- 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 of ... claim in the claim/image management system. Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of… more
- Providence (CA)
- …must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, ... 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
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager ** **Servicing** **Health Insurance Policies...graded in total and by Team, and in each case must be graded with a score of at ... client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims...(FSA): Medical and Dependent Care option * Life & Disability Insurance: Company-paid, with optional additional coverage * Generous… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Manager , Medical Malpractice and General Liability Claims is responsible for overseeing professional and general liability claims , ... liability claims files, including assessment of liability, evaluation of case reserves, and approval of defense strategies. + Supervises and provides direction… more
- USAA (San Antonio, TX)
- …what truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager (Auto), you will be responsible for managing moderately ... liability and questionable coverage issues. + Applies intermediate knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison… more
- University of Michigan (Ann Arbor, MI)
- Claims Administration Manager Apply Now **Job Summary** The Claims Administration Manager plays a critical leadership role in overseeing the Insurance ... Establish and maintain high standards for claim and medical case management. + Audit claim activities to ensure alignment...employer. **Job Detail** **Job Opening ID** 261827 **Working Title** Claims Administration Manager **Job Title** Risk … more
- Walmart (Bentonville, AR)
- …or denial of the claim. Manages quality assurance reviews to improve claims handling procedures by performing quality assurance audits; analyzing audit results for ... trends in claims handling compliance; and developing solutions to improve communications...outside counsel invoices; assessing impact claim may have on case law and precedent prior to making payment on… more
- Atlantic Health System (Morristown, NJ)
- Responsible for overseeing the claims function, ensuring the timely and proper disposition of all claims made against corporation, licensed professionals and ... through the resolution of the claim. Principal Accountabilities: 1. Reviews new claims with in-house counsel regarding liability and management plan. 2. Engages in… more
- Robert Half Legal (Chicago, IL)
- …with an insurance company located in downtown Chicago who is seeking to hire a Claims Paralegal/Account Manager with at least 5+ years of experience to join ... in-office and begin transitioning to a hybrid schedule after 6-months. Claims Paralegal/Account Manager Responsibilities: + Analyzing, investigating, and… more
- City of New York (New York, NY)
- …Within AO, exists Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP guidelines to recover inaccurate ... of actions for potential SNAP benefit overpayments on agency case actions from all CA and SNAP sites from...Principal Administrative Associate III to function as an Assistant Manager who will: - Directly and indirectly supervise staff… more
- AON (LA)
- … Claims Administrator works under the direction of Bechtel and AON Claims Manager , acting independently to manage routinematters while keeping Bechtel Risk ... Claims Administrator works under the direction of Bechtel and AON Claims Manager , acting independently to manage routinematters while keeping Bechtel Risk… more
- Metropolitan Council (St. Paul, MN)
- … examination, claims administration, claims coordination/processing, claims management, property/casualty insurance management, paralegal with case ... Claims Rep. II (Liability) Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4922693) Apply ...for information, and other tasks as requested by the manager . + Provides work directions to the administrative support… more
- Zurich NA (Atlanta, GA)
- …the loss falls within the coverage. * Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues ... Senior Claims Specialist Construction Professional Liability Claims ...assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the… 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
- NTT DATA North America (Decatur, IL)
- …or GBAS experience** The Claims Processor reports to the Regional Claims Manager , Employee Benefits Division. This position is responsible for registering, ... to, printing EOBs, pulling claims and copying claims . . Contact providers and case management...sexual orientation, gender identity, genetic information, physical or mental disability , veteran or marital status, or any other characteristic… more
- Carnival Cruise Line (Miami, FL)
- This position will manage and adjust a caseload of crew and guest claims for Princess, Holland America, Seabourn, and Cunard North America (guest claims only), ... the company to avoid litigation. **Essential Functions:** + **Administrating Crew Claims :** This position reviews and evaluates shipboard team member's claim… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case Management, and others. The CBO claims validation staff will strive to ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...employees a menu of benefit options from life and disability plans to medical, dental, and vision coverage from… more
- Archbright (Seattle, WA)
- …Lead in Making a Real Impact. Join Archbright as a Workers' Compensation Claims Consultant Are you an experienced workers' compensation professional with a passion ... for proactive case management and meaningful employer engagement? Archbright, a trusted...performance and compliance, is looking for a Workers' Compensation Claims Consultant to join our dedicated team. You'll be… more
- AIG (Torrey, UT)
- …What you need to know: + The Claims Analyst I reports to the Personal Lines Claims manager . + The main tasks of this position are: + Review of claims ... Claims Analyst I Who we are? American International...and materializing the product offer and promise. In the case of HO this opportunity is given in even… more
- Central Ohio Transit Authority (Columbus, OH)
- …Position is Responsible For: + Assists in managing COTA's self-insurance fund including case impacts with respect to immunities granted to COTA due to its status ... under ORC 2744; + Reviews all event reports for accuracy; creates claims , and maintains documentation in applicable systems (Origami); + Conducts investigation of… more
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