- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Job Category: Claims ...requirement. Demonstrated depth of knowledge and experience in processing Health Plan claims of a complex ... (Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency...net required to achieve that purpose. Job Summary The Manager , Claims directs the efforts of others… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Data Operations Job Category:...(Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...net required to achieve that purpose. Job Summary The Manager of Claims Data Operations leads and… more
- LA Care Health Plan (Los Angeles, CA)
- …$102,183.00 (Min.) - $132,838.00 (Mid.) - $156,000.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of ... Manager , Claims Integrity Provider Remediation (ALD-...County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million… more
- Guardian Life (Columbus, OH)
- …Meet productivity requirements as established by department for handling Supplemental Health Claims . Leadership Behaviors + Demonstrates intellectual curiosity. ... in our newly created opportunity as a **Claim Case Manager II, Supplemental Health ** ! In a...have + Experience of 3 plus years processing Supplemental Health claims . (Accident, Critical Illness, Cancer and… more
- Magna (Troy, MI)
- Claims Manager , Workers' Compensation Job Number: 66364 Group: Magna Corporate Division: Magna Services of America (Troy Office) Job Type: Permanent/Regular ... **About the Role** We are seeking a highly skilled Claims Manager , Workers' Compensation to join our...+ Present US workers' compensation data trends at internal Health & Safety Conferences and monthly department meetings. +… more
- AIG (New York, NY)
- …reimagining the way we help customers to manage risk. Join us as Global Specialty Claims Strategy and Business Manager to play your part in that transformation. ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...in accordance with the terms of the applicable incentive plan . In addition, we're proud to offer a range… more
- Stantec (HI)
- Assistant Claims Manager - ( 240000XG ) **Description** Grow with the best. Join a smart, creative, and inspired team that works behind the scenes to support ... employees have access to medical, dental, and vision plans, a wellness program, health saving accounts, flexible spending accounts, 401(k) plan , employee stock… 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 ... and training and development opportunities. **Position Purpose:** The Senior Manager of Claims Administration plays a critical...due to a qualifying condition, such as a severe health condition that prevents them from working, or when… more
- AON (Fort Wayne, IN)
- Participant Accident Claims Examiner / Health Insurance K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, ... Claims Examiner, you will report directly to the Manager of Claims working in the challenging... documents and policies. #LI-PR1 #LI-HYBRID 2540540 Participant Accident Claims Examiner / Health Insurance K&K Insurance… more
- Trinity Health (Livonia, MI)
- …Reviews. Contacts defense counsel as directed by ACM or Workers' Compensation Claims Manager ; composes correspondence/mail and form letters as directed; ... as needed. Performs other claims support functions as assigned by Area Claims Manager such as scheduling, calendar management, and expense tracking. Reviews… more
- Jacobs (Los Angeles, CA)
- …engineers, then Jacobs is where you belong. We are looking for a driven Claims Manager to support our Aviation design team. Responsible for the review, ... Analytical Abilities: Excellent analytical and problem-solving skills to assess claims and make informed decision. Jacobs' health ...security. Your future. Employees have access to a 401(k) plan , as well as legally mandated benefits. The… more
- Walmart (Bentonville, AR)
- …in the claim/image management system. + Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of ... significant reserve increases; monitoring reserves for all open claims ; authorizing payment for approval or facilitating denial of the claim; and reserving file for… more
- Universal Health Services (Riverside, CA)
- …in accordance with outside Provider Contracts, State, Federal, CMS, DMHC and Health Plan contracts, internal departmental policies and procedures. Must maintain ... Medicare and Medicaid Services (CMS), the Department of Managed Health Care (DMHC) and HMO standards and requirements. CERTIFICATES,...Access database program, and report all findings to the Manager . 3. Assist the Claims Examiners and… more
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Auto Claims Manager **PRIMARY PURPOSE** : To manage the technical and ... regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than… more
- Staples (Framingham, MA)
- …the proper handling of high exposure general liability, auto and property claims being handled by our Third Party Administrator - including coverage confirmation, ... business partners in investigating and reaching an appropriate disposition of claims . + Demonstrate technical proficiency through timely and consistent execution of… more
- Conduent (Olympia, WA)
- …part of a culture where individuality is noticed and valued every day. **Senior Manager , Rx Claims Service Delivery-Olympia, WA** **Are you comfortable in a ... agent project **Responsibilities** + Managing IT departments and Pharmacy Claims Processing & Rebates on a 24/7 basis +...are high quality and submitted timely + Execution of plan for the operation processes **Requirements** + 5-10 years… more
- Conduent (Olympia, WA)
- …where individuality is noticed and valued every day. **Job Description:** **Senior Manager , Rx Claims Delivery** **$ign-On Bonus available** **About the Role** ... a State Medicaid fiscal agent project **Responsibilities** + Managing IT departments and Pharmacy Claims Processing & Rebates on a 24/7 basis + Acts as liaison to… more
- HCA Healthcare (Nashville, TN)
- …within HCA Healthcare's Risk & Insurance department reporting directly to the Manager /Director of Property Claims . You will support the Insurance programs ... Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...process. + Assist the VP Insurance, AVP Insurance and Manager /Director of Property Claims with other responsibilities… more
- Travelers Insurance Company (Alpharetta, GA)
- …+ Recognizes and implements alternate means of resolution. + Manages litigated claims . Develops litigation plan with staff or panel counsel, including ... assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- AIG (Atlanta, GA)
- …for Aerospace Claims , you will report to the Light Aviation Division (LAD) Claims Manager and play a key role by adjusting, investigating and negotiating ... of products to customers through a diversified, multichannel distribution network. Our Claims professionals support AIG policyholders through some of the most trying… more