- Holland America Group (Miami, FL)
- …teams, and shore based Medical , Safety, HR, HESS and Security teams to review programs, suggest mitigation plans related to claims history and advise on ... is based in our Miami office. Oversees the guest claims team of 7 adjusters and the supervisor...and fosters collaboration with the ships, Safety, Security and Medical to make corrections to the areas giving rise… more
- Triple-S (Guaynabo, PR)
- …or outside audit vendors,providing assistance to internal stakeholders and conduct medical record chartreviews to validate diagnoses. Perform claims andmedical ... MARisk Adjustment Supervisor JOB NATURE Responsible for managing the Medicare...ongoing basis. Participates and Assess vendoralternatives. Establish performancemetrics for review and evaluation. Represent the organizationin dealing with vendors… more
- Walgreens (Carpentersville, IL)
- …unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations Counsels patients and answers questions regarding ... generics, less expensive medicines, and over-the-counter products. Refers to the medical provider, as needed, to ensure medication is taken correctly, health… more
- Veterans Health Administration (Salem, VA)
- …Maintenance and Operations, Facilities Management Service at the Salem Veterans Affairs Medical Center (VAMC), Salem, Virginia. This position is to operate patient ... to 8 or more passengers, to and from VA Medical Center facilities. This job is open to Federal...activities and attends scheduled safety training as directed by supervisor . Class B license required for minimum qualifications. Passenger… more
- Howard County, MD (Ellicott City, MD)
- …Bank after having completed 1 year of employment. Administration of the Bank, including the review and approval of claims for grants of time, is handled in ... it will be encouraged! We offer competitive compensation and great benefits including medical , retirement, and wellness programs. As a member of the Howard County… more
- American International College (Springfield, MA)
- …for three professional references (one of which must be a current or prior supervisor ) Review of applications will continue until the position has been filled. ... practices and home and away contests as directed. Manage athletic insurance claims processing by completing documents, working with student athletes and medical… more
- Walgreens (Monmouth, IL)
- …Continuous Quality Improvement Program. Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up ... with insurance companies as well as medical providers and conducts or participates in 3rd party audit. Assists and supports Store Manager and Pharmacy Manager in… more
- Sedgwick (Riverside, CA)
- …of education and experience required to include two (2) years claims supervisor experience. **Licensing / Jurisdiction Knowledge:** **California workers ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead ( Supervisor ) | Riverside, CA...management reports and takes appropriate action. + Performs quality review on claims in compliance with audit… more
- Sedgwick (Little Rock, AR)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Supervisor - Workers Compensation **PRIMARY PURPOSE:** To supervise the ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit...education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** +… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …activities may change from time to time. 1. Effectively manage assigned team of Claims Examiners and performance of same. 2. Review all new losses assigned ... (Required) **Work Shift:** 1st Shift (United States of America) **Please review the following job description:** Through technical direction and oversight, the… more
- Kemper (Henderson, NV)
- …skills, strong technical skills and the ability to handle increasing responsibility. + Ability to review and handle claims via on-line claims system. + Must ... our stakeholders that delivers on our promises._ **Position Summary:** Our Express Supervisor is responsible for supervision of a unit of outbound Express Adjusters… more
- UPMC (Pittsburgh, PA)
- …coverage analysis, investigation, evaluation, communication, and disposition of assigned medical claims within the WorkPartners Workers' Compensation business ... UPMC Health Plan and WorkPartners is hiring a full-time Medical Only Claims Specialist II. This role...Adhere to client and carrier guidelines and participate in claims review as needed. + Receives claim,… more
- Central Maine Medical Center (Lewiston, ME)
- …leave program for Parental Leaves + Comprehensive Wellness Program + Essential Duties: Review claims using electronic claims software -compliance products, ... our community and for each other every day. Central Maine Healthcare is seeking a Claims Processing Rep to join our Team. This is an on-site, full time 40-hour,… more
- CHS (Clearwater, FL)
- …strong operational controls relating to claims cost control, including review processes for potential pre-existing conditions, determining medical necessity, ... and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and… more
- UPMC (Pittsburgh, PA)
- …Compensation Lost Time Claims Specialist I reports to the Workers Compensation Claims Supervisor . The Lost Time Claims Specialist I is responsible ... manage loss exposures. **Responsibilities:** + Establish appropriate reserves and review on a regular basis to ensure adequacy. Make... handling experience or 18 months of Workers Compensation medical only claims handling experience. + Basic… more
- Carnival Cruise Line (Miami, FL)
- …teams, and shore based Medical , Safety, HR, HESS and Security teams to review programs, suggest mitigation plans related to claims history and advise on ... is based in our Miami office. Oversees the guest claims team of 7 adjusters and the supervisor...and fosters collaboration with the ships, Safety, Security and Medical to make corrections to the areas giving rise… more
- HUB International (Brentwood, TN)
- …reasonable resolution. We are seeking a detail oriented Non-Subscriber or Occupational Accident Claims Supervisor /Manager to join Avant Specialty Claims , a ... leader is responsible for our team investigating and adjusting employee injury claims , benefit determination, wage replacement, and medical management for Texas… more
- USAA (Phoenix, AZ)
- …time in role. **What sets you apart:** + Current leadership experience as an Auto Claims Manager or Supervisor + 5+ years handling 3rd party auto moderately ... 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
- Sedgwick (New Orleans, LA)
- …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...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. The statements… more
- System One (Fairfax, VA)
- …Must have experience doing 200+ claims daily ESSENTIAL FUNCTIONS + Performs claims adjudication for complex medical claims . + Performs regular auditing. ... support a leading health insurance customer. The individual will review and adjudicate paper/electronic claims , also use..., also use automated system processes to send pending claims to ensure accurate completion according to medical… more
