- Conifer Revenue Cycle Solutions (Frisco, TX)
- …Health) preferred CERTIFICATES, LICENSES, REGISTRATIONS Current, valid RN/LPN/LVN licensure Certified Case Manager (CCM) or Certified Professional in Utilization ... Solution is responsible for: a) Recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review b) Preparing and documenting… more
- Walmart (Bentonville, AR)
- …denial of the claim; and reserving file for payments that exceed authority for manager and serious case review. + Minimizes legal exposure by securing services ... in the claim/image management system. + Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of… more
- Guardian Life (Plano, TX)
- …and acts as the critical communication link, in conjunction with the assigned Disability Case Manager where applicable, for all parties in FMLA client absence ... the best at what they do. The FML Leave manager is responsible for proactively managing Leave of Absence...with key partners including Clients, Claimants, Nurse and Disability Case Managers, Risk Management. . Administer claims … more
- TEKsystems (Austin, TX)
- …to render the claim decision as quickly as possible. + Documents the claims system in an accurate and comprehensive manor while maintaining efficiency. + Prepares ... a basic developing level of proficiency in STD, SDI and AM products and claims administration techniques. + Work as a team to support one another through… more
- Veterans Benefits Administration (IN)
- …for salary rates with locality for your location. Position Description/PD#: Veterans Claims Examiner (Education Case Manager ); 06266A Relocation/Recruitment ... Summary The Education Case Manager (ECM) in the Education...entitled to under the laws administered by VA. The claims adjudicated are some of the most difficult and… more
- Guardian Life (Columbus, OH)
- **Position Summary** The STD/Absence Claims Case Manager I (CM) is responsible for administering and medically managing Short Term and Absence claims ... service to all internal and external customers. This position will review claims for Short Term Disability and requires consistent and effective claim management… more
- Baystate Health (Springfield, MA)
- …Summary Description: Workers' Compensation & Return to Work (RTW) Case Manager will manage workers' compensation claims across all Baystate Health entities. ... for a full time Workers Compensation, Return to Work Case Manager to join our team in...in regard to workers' compensation 2) Manage workers' compensation claims from start to finish, including reporting, investigating, and… more
- Travelers Insurance Company (St. Paul, MN)
- … claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate ... through the best possible outcome + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery of medical services… more
- Travelers Insurance Company (Lake Oswego, OR)
- … claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate ... through the best possible outcome. + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery of medical services… more
- Providence (NV)
- …we must empower them.** **Providence is calling a Sr. Medical Malpractice Claims Manager - Professional Liability who will:** **Investigate, Evaluate, and ... take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims ...roundtables + Assist in Regional CEO Conferences with Senior Manager Operations + Facilitate and participate in case… more
- Live Nation (Houston, TX)
- …these qualities, so if this sounds like you then please read on! THE ROLE The Claims Manager supports the global operations of Live Nation. In this role, you'll ... have primary responsibility for managing liability claims in North America. WHAT THIS ROLE WILL DO...Nation will also provide reasonable religious accommodations on a case by case basis. HIRING PRACTICESThe preceding… more
- AIG (Cincinnati, OH)
- …of products to customers through a diversified, multichannel distribution network. Our Claims professionals support AIG policyholders through some of the most trying ... a lost family heirloom or a prized possession. Our Claims team is an industry leader, drawing daily on...company. What you need to know As a CID Manager , you will be responsible for managing a staff… more
- UMB Bank (Columbus, OH)
- **Duties & Responsibilities** The Manager , Card Fraud Claims , will oversee and manage the UMB card fraud claims process, ensuring timely and accurate ... claims . + Continually evaluate the effectiveness of the case management process. + Validate both UMB and vendor...+ Work closely with the Enterprise Fraud Data Strategy Manager to produce appropriate data and reporting to fulfill… more
- USAA (Tampa, FL)
- …be a part of what makes us so special! We are currently seeking a dedicated Manager , Claims Operations - DCT (Dedicated CAT Team). This position can be located ... this role. **The Opportunity** **What you'll do:** As a Manager , Claims Operations, you will lead and...or Dwelling claims + Knowledge of property claims contracts and interpretation of case law… more
- Wellpath (Nashville, TN)
- …for training, education, and point of care support. **How you make a difference** The Claims Litigation Manager is a key member of the team responsible for ... claims , preferably in a multi-state environment. The Claims Litigation Manager will lead the litigation...knowledge and human relations skills for fair and prompt case disposal, contributing to a reduced loss ratio. Verify… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** Manager Claims & Insurance manages and supports the defense and resolution ... of their party liability claims against the system. Manages and supports the insurance...Rees-Stealy Medical Group and Sharp Care Medical Group.* Completes case settlement reports for National Practitioner Databank and the… more
- Truist (Naples, FL)
- …matters for clients and prospects. May also provide support for solving complex claims or leading claim consulting teams in specialized industry verticals. Must be ... enterprise wide. 2. Manage workflow of the claim teams including Claim Representatives, Claims Consultants, and Claims Account Executives. 3. Resolve unique or… more
- State of Minnesota (Duluth, MN)
- **Working Title: Claims Manager ** **Job Class: Compliance Services Officer Senior** **Agency: Labor & Industry Dept** + **Job ID** : 77373 + **Location** : ... is responsible for managing a caseload of workers' compensation claims assigned to the SCF because the employer did...laws and rules, legal terms and syntax to understand case law decisions and issues presented in case… 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, ... + Attend legal proceedings (virtual or in person), as necessary for case resolution. + Establish, issue, and approve appropriate loss and expense reserves… more
- American Family Insurance - Corporate (Madison, WI)
- …You will primarily work from home and will report to the Property Subrogation Claims Manager . Position Compensation Range: $55,000.00 - $90,000.00 Pay Rate Type: ... At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a...of damage for presenting a prima facie tort liability case for recovery on files assigned within their authority.… more
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