- SSM Health (MO)
- …Job Starters 2024 - Newsweek SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through ... a robust and fully integrated health care delivery system . The organization's 40,000 team members and more than...leaders to identify and correct root cause of denied claims through process improvements, set goals, measure process effectiveness… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director to play your part in that transformation. It's an opportunity to ... fair and professional service with empathy and efficiency. Complex Claims Director , General and Auto Liability The...against standards and goals. + In depth knowledge of claim handling procedures, claims performance strategies, and… more
- AIG (Atlanta, GA)
- Complex Claims Director - AL/GL Field Claims -Lexington and AIG Programs Join us as a Claims Complex Director to take on key responsibilities within a ... specialized risk management and loss control benefits, and dedicated claims handling services. The Complex Director within...against standards and goals. + In depth knowledge of claim handling procedures, claims performance strategies, and… more
- AIG (Atlanta, GA)
- Complex Claims Director - AL/GL Field Claims -Lexington and AIG Programs Who we are American International Group, Inc. (AIG) is a leading global insurance ... the role What you need to know: The Complex Director within the Lexington and AIG Programs team is...against standards and goals. + In depth knowledge of claim handling procedures, claims performance strategies, and… more
- Carnival Cruise Line (Miami, FL)
- …cannot. The Love Boat promises something for everyone. We are looking for an amazing Director , Guest Claims Management to fill this role, which is based in our ... summary of what Princess is looking for in its Director , Guest Claims Management Is this you?...party and financial impact estimation. + Oversees and sets claim handling procedures for 5 direct report claims… more
- Travelers Insurance Company (Hartford, CT)
- …internal policies and external requirements. Join our dynamic team as a Director of Accounting where you'll utilize your expertise to support large-scale projects ... providing timely, accurate, and actionable information to all stakeholders. As a Director , Accounting, you will be responsible for ensuring timely and accurate books… more
- AIG (New York, NY)
- Join us as a Complex Claims Director - Cyber, Media, & Technology to grow your experience in Claims . Make your mark in Claims Our Claims teams are the ... How you will create an impact As a Complex Claims Director , you will be responsible for...preferred + Knowledge or experience in computer network and systems security or information security is a plus Ready… more
- Molina Healthcare (West Valley City, UT)
- …requirements, including the proper use of the Molina Provider Grievance and appeals system . * Reviews and analyzes collective grievance and appeals data along with ... experience. **Required Experience** * 7 years' experience in healthcare claims review and/or Provider appeals and grievance processing/resolution, including 2… more
- Atlantic Health System (Morristown, NJ)
- …the identification of a claim through the resolution of the claim . Principal Accountabilities: Reviews new claims with in-house counsel regarding liability ... + Responsible for overseeing the claims function, ensuring the timely and proper disposition of all claims made against corporation, licensed professionals and… more
- USAA (Tampa, FL)
- …and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information Management, ... and long-term strategy and vision of the assigned sub-functions for the CoSA Claims working with peers to set objectives across the different sub-functions that… more
- BrightSpring Health Services (Louisville, KY)
- …with available resources and tools. This includes researching both denied and paid claim transactions, understanding root cause for denied claims or under ... are looking for career progression! Step Into a Rewarding Role as a Claims Analystwith PharMerica! The3rd Party Claims Analystis responsible for configuring… more
- BJs Wholesale Club (Marlborough, MA)
- …and TPA. + Identifies claim trends and provides recommendations to the Claims Manager and Director , Risk Management, and Insurance for decreasing the ... severity and costs. Major Tasks, Responsibilities, and Key Accountabilities: + Performs claims oversight of a third-party claim administrator (TPA). This… more
- AdventHealth (Altamonte Springs, FL)
- …assessing damages. + Must be able to create and maintain an effective diary management system to ensure all claims are given the appropriate attention. + Sets, ... position is responsible for the management of assigned potential compensable claims , asserted claims and suits. Management encompasses investigation, evaluation,… more
- Dollar Tree (Chesapeake, VA)
- …and manage claims . This position will develop and execute litigation claim management strategies that will assist in the reduction of self-funded loss cost ... with internal and external legal counsel, insurance representatives, third party claims administrator and other stakeholders regarding claim issues. **Principal… more
- HCA Healthcare (Nashville, TN)
- …+ Continuous and appropriate documentation within, and maintenance of, the electronic claims system for caseload, including reviewing daily diaries of files ... as the Company representatives with authority to resolve the claim . + Maintain current licensure needed to perform duties...and administration of special projects as assigned by the Claims Director , HCI President and VP of… more
- Commonwealth Care Alliance (Boston, MA)
- …for One Year Term **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims ... on financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System )… more
- Aston Carter (Parsippany, NJ)
- Job Title: Medicaid Claims Analyst Job Description We are seeking a Medicaid Claims Analyst to review summary data for claim submissions to ensure rebate ... eligibility. The candidate will perform detailed validation on claims , review for suspect claims , and determine disputed payments. The role includes resolving… more
- Beth Israel Lahey Health (Boston, MA)
- …and facilitate communication with payors when needed. + Review, test and build of system upgrades or changes that effect claims processing and cash posting. + ... a job, you're making a difference in people's lives.** Reporting to the Director of Revenue Cycle Operations, this position is responsible for planning, coordinating… more
- Billings Clinic (Billings, MT)
- …for overall maintenance of the Feedback system . * Works with the Risk Management Director , Risk and Claims Coordinator and Risk and Claims Analyst in the ... to support risk functions as indicated by Risk Management Director . The Risk and Claims Specialist assists...Management Plan that organizes both risk prevention measures and claims processing and management systems for Billings… more
- Rising Medical Solutions (Chicago, IL)
- …including scanning and uploading documents to claim files + Scan/attach documents to claims in Origami claim system Reports to: Senior Account Managers & ... The Claims Assistant plays a key role in ensuring...VP of Client Network Services Collaboration: Workers Compensation Director Requirements + High school diploma or equivalent; additional… more