- Merck & Co. (Rahway, NJ)
- …role requires the individual to be an independent contributor on the Business Insights & Analytics team as well as be a lead partner in helping to scope, design, ... priorities. The ideal candidate will partner with a cross functional insights team that spans data science, market research, data strategy, and measurement.The… more
- CVS Health (Franklin, TN)
- …day. **Position Summary** The Team Lead for the Medicare Supplement Claims Processing team is responsible for overseeing day-to-day operations to ... insurance claims processing , preferably with Medicare Supplement claims . * Proven ability to lead or mentor others in a team environment. * Strong… more
- AIG (Jersey City, NJ)
- …AIG, technology is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with ... to manage risk. Join us as Assistant Vice President Claims Application Technical Lead , Global Claims...skills and experience as a valued member of the team . Make your make in Claims Technology… more
- State of Minnesota (St. Paul, MN)
- …Supervisor plays a critical role in the Paid Leave Division of overseeing the claims processing team , ensuring efficiency, accuracy, and compliance with ... responsibilities include: + Oversees the quality and timeliness of claims processing . + Assign and monitor staff...the adjudication process. + Ability to coach, mentor, and lead a team . + Ability to communicate… more
- State of Minnesota (St. Paul, MN)
- …minimum qualifications will be considered for this position.** Two (2) years* experience processing claims and/or appeals with one (1) of those years involving ... support work for the Paid Leave division. The Senior Claims Adjudicator involves lead work and handles...Training and mentoring of other staff to enhance their claims processing abilities. + Knowledge of techniques… more
- AON (LA)
- …other issues that may negatively impact projectperformance.* Is responsible for oversight and processing of workers' compensation claims : What the day will look ... other issues that may negatively impact projectperformance.* Is responsible for oversight and processing of workers' compensation claims : What the day will look… more
- ICW Group (San Diego, CA)
- …for designing, overseeing, and directing the company's claims management strategy. Positioned to lead the Claims team , the CCO plays an important role in ... ensuring it aligns with overall business objectives. This includes balancing effective claims processing with risk mitigation. The CCO develops policies,… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal ... Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of issues in...capitated hospitals and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates.… more
- Centers for Independence (Milwaukee, WI)
- …perform these essential functions.) + Oversees daily operations related to claims processing , EVV verification, timesheet correction, payroll batch management, ... supports iLIFE internal staff and ensures that all iLIFE claims and EVV operations team functions are...- Skills - Abilities:** + Ability to supervise and lead a team + A demonstrated sound… more
- CHS (Clearwater, FL)
- … claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and ... client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims...quality improvement. * Coordination of all activities of the Claims Department Management Team . This includes Supervisors… more
- Citizens (Glen Allen, VA)
- …and customer experience. + Support incident triage and production issues related to claims processing tools and workflows. + Ability to understand , read ... strategic and customer-focused Product Owner with deep expertise in claims management across both front office (customer-facing channels) and...and analyze team results and Agile metrics to effectively communicate progress… more
- CHS (Clearwater, FL)
- …guidelines, and reporting requirements; Federal and state regulations; and timeliness of claims processing . + Utilize Excel, prepares tracking and trending ... with accuracy, and work with the MPS Call Center Manager/Supervisor/ Team Lead and analyze the data for...working knowledge on regulatory requirements associated with billing and claims processing , as well as HIPAA guidelines/established… more
- TEKsystems (Columbia, SC)
- …after verification of correct coding of procedures and diagnosis codes. Ensures claims are processing according to established quality and production standards. ... desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and reports potential...2 years of customer service experience including 1 year claims or appeals processing OR Bachelor's Degree… more
- Conduent (Warren, MI)
- …witness on claims as required by GM for Potential litigations on validated claims . + Proven leadership skills needed to Lead special projects & Reviews, as ... and be part of a culture where individuality is noticed and valued every day. ** Claims Auditor** **Position is onsite in Warren, MI** Training: Mon- Thur ( On the… more
- ITW (Troy, OH)
- …for ITW FEG and Hobart Service. This position manages the accurate and timely processing of claims submitted by Hobart Service offices and authorized independent ... independent service provider agreements, including annual system financial updates. + Lead and develop specific warranty claims application training, including… more
- Marriott (Costa Mesa, CA)
- …(MCS) - Los Angeles. The Claims program specialist reports to the Regional Claims Admin Lead MCS- Los Angeles and interacts with our customers and ... **Job Number** 25085729 **Job Category** Administrative **Location** Western Casualty Claims Office, 3100 Bristol Street Suite 425, Costa Mesa, California,… more
- Sedgwick (Orlando, FL)
- … claims files and properly coding claim activity. + Partners with claim lead to observe claim action/ processing communication with claimant and client. + ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Property Claims Apprentice- Entry Level- In Office (Orlando) **PRIMARY PURPOSE** **:** To be… more
- CVS Health (Richardson, TX)
- …are seeking a highly skilled Cloud Automation Engineer to join our team , focusing on building a cutting-edge, cloud-native automation framework hosted on platforms ... like Azure or GCP. As part of the team , you will play a crucial role in developing...frameworks that drive the state-of-the-art Pharmacy Services - Claim Processing Application. You will work on integrating cloud-native solutions,… more
- Sedgwick (West Des Moines, IA)
- …and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + Assists in ... Fortune Best Workplaces in Financial Services & Insurance Assistant Team Lead - Worker's Compensation - West...PURPOSE:** To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- nVent (Anoka, MN)
- …product circumstances, specifications of original order, order errors etc. + Coordinate claims processing with Customer Service, Finance, Traffic & Quality ... claims with cross functional teams. + Be the Lead Trainer for new hires & continuous training for...hires & continuous training for development of Product Services team . + Assess Claims processes to identify… more
