting. Consults on legacy asbestos claims coverage, leads in the resolution of… more
- Axis (Red Bank, NJ)
- …processes for direct handled and oversight claims handling of Program and delegated/TPA claims as well as Manager Quality File Reviews conducted by the ... in the selection process. AXIS is seeking a **_Head of Quality Assurance & Compliance, Claims Shared Services_** to join our Shared Services Claims team. As a… more
- BrightSpring Health Services (Longmont, CO)
- …Updates staff with communications and process changes as directed by 3rd Party Claims Manager , Director or Senior Management and insures compliance.* ... fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment....Responsibilities * Works in conjunction with the 3rd Party Claims Manager to establish specific associate goals,… more
- Axis (New York, NY)
- …jurisdictions in which the claims arise * Monitor and investigate assigned claims and develop resolution strategy * Attend mediation, arbitration and other ... exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim...accurate and timely claim reserves and make referrals to senior members of the team where necessary * Obtain… more
- Veolia North America (Baytown, TX)
- Senior HR Manager Veolia North AmericaBaytown, TX (Onsite)Full-Time Apply on company site Company Description Veolia Water Technologies & Solutions (VWTS) is a ... Description Veolia Water Technologies & Solutions (VWTS) is looking for an experienced Senior Human Resources Manager based in Baytown, Texas. This high impact… more
- CVS Health (Houston, TX)
- …Position Summary In this Texas Medicaid individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review ... and rate analysis, dispute resolution and/or settlement negotiations of contracts with larger and more complex, regional based hospital systems, large physician… more
- MyFlorida (North Miami Beach, FL)
- CONSTRUCTION SENIOR PROJECT MANAGER - 55006957 Date: Apr 30, 2024 Location: NORTH MIAMI BEACH, FL, US, 33179 The State Personnel System is an E-Verify employer. ... . Requisition No: 824076 Agency: Department of Transportation Working Title: CONSTRUCTION SENIOR PROJECT MANAGER - 55006957 Pay Plan: Career Service Position… more
- MyFlorida (Orlando, FL)
- CONSTRUCTION SENIOR PROJECT MANAGER - 55008483 Date: Apr 27, 2024 Location: ORLANDO, FL, US, 32824 The State Personnel System is an E-Verify employer. For more ... . Requisition No: 809353 Agency: Department of Transportation Working Title: CONSTRUCTION SENIOR PROJECT MANAGER - 55008483 Position Number: 55008483 Salary:… more
- CVS Health (Houston, TX)
- …and affordable. Position Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review ... and rate analysis, dispute resolution and/or settlement negotiations of contracts with larger and...and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract… more
- Bausch Health (Bridgewater, NJ)
- …Reporting to the Senior Director, Finance (Revenue & GTN Accounting), the Senior Manager , Finance Commercial Contracts & Rebates will be an integral member ... and other vendors. **Areas of responsibility -** + Review and approve rebate claims data received for managed care contracts, Medicare Part D contracts, and other… more
- Turner & Townsend (New York, NY)
- …RFPs, arranging mid-bid interviews, and creating bid analysis sheets. + Support senior manager by preparing project estimates, providing measurements & pricing ... advising the client of any budget changes, and preparing & sending final estimate to senior manager for review. + Update regular cost reports & forecasts, amount… more