- Aequor (Thousand Oaks, CA)
- …strategy and purchasing needs of 's US based spend across the Operations organization Execute e-sourcing (eRFX) for the Capital Construction and Capital Equipment ... Project Manager and Project Controls Manager to resolve valid contractor disputes, claims and/or change orders Experience in construction within the Pharma industry… more
- CVS Health (Pittsburgh, PA)
- …personal, convenient and affordable. Position Summary * Reviews and adjudicates routine claims in accordance with claim processing guidelines. * Analyzes and ... related to claim processing issues. * Routes and triages complex claims to Senior Claim Benefits Specialist. * Proofs claim or referral submission to… more
- Travelers Insurance Company (Houston, TX)
- … 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 (Parsippany, NJ)
- …to offer our clients the highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. AIG manages claims using a wealth of ... ever-evolving legal and regulatory environment. About the role Complex Claim Director-Western World The Complex Claims Director...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- University of Rochester (Rochester, NY)
- …York State. **Position Summary:** With considerable latitude for independent judgment, the Claim Resolution Rep IV is responsible for the follow up and collection ... point person for complex accounts. Serves as main point of contact in claim resolution process for Strong Memorial Hospital (SMH) clinical staff and outside agencies… more
- Travelers Insurance Company (Franklin, TN)
- …- Intermediate + Knowledge of claims appraisal systems and overall claim operations , Windows proficiency, including Excel and Word. + Strong mathematical ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...and adjusting damages related to third party property damage claims . This includes interpreting and applying laws and statues… more
- AIG (Lenexa, KS)
- This Fast Track Claim Adjuster role will be an ideal opportunity to develop your experience and expertise in auto liability claims . How you will create an ... impact: The role of a Fast-Track Claim Adjuster is to investigate, evaluate and resolve first...investigate, evaluate and resolve first and third-party auto liability claims , minor injury claims and low complexity… more
- HCA Healthcare (Campbell, CA)
- …purpose and integrity. We care like family! Jump-start your career as a(an) Claim Auditor today with HCA Healthcare. **Benefits** HCA Healthcare, offers a total ... vary by location._** Come join our team as a(an) Claim Auditor. We care for our community! Just last...function is to ensure examiner payment accuracy of all claims processing including analysis of support services fulfillment colleagues'… more
- Travelers Insurance Company (Hartford, CT)
- …analytics are being employed to help with straight through processing of operations , early detection of significant claim events, severity, and anomalies, ... Range** $178,500.00 - $294,500.00 **Target Openings** 1 **What Is the Opportunity?** Our Claim Research organization is in search of an AVP to lead our AI/Generative… more
- Zelis (Atlanta, GA)
- Position Overview: The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement ... based on Zelis data points. During this call, the Claims Settlement Specialist must understand: (1) the procedures billed...Specialist must understand: (1) the procedures billed on the claim /bill; (2) the estimate of the fair value of… more
- CVS Health (Hartford, CT)
- …and reworking complex claim issues. - Experience processing medical and hospital claims through the ACAS system. - Ability to work independently as well as part ... can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department. They will work closely with other… more
- CVS Health (Hartford, CT)
- …can effectively and accurately review and rework sensitive, complex medical and hospital claims for our rework project department. They will work closely with other ... members of the Commercial Services Operations team providing root cause analysis and precise resolution...providing root cause analysis and precise resolution of affected claims . The candidate is responsible for ensuring the rework… more
- City of New York (New York, NY)
- …that all DEP's legal needs are addressed. Given DEP's extensive infrastructure and operations , DEP is involved in a significant amount of litigation and claims ... City Comptroller's Office. BLA is seeking qualified candidates for the position of Claim Specialist 2 in the Litigation Support Unit. This position, with some… more
- Crawford & Company (Lake Zurich, IL)
- …checks to appropriate lockbox + Provides backup coverage to others in Claim Operations as needed and/or requested. + Maintains professional and ... Touch Position Summary Under the general direction of the Claims Data Operations Manager, the Senior ...more years of experience in Broadspire Business Support Services, Claim Systems or Claim Operations … more
- MAPFRE Insurance (Webster, MA)
- Auto Damage Insurance Claim Rep (Hybrid) Date: May 30, 2024 Location: Webster MA or Work from Home, MA, US Company: MAPFRE **Salary range commensurate with ... am to 5:00 pm EST.** As An Auto Damage Claim Rep, you will be responsible for adjusting 1st...you will be responsible for adjusting 1st party Express claims for Auto Physical Damage through screening losses, determining… more
- City of New York (New York, NY)
- Job Description PLEASE NOTE ALL CANDIDATES MUST BE PERMANENT IN THE CLAIM SPECIALIST CIVIL SERVICE TITLE IN ORDER TO BE CONSIDERED. The NYC Department of ... legal needs are addressed. Given DEP's extensive infrastructure and operations , DEP is involved in a significant amount of...is involved in a significant amount of litigation and claims filed with the New York City Comptroller's Office.… more
- Crawford & Company (Lake Zurich, IL)
- …+ Candidates must be residing within Lake Zurich! Under the general direction of the Claims Data Operations Manager, the Claim Sys Ops Analyst provides a ... System/ Operations area + Provides backup coverage to others in Claim Operations as needed and/or requested. + Upholds the Crawford Code of Conduct… more
- AIG (Cincinnati, OH)
- …to offer our clients the highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. AIG manages claims using a wealth of ... Loss (FNOL) and sets up Excess and Environmental Specialty Claim (ESC) claim files, as well as...to develop the staff into AIG's next generation of claims adjusters, underwriters, operations specialist, etc. You… more
- USAA (Tampa, FL)
- …a part of what makes us so special! We are currently seeking a dedicated Manager, Claims Operations - DCT (Dedicated CAT Team). This position can be located at ... role. **The Opportunity** **What you'll do:** As a Manager, Claims Operations , you will lead and be...appropriate solutions as they investigate, evaluate and negotiate the claim . Develop engaged employees through regular coaching and feedback… more
- Highmark Health (Columbus, OH)
- …to assess the accuracy of client reports submitted to the organization, efficiency of claim operations , and adequacy of systems and procedures. + Approves ... and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs,… more
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