- Providence (Renton, WA)
- …we must empower them.** **Providence is calling a Sr. Medical Malpractice Claims Manager - Professional Liability who will:** **Investigate, Evaluate, and ... + Communicate with patients, claimants, caregivers, providers, leadership + Review and analyze medical records, interview witnesses, assist with...take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims … more
- LA Care Health Plan (Los Angeles, CA)
- …cases. Meets with team regularly to detail project assignments, ensure accountability, review quality and work metrics. Manages team development and direct ... Manager , Claims Integrity Provider Remediation (ALD-...and including stakeholders, across all organization. Preferred: Ability to review claims in 360-degree approach. Licenses/Certifications Required… more
- 2-10 Home Buyers Warranty (Aurora, CO)
- Associate Manager , New Home Claims Targeted compensation: $75,000 - $90,000 base + bonusCompensation commensurate with experience and skill set Who we are: ... Manager to join our team. As an Associate Manager , New Home Claims you will apply...and settle new home workmanship, systems and structural defect claims . + Review and interpret technical warranty… more
- First Student (OH)
- …resolution of policy coverage issues which comply with state laws, including unfair claims practices statutes to include review and approval of all coverage ... related letters drafted by staff adjusters. + Review individual claim files to determine compliance with policy/procedures...expected losses. + Select, develop, motivate, and train a quality staff to achieve Claims Department objectives.… more
- First Student (Cincinnati, OH)
- …of our core claims group. This leader will manage a team casualty claims specialists. Manager may be responsible for PIP Adjuster and other casualty ... coverage issues which comply with state laws, including unfair claims practices statutes to include review and...cover expected losses. Select, develop, motivate, and train a quality staff to achieve Claims Department objectives.… more
- Marshfield Clinic (Marshfield, WI)
- …together to support the most exciting missions in the world!** **Job Title:** SHP Claims Training & Audit Manager (Hybrid Remote) **Cost Center:** 682891379 SHP- ... 40 Normal (United States of America) **Job Description:** **JOB SUMMARY** The SHP Claims Training and Audit Manager is responsible for managing Claims… more
- USAA (Phoenix, AZ)
- …controlled in accordance with risk and compliance policies and procedures. + Inspect and review quality of claim files and provide feedback to employees as ... months time in role. **What sets you apart:** + Current experience as a Claims Manager /Supervisor + 2+ years experience handling Auto total loss claims + 2+… more
- Live Nation (Houston, TX)
- …these qualities, so if this sounds like you then please read on! THE ROLE The Claims Manager supports the global operations of Live Nation. In this role, you'll ... have primary responsibility for managing liability claims in North America. WHAT THIS ROLE WILL DO...monthly loss run reports, litigated file reports and claim review meetings with management + Provide guidance to operations… more
- Walgreens (Deerfield, IL)
- …Employer, including disability/veterans \#LI-CB1 **Job ID:** 1405826BR **Title:** Senior Manager , Casualty Claims **Company Indicator:** Walgreens **Employment ... identifying, assessing and mitigating liability in partnership with the third-party claims administrator and defense counsel. Delivers results based on the company's… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Senior Manager of Claims Administration** **Job Class: State Program Administrator, Manager Senior** **Agency: Department of Employment and ... support resources, and training and development opportunities. **Position Purpose:** The Senior Manager of Claims Administration plays a critical role in our… more
- Truist (Naples, FL)
- …Fluency:** English (Required) **Work Shift:** 1st shift (United States of America) **Please review the following job description:** Act as a leader and coach for ... matters for clients and prospects. May also provide support for solving complex claims or leading claim consulting teams in specialized industry verticals. Must be… more
- Randstad US (Long Beach, CA)
- …+ Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, ... service contract requirements, and quality standards. + Acts as second level of appeal...authority of the individual examiner. + Monitors third party claims ; maintains periodical review of litigated … more
- Zurich NA (Des Moines, IA)
- … Specialist, your primary accountabilities will include: + Work the most complex claims , involving multiple causes of loss, multiple quality issues, subrogation ... policies with the ability to change unit structure pending review outcome + Completes claims on specialty...area + Completes Crop Hail re-inspections when requested for quality assurance purposes + Works claims of… more
- Universal Health Services (Riverside, CA)
- …errors in the auditor Access database program, and report all findings to the Manager . 3. Assist the Claims Examiners and other personnel with claims ... for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our...assure compliance with the Friday check run deadline. 8. Review the drawers of claims processed to… more
- AIG (Cincinnati, OH)
- …continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes; + Contribute to maintenance of best ... About the role Will handle a portfolio of Liability claims of lower complexity claims from coverage...standard of customer service; + Working with the Team Manager to ensure effective vendor and litigation management on… more
- Equitable (Charlotte, NC)
- …systems. **Key Job Responsibilities** + In partnership with the Technology Strategy Claims Program Manager , ensure that organization deliverables and initiatives ... team to plan and execute monthly releases of the claims system. Review and approve the release...Review and approve the release scope, schedule and quality . Manage the change control process and identify non-standard… more
- Kelly Services (Columbia, SC)
- …customers - Perform research as needed to resolve non-routine inquiries - Review and adjudicate claims and non-medical appeals following organizational policies ... correct coding of procedures and diagnosis codes - Ensure claims are processing according to established quality ...Refer complex complaints and inquiries to a lead or manager for resolution Qualifications & Skills: - High School… more
- Elkay (Milwaukee, WI)
- Freight Audit and Claims Analyst **_The Company_** Zurn Elkay Water Solutions Corporation is a thriving, values-driven company focused on doing the right things. ... makes us successful. They are the driving force behind our superior quality , product ingenuity, and exceptional customer experience. Our commitment to our people… more
- HCA Healthcare (Asheville, NC)
- …position is responsible for ensuring timely and accurate processing and payment of claims by the Third-Party Administrator through competent review of claims ... inclusion thrive? Submit your application for our Insurance and Claims Specialist (Program of All Inclusive Care for the...that we continue to provide all patients with high quality , efficient care. Did you get into our industry… more
- Prime Therapeutics (Columbus, OH)
- …passion and drives every decision we make. **Job Posting Title** Senior Medicare Claims Specialist - Remote **Job Description** The Claims Specialist Senior role ... This position will serve as an escalation resource and mentor for Claims Specialists. **Responsibilities** + Leverage strong understanding of claims processing… more