- Oriental Bank (San Juan, PR)
- Reviews and resolves customers' claims , complaints and requests from consumer and commercial loans' customers (excluding mortgages), within the established time ... Center, San Juan PR. MAIN DUTIES & RESPONSIBILITIES: + Reviews, investigates and refers claims to appropriate areas, if needed, for resolution. + Claims may be… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Under minimal supervision provide assistance to the Claims Project Analyst to support medical coding (ICD-9, ICD-10, HCPCS, CPT, DRG, and DSM) to a ... expertise, quality assurance, education and training initiatives for the Claim Operations Division. PRINCIPLE DUTIES AND RESPONSIBILITIES: + Provide project support… more
- NTT DATA North America (MO)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate ** to join our team for a remote position. **Role ... have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- Santander US (RI)
- Sr. Specialist, Claims & Fraud Operations Providence, United States of America The Sr. Specialist, Claims & Fraud Operations is responsible and ... + Trains branch staff on security procedures and policies. **Education:** Associate degree/ Bachelor, or equivalent work experience. **Experience:** 3-5 years;… more
- Molina Healthcare (Bellevue, WA)
- …to increase the quality and efficiency of claims processing + Fields claims questions from Molina Operations teams + Interprets, communicates, and presents, ... impacted claims + Provides excellent customer services to our internal operations teams concerning claims projects + Appropriately convey information and… more
- USAA (Phoenix, AZ)
- …special and impactful. **The Opportunity** **It is all about learning and growing.** Our Associate Auto Claims Representative role may be a new career for you. ... office** **(1 Norterra Drive, Phoenix, AZ 85085)** as a Customer Service Auto Claims representative. Your work will focus on adjusting non-injury auto claims … more
- Zurich NA (Atlanta, GA)
- …liability claims + Experience managing construction. + People management experience + Claims operations experience + Knowledge and skill in claims ... Claims Team Manager, General Liability 116047 Zurich North...Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MD1 #LI- ASSOCIATE #LI-REMOTE EOE Disability /… more
- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk. Join us as a Complex Claims Director to play your part in that transformation. It's an opportunity to grow your ... experience as a valued member of the team. Our Claims professionals support AIG policyholders through some of the...to grow your skills? Are you a defense litigation associate looking for a career change? Are you interested… more
- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk. Join us as a Claims Management Analyst, Technical Third Party Oversight to play your part in that ... the team. Make your mark in Technical Third-Party Oversight Claims Our industry leading Claims teams are...to grow your skills? Are you a defense litigation associate looking for a career change? Are you interested… more
- Central Ohio Transit Authority (Columbus, OH)
- …Need: + Requires an Associate 's Degree and four (4) years in the claims field; or an equivalent combination of education and experience. + Knowledge of Medicare ... under ORC 2744; + Reviews all event reports for accuracy; creates claims , and maintains documentation in applicable systems (Origami); + Conducts investigation of… more
- WFF Facility Services (Knoxville, TN)
- Workers Compensation Claims & Risk Manager (300) (HR) Knoxville, TN, United States of America $90,000.00 - $110,000.00 Back Apply Now Back Apply Now Overview HES is ... any other characteristic protected by law. Job Skills / Requirements The Claims Manager is responsible for investigation and oversight of all workers compensation,… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE The Investigation, Revenue, and Enforcement Administration ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...SNAP- CR is recruiting for one (1) Principal Administrative Associate III to function as an Assistant Manager who… more
- PSEG (Springfield, NJ)
- …exciting time to join PSEG. **Job Summary** This position reports to the Manager - Operations Claims and is responsible to investigate and defend PSEG when a ... camaraderie, and care for one another you might typically associate with a small business. Our focus on combatting...performing investigations involving general, auto, and property damage liability claims , as well as personal injury claims … more
- Pacific Medical Centers (Renton, WA)
- …Or 8 Years of related management/Industry experience + 8 years Health Plan Operations and or Claims Leadership experience + 6 years Supervisory experience ... is responsible for supporting timely, accurate claim and encounter processing for the claims service teams for all lines of business. Direct reports include exempt… more
- Amazon (New York, NY)
- Description Join our innovative Global Risk Management & Claims team where you'll shape the future of insurance analytics at a global scale. You'll collaborate with ... risk management solutions that drive business decisions across Amazon's worldwide operations . Key job responsibilities - Foster partnerships with risk management and… more
- J&J Family of Companies (Santa Clara, CA)
- …for humanity. Learn more at https://www.jnj.com **Job Function:** R&D Operations **Job Sub** **Function:** Product Development Testing **Job Category:** Business ... & Johnson is hiring for a **Principal R&D Technician ( Claims Development)** to join our team located in **Santa...(or relevant experience) in the medical device industry or Associate 's degree with a minimum of 8 years' experience… more
- Molina Healthcare (Macon, GA)
- …instrumental in helping to provide meaningful insights to leadership and operations team to make differences in patient care. **KNOWLEDGE/SKILLS/ABILITIES** + With ... requested on all things data related. **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience **Required… more
- Hackensack Meridian Health (Eatontown, NJ)
- …functions as assigned by the Billing Manager. Works alongside the pharmacy operations team to ensure timely submission and resolution of prescription claims ... and phone skills. Education, Knowledge, Skills and Abilities Preferred: 1. Associate 's degree. 2. Long-term care billing department experience. 3. Framework LTC… more
- CenterWell (Atlanta, GA)
- …the **RCM Manager** , you will: + Manage the collection and billing operations and develop credit/collection strategies to maximize profits and minimize loss. + ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Otsuka America Pharmaceutical Inc. (Annapolis, MD)
- **Position Overview** Otsuka is seeking an exceptional Associate Director of Global Medical Affairs (GMA) Excellence & Operations to support our emerging rare ... + Collaborate with cross-functional teams to align global medical operations with overall business objectives and therapeutic area strategies...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
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