- Alameda Health System (Oakland, CA)
- …Their responsibilities span from managing admissions to ensuring clean claims , identifying trends, and optimizing resource utilization. This role supports ... and procedures, and service standards for the utilization management operations . Evaluate utilization reviews and determine program improvements. Develop and… more
- AIG (Atlanta, GA)
- …Policies, US based adjuster licensing process and leading efforts on various Global Claim initiatives. You will have oversight of Claims Compliance activities ... working in close collaboration with the Technical Business lines, Operations and Claim Legal. + Align and...Key Stakeholders and business partners, develop and maintain Global Claim policies, standards, and controls ensuring Claims … more
- Ryder System (Augusta, ME)
- …claims within Ryder's self-insured, self-administered liability program. Oversees claim -handling processes performed by a professional staff. Handles complex ... safety managers, customers, insurance carriers, and third party claimants. Participates in large claim review calls and updates field operations personnel on … more
- AIG (Atlanta, GA)
- …will also be responsible for adjusting a selection of the department's most complex claims , and collaborate with NA Aerospace Claim leaders, Global and NA ... Make your mark in Aerospace Claims Our Claims teams are the...aviation clients. How you will create an impact The Claim Manager - General Aviation is a key leadership… more
- Travelers Insurance Company (Salem, OR)
- …experience. + 5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment determining ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly...of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations… more
- Boston Mutual Life Insurance (Canton, MA)
- …and Accident Claims . This includes setting strategic direction, managing claims operations and ensuring regulatory compliance and an exceptional customer ... President of Customer Experience. This role will also manage our external claims partners. ** Claim Processing** : + Directs and oversees the handling of all… more
- Travelers Insurance Company (West Bridgewater, MA)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- AIG (Lenexa, KS)
- …What you'll need to succeed + Proven claim adjudication or claim operations experience for multi-line commercial claims . Claim Audit or file review ... valued member of the team. Make your mark in Claims . Our Claims teams are the proven...individual with working knowledge of commercial or personal line claim operations for the purpose of conducting… more
- Alight (NJ)
- …you a successful leader who is experienced in leading a team of claims professionals? Seeking an experienced team leader skilled in delivering subject matter ... of leave and disability managers with varying degrees of claim handling skills. This role will leverage expertise to...case management, and a minimum of 3 years of claims leadership experience. + Show the proven ability to… more
- AIG (Atlanta, GA)
- … by investigating and gathering information to determine the exposure on the claim ; ensure proactive claims handling aimed at the prompt and cost-effective ... claim experience. + Experience resolving moderate severity injury claims and ability to evaluate complex coverage scenarios. +...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- CVS Health (Tallahassee, FL)
- …Claim Field Analyst** works with the grievance and appeal and claims operations department to trend provider claim issues or concerns that could be ... non-participating providers. Additionally, they will assist in creating bulletins, newsletters, and claim trainings to improve provider claims issues. as well as… more
- Molina Healthcare (Buffalo, NY)
- …7am-3:30pm PST M-F** **Job Summary** Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, focal, audit the ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- Prime Healthcare (Ontario, CA)
- … and Claims is responsible for the development and execution of Claim Operations strategies, end-to-end Claim process automation, optimization and ... and Operating Models, Long Term Business Objectives, Healthcare Payers, Claim Operations Strategies, Claim Process...(7) to ten (10) years prior work experience in Claims Operations and Health Plan Strategy, in… more
- AIG (Atlanta, GA)
- …Claim Supplier Management, the role will be responsible for the management of the Claims Law Firm and Claim Vendor function for AIG North America business. ... the team's standard operating process. + Lead discussions with Claim leadership to develop Claims Law Firm...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- NJM Insurance (NJ)
- …to providing transparent, empathetic support and collaborative engagement during the life of a claim . The WC Claims Department takes pride in being a key ... in the growth and success of our policyholders' business operations . To meet these expectations, WC Claims ...practices and company guidelines, and timely, accurate documentation of claim activity + Provide a high level of customer… more
- HCA Healthcare (Nashville, TN)
- …with purpose and integrity. We care like family! Jump-start your career as a Claims Operations Lead today with Work from Home. **Benefits** Work from Home ... vary by location._** Come join our team as a Claims Operations Lead. We care for our...ICD-10, CPT, HCPCS, and revenue coding. Ability to analyze claim issues and "trouble shoot" claims problems.… more
- Walmart (Bentonville, AR)
- …with senior leadership to define key performance indicators (KPIs) and align claims operations with company goals. **Performance Management** - Monitor ... claim outcomes. **Strategic Planning & Execution** - Implement claims strategies and key initiatives that drive operational excellence,...where appropriate. - Serve as a key liaison between Claims Operations and departments such as HR,… more
- USAA (Colorado Springs, CO)
- …are hiring an** **Auto Non Injury** **Express and an Auto Non Injury Core - Manager, Claims Operations .** As a dedicated Manager, Claims Operations , you ... will lead and be accountable for auto, and other claims operations member service employees who are...appropriate solutions as they investigate, evaluate and negotiate the claim . Develop engaged employees through regular coaching and feedback… more
- BrightView (Blue Bell, PA)
- …the end-to-end claims process for Auto, Workers' Compensation, and General Liability claims , with a focus on large claim volumes and consistent quality + ... and reporting with excess insurers on significant or catastrophic claims + Analyze claim trends and loss...efficiency, and employee outcomes + Collaborate with legal, brokers, operations , HR, and external vendors to support claim… more
- AIG (Atlanta, GA)
- Join us as a Claims Analyst IV to grow your experience in Claims . Make your mark in AL/GL Claims Our Claims teams are the proven problem solvers of ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
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