- AssistRx (Orlando, FL)
- …clients. Required engagement with client, account managers, program managers, finance team members and other departments within the organization to implement and ... support all operational and financial processes related to claim processing activities. In addition, manager will ensure effective day-to-day operations and provide… more
- Wittenberg Weiner Consulting LLC (Santa Fe, NM)
- …fires. The role requires meticulous attention to detail and adherence to FEMA guidelines. Claims Reviewers - Senior ( Team Lead ) will objectively review, ... Copperhead is seeking multiple Claims Reviewers - Senior ( Team Leads)...support disaster relief. This position involves receiving, evaluating, and processing claims for compensatory damages for injuries… more
- Prime Therapeutics (Lincoln, NE)
- …fuels our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit ... and adjustments as required. + Implementation and maintenance of claims processing programs and procedures + Verify...and administrative duties as required by business need. + Lead and implement positive changes with a high level… more
- Healthfirst (NY)
- …+ Assists in the development of strategic plans to ensure modern and efficient claims processing across the entire lifecycle with a focus on a unified, ... of a growing, evolving organization + Develops an effective team through hiring, training, coaching, and providing ongoing and...+ Experience with Healthedge specifically with HRP implementation and claims processing + Prior experience with … more
- Wittenberg Weiner Consulting LLC (Santa Fe, NM)
- … leads. Ability to support ancillary tasks for team lead and team members to efficiently process claims . + Review submissions of comprehensive proofs of ... contract to support disaster relief. This position involves receiving, evaluating, and processing claims for compensatory damages for injuries resulting from the… more
- Axis (Alpharetta, GA)
- …report to the Head of Financial Lines Claims , the successful candidate will lead a sophisticated team of claims professionals and be responsible for: ... Claims - D&O to join our North America Claims team and support the expansion of...top talent and developing appropriate succession plans + Reviewing, processing , and assigning new D&O claims to… more
- AIG (Atlanta, GA)
- …Law Firms with an annual spend of less than $500K for Insurance Claims processing and adjudication commodities. This shall include; + Negotiate commercial ... skills and experience as a valued member of the team . Make Your Mark In Claims Our...from AIG's Law Firm contract template; + Participate and lead Law Firm pricing negotiations; + Document and summarize… more
- HCA Healthcare (Nashville, TN)
- …liability claims management decisions. **People** + Work collaboratively with entire HCI Claims team , as well as other HCI departments such as Finance, ... and other corporate departments that will mutually benefit the Claims Department and the organization. + Lead ...are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Sr Claims… 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
- Golden State Foods (Irvine, CA)
- …a four-year college or university. + 5-7+ years of progressive experience as an Insurance Claims Adjustor, TPA Team Lead , or Corporate Risk Manager with a ... oversees claims handling procedures and program enhancements to streamline claims processing and mitigate loss + Manage quarterly claim review with Third… more
- Lincoln Financial (Helena, MT)
- … Manager, you will provide leadership and direction to a team of claims specialists, technical claim specialists, and lead claim specialists. You will be ... you'll be accountable for managing the talent on your team in support of career growth & development. **What...* Meeting all established quality assurance benchmarks. * Ensuring claims processing is consistent with applicable policies,… more
- Athene (West Des Moines, IA)
- …potential issues with claims and refers questionable claims to Escalation Team , Team Lead or Manager. + Aids in administering the company's ... A Claims Representative at Athene is responsible for researching and processing claims requests while observing contractual and regulatory guidelines. The… 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
- MVP Health Care (Rochester, NY)
- …key responsibilities:** + Mentor, support, and build a high-performing team within Claims Operations. + Supervise claims processing activities related to ... experience. 1 year of supervisory experience or 2 years' experience as a team lead /senior. Knowledge of ICD-10, CPT-4, and HCPCS coding preferred. + Strong… more
- Nestle (Bridgewater, NJ)
- …and nutrition for patients and consumers. **POSITION OVERVIEW:** The Customer Solutions and Claims Specialist serves as the primary point of contact for the customer ... order touches. + Identify and resolve demand capture failures to ensure timely processing . + Monitor and address account specific issues upon receipt of order;… more
- Sedgwick (Meridian, ID)
- …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 - Workers Compensation - Meridian,...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
- Molina Healthcare (Provo, UT)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims ... accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, and validating Medicaid… more
- Fluor (Santa Fe, NM)
- …team support specialists across various project initiatives. + Collaborate with onsite team lead and project management to define technical requirements and ... Team Support/Onsite Lead Contract Coordinator Job...experts, including other government contractors for the purpose of processing and validation of claims , to include… more
- Tucson Electric Power (Tucson, AZ)
- …for employees on leave. o Flags potentially fraudulent activity in leave cases and claims ; works closely with the HRBP team to identify, research and resolve ... **Benefits Analyst - I, II, Senior or Lead ** Company **Tucson Electric Power** Location **Tucson, AZ**...Occupational Health Services, as needed) on leave cases and claims ; meets regularly with the HRBP team … more