- Axis (Red Bank, NJ)
- …upon request for candidates taking part in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst is responsible for ... improvement of Claims support activities performed within our North America Claims Operations team. These functions include outsourced responsibilities to an… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Healthsource blog: https://healthsource.premera.com/ . We are seeking an experienced and dynamic ** Claims Operations Director** to join our team and oversee our ... claims management organization. This position offers an exceptional opportunity...business planning, and overall leadership for Premera's healthcare payer operations across various customer segments within our organization. +… more
- Santander US (MA)
- Specialist, Claims & Fraud Operations Country: United States of America **Your Journey Starts Here:** Santander is a global leader and innovator in the financial ... Talk to You!** **The Difference You Make** : The Specialist, Claims & Fraud Operations performs routine, analytical review of data and/or documentation which may… more
- Alight (IN)
- …+ Associate Level hires: **2-5 years** of work experience in Insurance Claims /Leave claims and Backend Operations (International Voice /Non-Voice/Blended ... hires: **5 - 8 years** of work experience in Insurance Claims /Leave Claims and Backend Operations (International Voice/Non-Voice/Blended process) +… more
- Amazon (Tempe, AZ)
- Description The Program, Project, Product, and Vendor Management Team within Amazon's Logistics Claims Management and Operations group is seeking a motivated and ... The ideal candidate will be familiar with insurance and claims programs, and insurance policies, have a history of...trusted partner to our external partners and internal business operations and will leverage those trusting relationships to create… more
- Prime Healthcare (Ontario, CA)
- …+ A minimum of seven (7) to ten (10) years prior work experience in Claims Operations and Health Plan Strategy, in a Managed Care, Self-Funded or hospital ... requires relocating to Ontario, California. TheVice President of Health Plan Operations and Claims is responsible for the development and execution of Claim … more
- Amazon (Austin, TX)
- …* Research and implement cost reduction opportunities. About the team Logistics Claims Management and Operations (LCMO) provides insurance and risk expertise, ... and management for Amazon businesses. The 3P Insurance and Claims Team within LCMO provides insurance and claims... Claims Team within LCMO provides insurance and claims support for third-party companies or individuals who do… more
- Centers for Independence (Milwaukee, WI)
- ** Operations Supervisor - Claims and EVV** **Job Details** **Job Location** iLIFE Main - Milwaukee, WI **Position Type** Full Time **Education Level** 2 Year ... Nonprofit - Social Services **Description** **Job Purpose** : The Operations Supervisor - Claims and EVV supports iLIFE internal staff and ensures that… more
- JPMorgan Chase (Wilmington, DE)
- …world's most innovative financial organizations. As a Senior Product Associate within the Claims , Disputes and Fraud Operations , you contribute to the team by ... leveraging your expertise in product development and optimization to make a significant impact, supported by user research and customer feedback to fuel the creation of innovative products and continuously improve existing offerings. Collaborate closely with… more
- Molina Healthcare (Sterling Heights, MI)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage ... amount and benefit interpretation. Monitors and controls backlog and workflow of claims \. Oversees analysis of complex claim inquiries and reimbursement issues using… more
- Axis (Alpharetta, GA)
- …Business Analyst to join our Business Technology Services (BTS) division, focusing on supporting claims operations and our claims value stream in a ... user stories and acceptance criteria for Agile teams. + Identify inefficiencies within claims operations through gap analyses, recommend solutions, and work with… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Job Description **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays ... and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the end-to-end… more
- Axis (Alpharetta, GA)
- …Stream Lead to join our Business Technology Services (BTS) division, focusing on supporting claims operations and our claims value stream in a fast-paced ... methodologies. + Background in designing, developing, and implementing IT systems within claims operations . + Solid understanding of data analysis, budgeting,… more
- CHS (Clearwater, FL)
- …culture of transparency and member-focused service. With at least 5-7 years of claims operations management experience and strong leadership skills, you'll shape ... minimum of at least 5-7 years in a Management role for Claims Operations , servicing health insurance policies or benefits. * Strong organizational, interpersonal… more
- Zurich NA (Overland Park, KS)
- …a Insurance Carrier + 8+ years of direct people management and performance experience + Claims operations experience + Knowledge and skill in claims handling ... General Liability Claims Manager 122690 Zurich North America is hiring...moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims .… more
- Zurich NA (Gold River, CA)
- …liability claims + Experience managing construction. + People management experience + Claims operations experience + Knowledge and skill in claims ... Claims Team Manager, General Liability 116047 Zurich North...moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims .… more
- USAA (San Antonio, TX)
- …conduct complex healthcare fraud investigation reviews. + Knowledge of health insurance claims operations , particularly Medicare Supplement claims handling ... play a crucial role in advising the Medicare Supplement Claims Department on the morbidity and claims ...Supplement Claims Department on the morbidity and claims risk of health policies, including Medicare Supplement contracts… more
- Zurich NA (Schaumburg, IL)
- …and/or Ohio. This multi-state experience is essential to effectively support our regional claims operations and drive strong outcomes. In this position you will ... Litigated Claims Specialist, Workers Compensation 124155 Zurich North America...America is seeking a sharp, solutions-driven Workers' Compensation Litigated Claims Specialist II to join our high-performing team. This… more
- ICW Group (San Diego, CA)
- …regulatory changes, technological advancements, and market trends that could impact claims operations , positioning the company to adapt competitively. ... to be here! **PURPOSE OF THE JOB** The Chief Claims Officer (CCO) is responsible for designing, overseeing, and...is responsible for designing, overseeing, and directing the company's claims management strategy. Positioned to lead the Claims… more
- UPMC (Pittsburgh, PA)
- …Plan is seeking a full-time Claims Examiner to support the Medicare & Commercial Claims teams within the Claims Operations Department! The Claims ... required in-office days for trainings, meetings, and other departmental needs. The Claims Examiner manages the adjudication of moderate-to-complex claims while… more
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