- Providence (Mission Hills, CA)
- …the supervision of staff and for overseeing the day-to-day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include ... Schedule:** Full time **Job Shift:** Day **Career Track:** Leadership **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Mission Hills… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a(an) Sr Claims Supervisor ? At HCA Healthcare, you come first. HCA Healthcare has committed up ... a difference. We are looking for a dedicated Sr Claims Supervisor like you to be a...assigned jurisdictions required + Proficient computer skills with word processing and database competency required + Possess critical thinking,… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …a member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Supervisor II - G/L to join our team! Summary: Supervises claims adjusters ... support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking trends and… more
- AIG (Atlanta, GA)
- …established guidelines and authority, indemnity and legal payments through the appropriate Claims Processing Systems. + Forecast potential recoveries and updates ... way we help customers to manage risk. Join us as a Global Marine Claims Recovery Supervisor to play your part in that transformation. It's an opportunity to grow… more
- Aflac (Columbia, SC)
- Supervisor , Claims The Company: Aflac Columbus...be successful in this role? + Advanced knowledge of claims systems and processing + Broad understanding ... Principal Duties & Responsibilities + Motivates, coaches, and develops the claims operations team; provides consistent and constructive feedback to employees;… more
- Robert Half Finance & Accounting (Winston Salem, NC)
- …insurance or policy administration. -Strong understanding of health insurance policies, claims processing , and claims adjudication processes. -Familiarity ... billing, or related field (eg, CPC, CPMA, or CHC) -Experience with claims processing in a managed care or third-party administrator (TPA) setting -Knowledge of… more
- ICW Group (Orlando, FL)
- …insureds and agents with case updates when necessary. Develops and leads a team of claims support staff to collaborate in the processing of claims promptly, ... job is to supervise and provide guidance to the Claims Support staff and to assist in escalated ...Claims Support staff and to assist in escalated Claims matters. This position exists to ensure that Company… more
- ITW (Troy, OH)
- …values of Integrity, Simplicity, Trust, Respect, and Shared Risk. **Summary** The Warranty Claims Supervisor plays a key role in overseeing the warranty ... and Hobart Service. This position manages the accurate and timely processing of claims submitted by Hobart Service offices and authorized independent servicers,… more
- UCLA Health (Los Angeles, CA)
- …2 years' experience in supervising staff required + Must have comprehensive knowledge of claims processing and regulations. + Must have strong ability to problem ... Description We are seeking a detail-oriented and experienced Claims Quality Supervisor to lead our audit and quality assurance initiatives across all aspects of … more
- Amentum (Washington, DC)
- The CRST Project Supervisor - specific duties and responsibilities include: + Assist Claim Review Support Team Project Manager in all aspects of Claim Review Support ... This involves monitoring various claim statuses or queues and identifying claims assignable within the Special Master's guidance. + Determine individual team… more
- Subaru of America (Camden, NJ)
- … Helpline staff. Defines, reviews, and improves business processes related to the Claims Helpline and claims processing . Maintains responsibility for the ... Helpline staff. Provides day-to-day direction, leadership, and support to Claims Team Training Supervisor and indirectly to... system and call system. Assists with calls and claims processing as needed during times of… more
- Acosta Group (Irving, TX)
- …to provide high quality service to clients and make continuous improvements in claims processing . **RESPONSIBILITIES** + Trains and mentors Claim associates on ... + Assumes supervisory responsibilities in the absence of the Claims Resolution Supervisor + Assists the ...procedures for assigned clients and adheres to them when processing claims + Makes the final decision… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal ... with LA Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of...capitated hospitals and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates.… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …work with a team that reviews claims and claims data from the MaineCare claims processing system and the accuracy of the work of the Claims Division ... PDF format. For additional information about this position please contact Crystal Breton, Supervisor Claims Adjustment Unit at ### or by e-mail at ###@Maine.gov… more
- TEKsystems (Irvine, CA)
- …* Working knowledge of Employee Retirement Income Security Act of 1974 (ERISA) claims processing /adjudication guidelines.* Examine a problem, set of data or text ... within 60-90 mile radius of Fresno, CA Description The Claims Examiner I reports to the Supervisor ...Claims Examiner I is responsible for reviewing and processing medical, dental, vision and electronic claims … more
- Sedgwick (Phoenix, AZ)
- …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Handling Positions | CO, UT, AZ Are you looking for an… more
- Acosta Group (Tampa, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...provides resolution in priority order as directed by the Supervisor . + Searches for and links invoices, contracts, and… more
- Acosta Group (Lewisville, TX)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...provides resolution in priority order as directed by the Supervisor . + Searches for and links invoices, contracts, and… more
- Acosta Group (Charlotte, NC)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...provides resolution in priority order as directed by the Supervisor . + Searches for and links invoices, contracts, and… more
- Acosta Group (Lewisville, TX)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... be responsible for analyzing claims and making decisions about their validity. The position...provides resolution in priority order as directed by the Supervisor . + Searches for and links invoices, contracts, and… more
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