- Lincoln Financial Group (Columbus, OH)
- …Provides subject matter expertise and technical guidance to claim team members on claims adjudication . + Reviews and resolves complex escalated issues and ... ensure the fair, ethical and timely management of complex claims . **What you'll be doing** + Maintains knowledge on...million customers trust our guidance and solutions across four core businesses - annuities, life insurance, group protection and… more
- The Cigna Group (Morris Plains, NJ)
- …to head an adjudication team that supports all aspects of our core adjudication platform along with managing Client Intent capabilities, Consumer Driven ... Health and other key areas directly related to supporting our core Adjudication platform. Working closely with Business, Operations, and Technology partners… more
- LA Care Health Plan (Los Angeles, CA)
- …to ensure the Plan's core system produces a high level of claims auto adjudication . Develops policies and guidelines that ensure work activities are ... Manager, Claims Job Category: Claims Department: ...highest quality and is well documented. Works with the Claims Director , Claims Managers and… more
- Rising Medical Solutions (Chicago, IL)
- As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services ... unit involving complex/large medical claims ; analyzing and optimizing bill review procedures and systems;...with other members of Rising's management team to support core values and achieve company objectives. + Monitor changes… more
- CVS Health (Buffalo Grove, IL)
- …This position works closely with other technical leaders of the PBM space & Claims Adjudication team to assess business goals, strategic objectives and to build ... care more personal, convenient and affordable. Job Purpose and Summary: The Lead Director , will be an (IC) Individual Contributor responsible for managing the PBM… more
- CVS Health (Buffalo Grove, IL)
- …This position works closely with other technical leaders of the myPBM space & Claims Adjudication team to assess business goals, strategic objectives and to ... more personal, convenient and affordable. Job Purpose and Summary: The Lead Director , will be an (IC) Individual Contributor responsible for managing the technical… more
- Blue KC (Workman, MN)
- **Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some ... customer resource for interpretation of transplant benefits and transplant-related claim adjudication . Serves as a company expert on current and future transplant… more