- Eisai, Inc (Phoenix, AZ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... oral markets with approved indications, helping targeted customers, such as Medical Oncologists, Hematologists, Endocrinologists, and nurses, etc. learn about the… more
- Carnival Cruise Line (Miami, FL)
- …cannot. The Love Boat promises something for everyone. We are looking for an amazing Director , Guest Claims Management to fill this role, which is based ... and fosters collaboration with the ships, Safety, Security and Medical to make corrections to the areas giving rise...summary of what Princess is looking for in its Director , Guest Claims Management Is… more
- Sedgwick (Denver, CO)
- …fulfill those needs. **QUALIFICATIONS** + Ten (10) years of relationship building in the claims management or risk management area or equivalent combination ... Best Workplaces in Financial Services & Insurance Business Development Director - Casualty Claims (West Region) As...**Experience:** Ten (10) years of relationship building in the claims management or risk management … more
- USAA (San Antonio, TX)
- …. Relocation assistance **is** available for this position. **Architect the Future of Claims with Scalable AI and Advanced Analytics-In Service of Those Who Serve** ... & Casualty is seeking a strategic and technically skilled Director of Data Science to lead innovation for the... of Data Science to lead innovation for the Claims organization. This high-impact role goes beyond analytics-your work… more
- Elevance Health (Richmond, VA)
- **Clinical Documentation and Claims Integrity Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... The ideal candidate has experience working in leading healthcare payer claims / revenue cycle management (RCM) organizations, with specific understanding… more
- Molina Healthcare (San Antonio, TX)
- …including 2 years in a manager role. * Experience reviewing all types of medical claims (eg CMS 1500, Outpatient/Inpatient, Universal Claims , Surgery, ... claims , COB and DRG/RCC pricing), and IPA. 2 years supervisory/ management experience with appeals/grievance processing within a managed care setting. **Preferred… more
- Billings Clinic (Billings, MT)
- …Department and regional affiliate locations to support risk functions as indicated by Risk Management Director . The Risk and Claims Specialist assists in ... reports, and assisting in coordination of medical malpractice claims at the direction of the Risk Management Director and/or the Risk and Claims … more
- AdventHealth (Altamonte Springs, FL)
- …and CAR are included in the electronic file to support the actions and claims management decisions. + Sets, maintains and justifies appropriate reserves and ... EXPERIENCE REQUIRED:** + Bachelor's degree in Nursing, Business Administration, insurance claims management , sociology, psychology, or human behavior studies… more
- American Water (Camden, NJ)
- …Manager, Insurance (or Director , Insurance), you will be responsible for overall claims management (including, uninsured claims ) at American Water. You ... and wastewater services to our communities. Effective, efficient, and intelligent insurance claims management , oversight, and forecasting are essential to this… more
- HCA Healthcare (Nashville, TN)
- …department and company strategy and philosophy of proactive, efficient and effective claims management . + Continuous and appropriate documentation within, and ... and administration of special projects as assigned by the Claims Director , HCI President and VP of...industry trends, changes in laws and rules affecting liability claims management decisions. **People** + Work collaboratively… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for...and Analytics + Direct and relevant experience with HCFA/UB-04 claims management , coding rules and guidelines, and… more
- BJs Wholesale Club (Marlborough, MA)
- …defense counsel and TPA. + Identifies claim trends and provides recommendations to the Claims Manager and Director , Risk Management , and Insurance for ... ensure carrier/excess carrier reporting, determines compensability, scheduling of IME's, medical case management , surveillance, subrogation and litigation tasks… more
- MTA (Brooklyn, NY)
- …TA/OA Department: Law Division/Unit: Torts Reports to: Assistant General Counsel / Director of Claims Work Location: 130 Livingston Street, Brooklyn Hours ... aid defense counsel; reviewing and drafting reports for senior management ; serving as liaison between the torts department and...damage claims brought against MTA agencies. Review claims and relevant factual and medical records… more
- Marriott (Bethesda, MD)
- …**Schedule** Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** The Claims Unit Manager ... workers' compensation statutes. _Preferred_ + Bachelor's degree in risk management or claims + Certification from various...of timely WC payments and required state filings. + Management of WC medical treatment with the… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management , and others. The CBO claims validation staff will strive to always ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...of benefit options from life and disability plans to medical , dental, and vision coverage from quality benefit carriers.… more
- USAA (Chesapeake, VA)
- …truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager Senior (Western States), you will responsible for **managing ... resource for colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison with… more
- Midwest Motor Express, Inc. (Kansas City, MO)
- …to reduce, minimize and/or eliminate claims + Work with Executive Management , Director Sales & Operations, Service Center Managers, Sales Territory Managers, ... **Cargo Claims Prevention Manager |** **Kansas City, MO** Midwest...astray, refused, and salvage freight + Assist service center management in identifying and correcting deficiencies in Dock, P&D,… more
- Atlantic Health System (Morristown, NJ)
- … claims settlements. + Oversees claims strategy of in-house counsel claims management . + Performs other related duties as assigned. Experience/Education * ... the resolution of the claim. Principal Accountabilities: Reviews new claims with in-house counsel regarding liability and management...Our facilities and sites of care include: + Morristown Medical Center, Morristown, NJ + Overlook Medical … more
- Select Medical (Camp Hill, PA)
- …**Inpatient Central Business Office Trainer** (on-site role) **Why work at Select Medical ?** **We are committed to your growth and success:** + Career advancement ... _Availability of benefits is dependent on role with Select Medical ._ Our team offers first-shift, Monday through Friday schedules...be involved in special projects as assigned by the Director of CBO or VP Patient Accounting. **Responsibilities** +… more
- Marriott (Bethesda, MD)
- …and process for payment in accord with Marriott policies and procedures. * Coordinate medical management aspects of file handling with the Nurse CARE Manager and ... **Schedule** Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** The Claims Representative is… more
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