- USAA (Phoenix, AZ)
- …what truly makes us special and impactful. The Opportunity As a dedicated Manager, Claims Operations, you will lead and be accountable for auto, and other claims ... process and lead organizational process changes. Drive execution of operational risk management, regulatory compliance training, policies and, procedures. We offer a… more
- Windward Risk Managers (Boca Raton, FL)
- …Preferred qualifications: Quality Assurance file review experience Training / Mentorship of Others on overall claims handling and field adjusting experience ... $95000.00 - $105000.00 Salary/year Job Shift Day Description Position Summary: The Quality Assurance (QA) Analyst is responsible for performing completing tasks in… more
- Berkley (Towson, MD)
- …Actively executes appropriate claims activities to ensure consistent delivery of quality claims services. Qualifications 3+ years of MD and DC workers ... over 35 years of proven expertise in the workers' compensation industry, Key Risk delivers innovative and responsive solutions that provide our clients the freedom… more
- Corvel (Norristown, PA)
- The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality , productivity and customer service criteria are met while ... adhering to company policies and procedures. The Claims Supervisor position is integral to the success of...on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted… more
- Axis Capital (New York, NY)
- …insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We ... taking part in the selection process. Job Description: Senior Claims Specialist AXIS is seeking a Senior Claims...use of internal Severity and Coverage resources. Compliance & Quality Assurance - Comply with best practices measured by… more
- MS Reinsurance (New York, NY)
- …and professional communication with all relevant internal and external stakeholders throughout the claims process. Monitor the quality of data for your assigned ... solutions. About the role Reporting to the Head of Claims Americas, you will work closely with the Underwriting...###@msreinsurance.com MS Reinsurance is the market-facing brand of the risk carrying legal entity MS Amlin AG, a global… more
- Sedgwick (Roseville, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (Commercial Auto) Are you looking for an opportunity to ... best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing… more
- Stanley Black & Decker (Towson, MD)
- …and detail-oriented individual to join our Legal Team as a Supervising Claims Coordinator. In this position, you will provide administrative support to Product ... database reporting systems (Legal Tracker, Riskonnect, etc.), and liaising with Risk Department and Corporate Accounting department re: same. Preparing reports as… more
- Swiss Re (Kansas City, MO)
- …is being agile in the day-to-day work. About the role As an operations member for claims , you will be working with claims reports for all the Property and ... business, procedures and guidelines that support our operation work quality . About the team The team is a very...providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient.… more
- Trinity Health (Boise, ID)
- …years of nursing experience in a clinical role that gives exposure to Infection Control, Quality , Risk , etc. required. WHAT YOU WILL DO: Analyzes allegations of ... Employment Type: Full time Shift: Day Shift Description: CLINICAL RISK MANAGER BOISE REGIONAL MEDICAL CENTER, Level II Trauma Center SUMMARY: The Clinical Risk … more
- Astrana Health, Inc. (Houston, TX)
- Risk Adjustment Coding Specialist II (Houston, TX) Department: Quality - Risk Adjustment Employment Type: Full Time Location: 19500 HWY 249, Suite 570 ... year Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist. This role will report to...and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to… more
- Sentry (Minneapolis, MN)
- …and results driven individual to fill an open position in our National Accounts Risk Control Division. As a Risk Control Consultant Senior, you will work ... with Corporate Risk Management, Safety Management, and Plant/Facility Management contacts as...supplemental Industrial Hygiene Services to include noise and air quality surveys (ie welding fumes, dust, organics, oil mist,… more
- Triple-S (Guaynabo, PR)
- …JOB NATURE Responsible for managing the Medicare operational area of the risk adjustment process and encounter data processing (EDPS) in accordance with CMS ... regulations. Provides oversight and leadership to the Risk Adjustment Operations department to ensure initiatives are aligned to support the goals and objectives of… more
- Regal Medical Group, Inc. (Northridge, CA)
- …the appropriate level of care and facility. Works closely with other departments ( claims , finance, high risk , TOC) as Anticipates customer needs: Understand the ... of HROB and NICU Team. The Case Manager High Risk OB RN is directly responsible for the assessment,...OB outpatient case. The position is responsible for maximizing quality while effectively utilizing appropriate resources within the members'… more
- VetJobs (Tampa, FL)
- …reserving, negotiating and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim life ... external resources for specific activities required to effectively evaluate claims , such as Subrogation, Risk Control, nurse...the claim results of others. Apply the Company's claim quality management protocols, and metrics to all claims… more
- The Travelers Indemnity Company (Melville, NY)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim life cycle ... statements. Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and… more
- PartnerRe (Maple Grove, MN)
- …financial stability and strength, and a commitment to rebuilding businesses and communities after risk events around the world. Our mission is to continue to be a ... the global Health Division of PartnerRe, is an acknowledged leader in providing risk management solutions to accident and health markets. The PartnerRe team of… more
- Pine Village (Moundridge, KS)
- …safety can be maintained at all times. Delegation of Authority As the Quality Assessment & Improvement/ Risk Management Coordinator you are delegated the ... assigned duties. Job Functions Administrative and Surveillance: *Plan, organize, and direct risk management plan along with Quality Assessment and Improvement… more
- HDR (Sioux Falls, SD)
- …management procedures and driving procedures throughout project lifecycle 5. Assistance in claims resolution 6. Contract Close-Out Risk Management 1. Developing ... documents to minimize conflicts and ambiguities. Assists in administering the project risk register. Assists in contract awareness and change order training for key… more
- TriHealth (Cincinnati, OH)
- …HOS survey; Design and support reporting needed by the operations teams (eg, Quality , Risk Adjustment, Utilization); Manage and provide oversight to selected ... which includes, but is not limited to, TPA management/oversight ( claims ), utilization management, and provider network administration. Develops and manages… more
