- Exelon (Mays Landing, NJ)
- …external experts to support evaluation, defense, and/or resolution of claims . Use claims adjuster, claims case handling, investigative, people skills and ... the field investigation of bodily injury and property damage claims , as well as the evaluation, case ...+ Medical, dental and vision insurance + Life and disability insurance + Generous paid time off options, including… 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 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 (TX)
- …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
- AdventHealth (Altamonte Springs, FL)
- …trial support. This position is responsible for handling professional and general liability claims and knowing the relevant case law in multiple jurisdictions as ... position is responsible for the management of assigned potential compensable claims , asserted claims and suits. Management encompasses investigation, evaluation,… more
- USAA (Tampa, FL)
- …of 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
- Wayfair (Boston, MA)
- …Boston office Monday- Thursday, with remote flexibility on Fridays. The Workers Compensation Claims Manager will oversee workers compensation claims from ... activity of the Third Party Administrators (TPA), internal stakeholders, litigated claims and overall claims performance. Responsible for day-to-day activities… more
- Serco (NM)
- **Position Description** We are seeking an experienced Disaster Claims Project Manager , who will bring extensive in disaster-related claims and planning. ... navigate and manage disaster-related scenarios efficiently and accurately. **As a Disaster Claims Project Manager , you will:** + Develop and implement… 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
- Citizens (Glen Allen, VA)
- …seeking a strategic and customer-focused Product Owner with deep expertise in claims management across both front office (customer-facing channels) and back office ... (operations and case resolution platforms) within the consumer banking sector. In...end-to-end experience for debit card disputes, unauthorized transactions, ACH/wire claims , and electronic payment exceptions. This is a cross-functional… 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
- UMB Bank (Kansas City, MO)
- …the UMB Card Operations team and will report directly to the Card Fraud Claims Manager . Responsibilities of this position will include supporting the Card Fraud ... Claims Manager in day-to-day operational needs. Additional...Ability to navigate multiple systems. + Experience with fraud case management tools, ie TCS, First Track and First… 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
- CommuniCare Health Services Corporate (Akron, OH)
- …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
- JB Hunt Transport (Lowell, AR)
- …document incidents involving damages up to $20,000 (greater than $20,000 with manager approval/discretion). Manage claims made under our auto liability, general ... **Job Title:** Claims Examiner II **Department:** Insurance **Country:** United States...Maintain a suspense system to ensure regular review of case files. Monitor case files daily to… more
- Insight Global (Medley, FL)
- …in making claims management decisions subject to final review and approval by Claims Supervisor and Claims Manager . To perform this job successfully, an ... and the ability to interpret and apply laws and regulations to case scenarios and maintain working relationships with customers, attorneys, insurance companies and… more
- ICW Group (Pleasanton, CA)
- …is to perform clinical assessment and evaluate needs for treatment in worker's compensation claims . The Telephonic Nurse Case Manager will negotiate and ... coordinate appropriate medical treatment and length of disability with providers and employers while managing financial and...reports on interventions to determine the outcome of the case manager 's involvement to include clinical, financial,… more
- Alight (NJ)
- …Alight. Learn more at careers.alight.com (https://careers.alight.com/us/en) . **About the Role** The Disability Case Manager is responsible for administering ... and case managing assigned Group Short Term Disability claims . They will follow the plan provisions, state and federal guidelines, and established protocols.… more
- The Cigna Group (Sacramento, CA)
- …approximately 12-15 direct reports who are directly responsible for inpatient case management and all associated performance requirements for Cigna. + Interfaces ... Centers, Home Office departments; externally with customers, medical providers, vendors, claims payors, and insurance professionals. + Participates in or leads… more
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