• Disability Case Manager - Virtual

    Alight (MN)
    …Alight. Learn more at careers.alight.com (https://careers.alight.com/us/en) . **About the Role** As the STD Claims Case Manager II , you will administer ... and initial claim decision + Prioritizing and review new claims to adhere to established departmental turn around times...active work status + Partnering with Short Term Disability Case Manager III for ongoing claim management… more
    Alight (04/22/25)
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  • Claims Rep. II (Liability)

    Metropolitan Council (St. Paul, MN)
    Claims Rep. II (Liability) Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4922693) Apply  Claims Rep. II (Liability) Salary ... work would contribute to our organization and the Twin Cities region: The Claims Representative II , (Liability), will effectively handle a balanced workload… more
    Metropolitan Council (04/29/25)
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  • Case Manager II , Registered…

    Sutter Health (Burlingame, CA)
    …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
    Sutter Health (04/03/25)
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  • Claims Litigation Manager

    USAA (San Antonio, TX)
    …what truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager , you will be responsible for managing moderately complex ... and questionable coverage issues. + Applies intermediate knowledge of claims litigation processes under the Homeowner/Renter Policy Contract/Umbrella. + Proactively… more
    USAA (04/30/25)
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  • Assistant Manager , SNAP Claims

    City of New York (New York, NY)
    … who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II ) involved in Claims processing. - Monitor and distribute cases in ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...of actions for potential SNAP benefit overpayments on agency case actions from all CA and SNAP sites from… more
    City of New York (02/12/25)
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  • Regional Field Service Manager II

    AO Smith (Lebanon, TN)
    Regional Field Service Manager II Date: Apr 16, 2025 Location: Lebanon, TN, US, 37090 Company: A. O. Smith Corporation PRIMARY FUNCTION: Regional field service ... SCOPE OF RESPONSIBILITY: Position reports to the Field Service Engineering Manager SPECIFIC DUTIES/ACCOUNTABILITIES(List in order of importance) + Aligned with… more
    AO Smith (03/18/25)
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  • Specialist-Denial II RN

    Baptist Memorial (Memphis, TN)
    Manager /Director of the Denial Mitigation Department. The Denial Mitigation- Appeal Specialist II RN role reports to the manager of the Denial Mitigation ... Overview Specialist-Denial Mitigation II RN Job Code: 21432 FLSA Status Job...collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our… more
    Baptist Memorial (04/12/25)
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  • Specialist-Denial II RN

    Baptist Memorial (Memphis, TN)
    Manager /Director of the Denial Mitigation Department. The Denial Mitigation- Appeal Specialist II RN role reports to the manager of the Denial Mitigation ... Overview Specialist-Denial Mitigation II RN Job Code: 21432 FLSA Status Job...collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our… more
    Baptist Memorial (04/11/25)
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  • HR Leave Specialist II

    Texas A&M University System (College Station, TX)
    …TEEX with complex areas of FMLA, Leave, and Workers Comp. The Leave Specialist II will report to the Employee Relations Manager . Required Qualifications: + ... Job Title HR Leave Specialist II Agency Texas A&M Engineering Extension Service Department...responsible for the DOT Drug Screening processes, TWC unemployment claims , and provides comprehensive leave information to new hires… more
    Texas A&M University System (04/25/25)
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  • Managed Care Coordinator UM II

    US Tech Solutions (Columbia, SC)
    …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... **Job Title:** **Registered Nurse UM II ** **Location: Columbia SC 29229** **Duration: 3+ month's...be obtained within 4 years of hire as a Case Manager . Preferred Education: Bachelor's degree- Nursing… more
    US Tech Solutions (03/18/25)
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  • Long Term Care Benefits Planner I/ II

    Excellus BlueCross BlueShield (Rochester, NY)
    …we encourage you to apply! Job Description: Summary: Under the direction of the Manager of LTC Benefits, the LTC Benefits Planner (Personal Care Advisor) has the ... and communication with Insured, Insured's family, care providers, and adjudication of the claims . All work is directed under the terms and conditions of the various… more
    Excellus BlueCross BlueShield (04/18/25)
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  • Care Manager II , Acute Registered…

    Sutter Health (Modesto, CA)
    …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
    Sutter Health (04/29/25)
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  • Senior Workers Compensation Analyst (Analyst…

    City of Portland (Portland, OR)
    Senior Workers Compensation Analyst (Analyst II - CPPW) - OPEN UNTIL FILLED Print (https://www.governmentjobs.com/careers/portlandor/jobs/newprint/4860989) Apply  ... Senior Workers Compensation Analyst (Analyst II - CPPW) - OPEN UNTIL FILLED Salary $97,510.00...which could change in-person requirements with notice. The hiring manager for this position will have more up-to-date information… more
    City of Portland (03/25/25)
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  • Utilization Management Nurse Specialist RN…

    LA Care Health Plan (Los Angeles, CA)
    …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service… more
    LA Care Health Plan (03/27/25)
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  • Right of Way Agent I or II

    Dairyland Power Cooperative (La Crosse, WI)
    …People and their work experience, growth and professional development. **RIGHT OF WAY AGENT II (Hybrid - La Crosse, WI)** **_Hiring Salary Range for Level II : ... of lands and land rights. 5. Investigate and settle landowner damage claims related to construction and maintenance activities. 6. Prepare documents and other… more
    Dairyland Power Cooperative (04/16/25)
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  • Employee Relations Consultant II

    Fifth Third Bank, NA (Cincinnati, OH)
    …to managers and employees and is responsible for overall ER case management; counsels managers on individual performance issues and conducts investigations ... through resolution. + Conduct investigations in response to employee or manager incidents and complaints; involve appropriate departments (bank protection, security)… more
    Fifth Third Bank, NA (04/27/25)
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  • Healthcare Consultant II

    US Tech Solutions (Chesapeake, VA)
    …all levels to enable decision making at most appropriate level **Duties:** + Nurse Case Manager is responsible for face to face and telephonically assessing, ... and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case... claims to address potential impact on current case management and eligibility. Assessments include the member's level… more
    US Tech Solutions (04/18/25)
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  • Commercial Loan Workout Officer II

    Middlesex Savings (Westborough, MA)
    …liquidation or sale of the collateral. Manages zero balance or deficiency claims . + Will act as a consultant (workout liaison) for line-administered problem ... services to assist in collection and/or customer rehabilitation efforts. Overall case management for any outside services including appraisers, auctioneers, local… more
    Middlesex Savings (04/16/25)
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  • EH&S Specialist II

    Envista Holdings Corporation (Pomona, CA)
    …personal protective equipment. + With minimal guidance, manages workers' compensation claims and return-to-work programs in collaboration with human resources. + ... + Performs any other projects or duties assigned by Manager . + Travels up to 10% to Southern California...are dependent on the facts and circumstances of each case . The total compensation package for this position may… more
    Envista Holdings Corporation (03/07/25)
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  • Associate Project Manager /Project…

    PPL Corporation (Allentown, PA)
    …build and maintain strong, diverse communities today. Overview The **Associate Project Manager ** position is the single point of accountability for small to routine ... Project Leader for complicated projects. The **Project and Contract Manager ** position is the single point of accountability for...of both. Assigned work location may change. In the case of remote work, physical presence in the office/on-site… more
    PPL Corporation (04/30/25)
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