- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- Brighton Health Plan Solutions, LLC (NC)
- About the Role The Claims Supervisor is responsible for supervising a staff of Claim Examiners and Claim Team Leads, 12-20 direct reports. The expectations ... and training while promoting quality and superior customer service. The Claims Supervisor is accountable for identifying opportunities for enhancements… more
- Sedgwick (Tallahassee, FL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Supervisor - Property E&S **PRIMARY PURPOSE** : To supervise the operation ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- U-Haul (Phoenix, AZ)
- …Arizona 85004 United States of America Repwest Insurance is seeking a Property Damage Claims Supervisor to lead a team of adjusters in resolving property damage ... claims . This is an in office position in Phoenix, AZ. As a Supervisor , you will lead a team of Claim Adjusters to resolve claims within company and… more
- Kaleida Health (Buffalo, NY)
- ** Supervisor Claims PFS** **Location:** **Larkin Bldg @ Exchange Street** **Location of Job** **: US:NY:Buffalo** **Work Type** **: Full-Time** **Shift 1** **Job ... culture of equity and inclusion where diversity is valued and celebrated!_ **Position** Supervisor Claims PFS **Location** US:NY:Buffalo or Hybrid | Management |… more
- CHS (Clearwater, FL)
- …and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and ... requirements. * Establishing and monitoring strong operational controls relating to claims cost control, including review processes for potential pre-existing… more
- UPMC (Pittsburgh, PA)
- …Compensation Lost Time Claims Specialist II reports to the Workers Compensation Claims Supervisor . The Lost Time Claims Specialist II is responsible ... UPMC WorkPartners is hiring a full-time Lost Time Claims Specialist II! This role will predominantly work...line of business litigation guidelines to include budget, bill review and payment under limited direction of supervisor… more
- Library of Congress (Washington, DC)
- …authors of literary, dramatic, musical, artistic, and other works. The Copyright Claims Officer has responsibilities and delegated authority for the oversight and ... and reference services to the public. Through the Copyright Claims Board, it also administers an efficient and user-friendly...describes what you would bring to the position. The Supervisor leads his/her staff toward meeting the Library's vision,… more
- Sedgwick (Fort Worth, TX)
- …of education and experience required to include two (2) years claims supervisor experience. **Jurisdiction Knowledge:** Nationwide - Auto liability/General ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- USAA (Colorado Springs, CO)
- …6 months time in role. **What sets you apart:** + Current experience as a Claims Manager or Supervisor + 2+ years handling Complex Non-Injury Auto coverage and ... special and impactful. **The Opportunity** As a dedicated Manager, Claims Operations, you will lead and be accountable for...for this position. **What you'll do:** + Inspect and review quality of claim files and provide feedback to… more
- UPMC (Pittsburgh, PA)
- …broker as needed. + Adhere to client and carrier guidelines and participate in claims review as needed. + Receives claim, confirms policy coverage and ... Medical Only Claims Specialist 2 reports to the Workers' Compensation Supervisor . This is an intermediate level position within the Workers' Compensation … more
- Sedgwick (Concord, NH)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (Rancho Cordova, CA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- BrightView (Blue Bell, PA)
- …educate diverse audiences. + Prior experience in a senior-level role (eg, claims supervisor , senior adjuster, or risk management professional) with ... to be your brightest. We're looking for a Senior Claims Specialist. Can you picture yourself here? **Hybrid Schedule:**...TPAs, legal counsel, brokers, and other external partners. + Review and approve TPA reserve recommendations to ensure reserve… more
- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk. Join us as a Complex Claims Director - TPA Oversight to play your part in that transformation. It's an ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...evaluate coverage issues; prepare comprehensive coverage letters with supervisory review and analysis; retain and provide direction to coverage… more
- Publix (Lakeland, FL)
- **35078BR** **Position Title:** General Liability Attorney Represented Claims Specialist **Department:** Risk Management **Location:** Lakeland, FL **Description:** ... The General Liability Attorney Represented Claims Specialist ( Claims Specialist) adjusts non-litigated general...or escalating the subrogation or tender issue to a Supervisor . There are approximately 21,000 events reported annually. Of… more
- Raphael and Associates (Rutherford, NJ)
- …in-office position located at our Rutherford, NJ, headquarters. Key Responsibilities: + Initial Claims Setup: + Review FNOL (First Notice of Loss) and ensure ... and organized individual to join our team as a Claims Setup Specialist. This entry-level role is focused on...+ Assign the claim to the appropriate adjuster and supervisor . + Set adjuster diaries with new claim notifications… more
- Sedgwick (Atlanta, GA)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **TAKING CARE OF YOU** + Flexible work ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (Sacramento, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Assistant Claims Team Lead - Workers Compensation | Orange, CA **PRIMARY PURPOSE:** To ... analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. + Leads team meetings and assigns… more
- Dragonfly Health (Mesa, AZ)
- …in the incumbent's performance objectives as outlined by the incumbent's immediate supervisor or manager._ 1. Assist pharmacies with real-time and retrospective ... claims adjudication. Adjust and correct authorizations in dispensing and...pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the… more