• PDS Tech, Inc. (Ashburn, VA)
    …Team giving first level assistance and business planning support to the Managing Director , Head of Operations and Head of Human Resources. The successful applicant ... and general co-ordination of approvals, as well as post travel expenses claims . Diary management to ensure preparation / organization of meetings and minutes… more
    CareerBuilder (09/15/20)
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  • Robert Half (Pasadena, CA)
    …to $65.00 hourlyA prestigious medical group in the Los Angeles area is seeking a Medical Claims Director to join their organization. The Claims Director ... team of 25 employees and ensuring all quotas are being made for claims processing. The claims director will also be working extensively with the appeals,… more
    CareerBuilder (09/23/20)
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  • The Carlisle Group (Tallahassee, FL)
    … for guaranty associations to fulfill their statutory obligations, They are looking for a Claims Director to lead their claims operations working as a member ... for this position are: Bachelor's degree in business plus ten years claims experience with P&C lines Eight (8) years supervisor management experience Florida… more
    CareerBuilder (08/21/20)
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  • University Health System (San Antonio, TX)
    …University Health System- Community First Health Plans is currently seeking an Executive Director of Claims . Position Summary: Reviews daily reports on multiple ... processes pertinent to the effective and efficient operations of the claims department. Coordinates and ensures timely, accurate implementation of special projects… more
    CareerBuilder (08/18/20)
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  • Chubb (Basking Ridge, NJ)
    …distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. KEY OBJECTIVE: ... Experienced claims professional responsible for managing and adjusting general liability...responsible for managing and adjusting general liability and auto claims impacting primary and excess policies. Insure high level… more
    CareerBuilder (09/19/20)
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  • HealthTrust Workforce Solutions (Arlington, VA)
    …for whom and by whom it is delivered. Fantastic opportunity for an Operations Director at a beautiful facility located in the Arlington, VA area. Job Summary: ... Operations Director is primarily responsible for ensuring adherence with the...industry, a utilization review firm, or another health care claims processing organization involving medical and coding reviews of… more
    CareerBuilder (09/27/20)
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  • Hoag Memorial Hospital Presbyterian (Costa Mesa, CA)
    …healthcare delivery system, strong interpersonal, verbal, and written communication skills, strong organization skills. Position Reports to: Director , Claims ... The Manager of Claims Operations is responsible for overseeing the core functions of the Claims department including new claims processing, provider dispute… more
    Hoag Hospital Hoag Memorial Hospital Presbyterian (08/02/20)
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  • Community Behavioral Health (Philadelphia, PA)
    …the Encounter Suppression Spreadsheet with addition's and modification performed.Provide feedback to the Director of Claims on a consistent basis and partake in ... XeoHealth Claim Adjudication System. Perform quality insurance testing with the entry of claims against the new or modified claim rules into the UAT XeoHealth Claim… more
    CareerBuilder (09/03/20)
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  • Charles E. Smith Life Communities (Rockville, MD)
    …this position is to perform the billing and collection of commercial insurance claims and invoicing, assist with Private Pay invoicing and collections, adjust and ... skilled and long-term care services. . Prepare and submit complete and accurate claims and invoicing for payment to insurance companies, third party payers and… more
    CareerBuilder (09/23/20)
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  • ExecuNet (Rockville, MD)
    …and part time hours, and personnel files.Oversee FMLA, ADA, bereavement, unemployment claims and unemployment appeals. Assist with return to work duties for Worker's ... Compensation claims .Work with the Benefits Specialist on providing the best...duties as assigned.Qualifications REQUIREMENTS: 7-10+ years in Human Resources Director position (hospitality or related field preferred with geographically… more
    CareerBuilder (09/03/20)
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  • Enclara Pharmacia (Philadelphia, PA)
    …up and maintaining hospice/facility/pharmacy relationships under the direction of the Pharmacy Claims (Support Services) Manager and the Director of Support ... to 11:00 PM, with every 4th Saturday rotations Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile… more
    CareerBuilder (09/13/20)
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  • Hartford HealthCare (Bridgeport, CT)
    …of the alleged event, including reporting and working with the System Director , claims personnel and legal counsel as indicated.Monitors patient, visitor ... across the system.Job Summary:The Risk Manager reports directly to Hartford Healthcare's System Director of Risk Management. Under the direction of the Director more
    CareerBuilder (08/17/20)
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  • Macy's (Martinsburg, WV)
    …assessment, first aid treatment and referral as appropriate.Management of worker's compensation claims to ensure quality care and reduction of incurred dollars as ... a subject matter expert or team member.Establish a business partnership to impact claims , work related injuries and overall safety, health and wellness of the… more
    CareerBuilder (09/01/20)
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  • TSP (Washington, DC)
    …The position is Field Based and reports to the Regional Sales Director . Summary Description In this field-based role, the Prostate Cancer Sales Specialist ... and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office… more
    Healthjobsnationwide (09/13/20)
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  • GWU Medical Faculty Associates (Washington, DC)
    …of the Director of Insurance & Risk Management incidents, event, claims , and/or other occurrences.Ability to conduct audits under the direction and supervision ... of the Director of Insurance & Risk Management.Strong interpersonal skills and ability to develop and maintain effective working relationships.Ability to communicate… more
    CareerBuilder (08/18/20)
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  • Unknown (Portland, OR)
    We are seeking an RN Director of Quality and Medical Staff Services that will provide administrative support and leadership. The Director is responsible to serve ... Oregon Quality Council, in collaboration with the specific hospital(s) to which the Director is assigned Provide leadership to the specific ministry and to the… more
    CareerBuilder (09/23/20)
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  • Sedgwick Claims Management Services, Inc (Memphis, TN)
    Claims Specialist Sr - Professional Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a career path that is both challenging and rewarding, join Sedgwick's ... a difference in the lives of others. JOB SUMMARY: The YorkPro Sr. Claims Specialist-Professional Liability shall report to the Assistant Vice President. The … more
    CareerBuilder (09/18/20)
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  • The American Legion (Indianapolis, IN)
    GENERAL SUMMARY: Reviews and presents claims to the BVA on behalf of veterans, their dependents and survivors. ESSENTIAL FUNCTIONS: 1. Reviews VA claim files and all ... of the United States Court of Appeals for Veterans Claims , US Court of Appeals for the Federal Circuit...opinions. 8. Reviews and presents special cases to the Director , Compensation Service, VACO, for administrative review and consideration.… more
    CareerBuilder (09/23/20)
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  • Washington Metropolitan Area Transit Authority (Washington, DC)
    …departmental guidelines and procedures and referring exceptions to the Project Manager, Assistant Director or Director . Coordinates the review of scope of work ... conditions and work coordination. Analyzes design and construction change orders, claims and supplemental agreements; assists in negotiating changes with the section… more
    CareerBuilder (08/17/20)
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  • Chubb (Alpharetta, GA)
    …distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. KEY ... OBJECTIVE:Responsible for investigating; settling Commercial Property Claims . Insure high level of customer service and claim file quality. MAJOR DUTIES &… more
    CareerBuilder (09/03/20)
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