- Guardian Life (Bethlehem, PA)
- The ** Claims Case Management Team Leader** is responsible for leading a team of Absence Management Case Managers to get results within their ... team to achieve results, focusing on desired outcomes. Action plan for team management despite operational challenges. **Location** This is a flexible… more
- Lincoln Financial Group (Radnor, PA)
- …and applying correct contract terms/provisions, ERISA requirements, statutory guidelines, and case management and appeal procedures to each claim. _Background ... You will provide technical information and detailed guidance to Claims management & teams regarding products, ...provisions. + You will research questions and escalations from Claims team ; liaises with various stakeholders from… more
- Universal Health Services (King Of Prussia, PA)
- …Corporate Insurance team at UHS is looking for motivated Senior Program Manager- Claims to join our innovative team and contribute to the maintaining of a ... insurance, medical and legal issues related to any pending claims . + Investigation and the management of...ongoing basis. + Ability to effectively manage an individual case load of claims and supervise and… more
- Randstad US (Malvern, PA)
- claims specialist. + malvern , pennsylvania + posted 7 days ago **job details** summary + $19.99 - $20 per hour + temp to perm + associate degree + category office ... facilitating seamless transitions and ensuring customer satisfaction? Join our team as a Change of Ownership Associate and become...Document and notate clear and detail client interactions for case notes This job is for you if you:… more
- Travelers Insurance Company (Blue Bell, PA)
- … player with extensive industry experience to join our Strategic Resolution Group Claim team as a Major Case Specialist handling complex toxic tort, latent ... your highly advanced knowledge of legal issues and applicable case law in multiple jurisdictions. Your case ...and potential future changes to, loss reserves on assigned claims . + LITIGATION MANAGEMENT : + Proactively develop… more
- USAA (Allentown, PA)
- …platforms. + Proficient knowledge of residential construction. + Proficient knowledge of property claims contracts and interpretation of case law and state laws ... Specialist located in **Allentown, PA** to join our field Team . As a Insurance Property Adjuster Specialist, you will...to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will… more
- PPL Corporation (Allentown, PA)
- …commitments to ensure all deliverables are met to scope, schedule, and budget. Team player capable of working with management , project controls, and contractors. ... prompt resolution of contractor issues and change order submittals, including analyzing claims and disputes, and subsequently consults with management to… more
- PPL Corporation (Allentown, PA)
- …projects (such as substation and line construction) by working with the project management team to develop the contracting strategy, project plan, identify ... claims and disputes and subsequently consult with senior management to resolve/negotiate claims and disputes associated...substation and line construction) by working with the project management team to develop the contracting strategy,… more
- Walmart (Bethlehem, PA)
- …Consults on complex claims and settlements. Designs preventative claims management processes (for example, associate engagement efforts, return-to-work ... assigned area of work. Business Acumen Possesses Knowledge of: Business case development; problem-solving techniques, workflows, and processes of the assigned… more
- Deloitte (Horsham, PA)
- …our Health Technology practice addresses critical health agency issues including: claims management , electronic health records, health information exchanges, ... and practically applicable models in improving healthcare delivery and management . The Team Deloitte's Government and Public...health analytics, and health case management . Qualifications: Required: + 2-5 years… more
- Deloitte (Horsham, PA)
- …focused on government health agencies "heart of the business" issues including claims management , electronic health records, health information exchanges, health ... best practices for the Software Development Lifecycle (SDLC). The team Our Digital Health team implements repeatable...analytics and health case management . Our clients seek a fresh… more
- Walgreens (Norristown, PA)
- …experience. + Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal ... of healthcare services offered through Walgreens (eg patient consultation, medication management , drug therapy reviews, and perform clinical, or wellness services… more
- Magellan Health Services (Newtown, PA)
- …performance, Population Health including population segmentation, risk stratification models, disease management and case management performance tracking and ... + Lead and manage the data analytics team , providing guidance, support, and mentorship to ...data from various sources, including electronic health records (EHR), claims data, and clinical systems. + Utilize Tableau and… more
- IQVIA (Wayne, PA)
- …thinking, quantitative reasoning, data storytelling, project management , and time management skills * Excellent interpersonal and team -working skills * ... a market-leading, delivery oriented division within IQVIA Commercial Solutions. CSIH team members consult with manufacturers in the pharmaceutical and biotechnology… more
- Trinity Health (Conshohocken, PA)
- …with, gathering information from and making presentations to various levels of management and internal and external executive leaders. Serves as a subject matter ... opportunities and prepares detailed written recommendations and summaries for management review and decision-making. 4. Utilizes claim valuation application,… more
- Merck (Upper Gwynedd, PA)
- …the benefit of patients and global human health. **Position Description:** Our Quantitative Sciences team uses big data to analyze the safety and efficacy claims ... resource forecasting. + Coordinate the activities of a global programming team that includes outsource provider staff. + Membership on departmental strategic… more