- Smithfield Foods, Inc. (Wichita, KS)
- …Conduct all quality inspections in the area of assigned responsibility. Maintain quality objectives, prevent complaints and claims and keep quality to ... to customers and consumers. This position is responsible for ensuring the overall quality in their assigned areas through the management of regulatory, company, and… more
- USAA (Phoenix, AZ)
- …what truly makes us special and impactful. The Opportunity As a dedicated Manager, Claims Operations, you will lead and be accountable for auto, and other claims ... is not available for this position. What you'll do: Inspect and review quality of claim files and provide feedback to employees as appropriate. Responsible for… more
- US Tech Solutions (Columbia, SC)
- …after verification of correct coding of procedures and diagnosis codes. Ensures claims are processing according to established quality and production standards. ... research as needed to resolve inquiries. Reviews and adjudicates complex or specialty claims and/or non-medical appeals. Determines whether to return, deny or pay … more
- CNA (Downers Grove, IL)
- …for a specific line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service ... Manages an inventory of low to moderate complexity and exposure commercial claims by following company protocols to verify policy coverage, gather necessary… more
- AUROBINDO (Durham, NC)
- …family consists of an experienced management team with expertise in manufacturing, R&D, Quality Assurance and Quality control and regulatory affairs. In addition ... (FMLA, STD, etc.), Visas and Immigration (H1B, L1, etc.), Workers Compensation claims , Unemployment Claims , etc.Committee member for all employee activities… more
- Berkshire Hathaway Specialty Insurance (Boston, MA)
- …while ensuring the highest level of customer service and technical claim file quality . Proactively handle claims from first notice of loss through ultimate ... unique culture and history. Job Opportunity: At Berkshire Hathaway Specialty Insurance our claims professionals are an integral part of our business. Every claim is… more
- CNA (Chicago, IL)
- …for a specific line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service ... Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations,… more
- Sinceri Senior Living (Nashville, TN)
- …to protect our organization and residents through proactive risk assessment, claims management, and quality improvement initiatives. The position requires ... with legal teams, insurance carriers, and community staff. Essential Job Functions: Claims Management & Insurance Coordination Submit and manage claims to… more
- Formation Bio (New York, NY)
- …infrastructure, and generative AI. While your initial focus will be on building high- quality EHR models for Formation Bio platform, you'll also contribute to our ... practices. Implement data validation and observability frameworks to ensure quality , trust, and reproducibility of datasets. Document transformation logic,… more
- Eisai, Inc (Indianapolis, IN)
- …local and national, health care issues/strategies, customer issues/trends, pathway and quality trends, and best practices to establish credibility beyond product and ... local and national, health care issues and strategies including pathway and quality trends (340B, buy & bill, Government, and commercial payer coverage)… more
- The Travelers Indemnity Company (Morristown, NJ)
- …and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle ... job does not manage staff. What Will You Do? Directly handles assigned claims . Provides quality customer service and ensures file quality and timely coverage… more
- Sedgwick (Riverside, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Riverside, CA Are you looking for an opportunity to join ... best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing… more
- Premier Administrative Solutions (Clearwater, FL)
- …continual quality improvement. *Coordination of all activities of the Claims Department Management Team. This includes Supervisors and/or Team Leaders assigned ... Overview Claims Manager Servicing Health Insurance Policies or Benefits...Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. *Responsibility for final hiring decisions… more
- ArchWell Health (Oklahoma City, OK)
- …solutions to prevent future issues and resolve recurring defects. Experience with claims / quality reports and analytical software packages. Proficient skills in ... routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We… more
- GEICO (Richardson, TX)
- …or complex claims , providing resolution and support as needed. 3. Quality Control and Compliance: *Monitor claims processes to maintain high standards ... Experienced Claims Supervisor: Dallas, TX, Lakeland, FL, Houston, TX...need. Exciting opportunity to join an industry leading Auto Claims team. We are looking for highly motivated … more
- Ball (Fort Worth, TX)
- …Establishes and analyses quality areas, including quality goals, quality problems, defective materials, claims and customer quality problems. ... and world. Primary purpose of the position: Manages the plant quality assurance function as directed. Essential Responsible Areas: Responsible for maintaining… more
- Sedgwick (Minneapolis, MN)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative - Liability - Richfield, MN PRIMARY PURPOSE : To process low ... level general liability claims to determine benefits due; to ensure ongoing adjudication...RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATION Education & Licensing… more
- Actalent (Wallingford, CT)
- …inquiries. Collect on insurance carrier accounts. Assist with process improvements to enhance claims resolution. Ensure the quality and integrity of work on ... with the Billing team and Collections Supervisor to ensure efficient claims processing and resolution. Responsibilities Monitor and resolve dashboard for claim… more
- ServiceMaster (Marietta, GA)
- …Paid time off Vision insurance Dental insurance Training & development Overview: The Claims Coordinator is the central point of communication for all restoration ... claims . This role is responsible for client communication, customer...and emergency restoration , we take pride in delivering high- quality service with professionalism and compassion. As a leader… more
- Mindlance (Concord, CA)
- Description: Looking for an experienced examiner to handle a heavy complex claims desk with mainly litigated claims . I want someone who can move fast and is good ... at closing claims . This is one of our more complex desks...RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATION Education & LicensingBachelor's… more