- Guardian Life (Bethlehem, PA)
- The ** Claims Case Management Team Leader** is responsible for leading a team of Absence Management Case Managers to get results within their ... team to achieve results, focusing on desired outcomes. Action plan for team management despite operational challenges. **Location** This is a flexible… more
- Guardian Life (Harrisburg, PA)
- …periods have ceased, this position is responsible for making all decisions on assigned claims through proactive case management according to the plan ... and other team members. The Group Life Claims Case Manager administers claims ...Life Case Manager consults with Group Life Case Manager III /Mentors, management , legal, and… more
- Sedgwick (Harrisburg, PA)
- …; to provide resolution of highly complex nature and/or high exposure surety claims ; to coordinate case management within Company standards, industry ... + Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. + Represents… more
- Universal Health Services (King Of Prussia, PA)
- …Corporate Insurance team at UHS is looking for motivated Senior Program Manager- Claims to join our innovative team and contribute to the maintaining of a ... insurance, medical and legal issues related to any pending claims . + Investigation and the management of...ongoing basis. + Ability to effectively manage an individual case load of claims and supervise and… more
- UMB Bank (Harrisburg, PA)
- …managing fraud dispute claims . + Continually evaluate the effectiveness of the case management process. + Validate both UMB and vendor performance and ... This role will also assist with the oversight and management of third-party card fraud claim vendors and ongoing...reporting. Responsibilities will include: + Manage a card fraud claims team . + Oversee third-party vendors and… more
- Zurich NA (Harrisburg, PA)
- …Claims Professional- Cyber 112648 Zurich is currently looking for multiple Legal Claims Professionals for our Management Solutions group to join our ... Professional Liability & Cyber team and work out of any of our US Claims offices or potentially remote. If you are ready for a career move, consider working for… more
- Sedgwick (Harrisburg, PA)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Complex Claims Advisor | Remote **This job will support workers' compensation for ... and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the… more
- The Hartford (Penn, PA)
- Claims Consultant FL - CV07GE We're determined to...and to help others accomplish theirs, too. Join our team as we help shape the future. The Hartford ... Financial Lines Errors & Omissions E&O Claims Group has an open Claim Consultant position handling...is required. Responsibilities include all aspects of claim file management from assignment to conclusion including: . Conducting investigations… more
- Guardian Life (Harrisburg, PA)
- **Position Summary** The STD/Absence Claims Case Manager I (CM) is responsible for administering and medically managing Short Term and Absence claims with ... claims for Short Term Disability and requires consistent and effective claim management skills to succeed in a collaborative, team -oriented culture with a… more
- Randstad US (Malvern, PA)
- claims specialist. + malvern , pennsylvania + posted may 28, 2024 **job details** summary + $19.99 - $20 per hour + temp to perm + associate degree + category office ... facilitating seamless transitions and ensuring customer satisfaction? Join our team as a Change of Ownership Associate and become...Document and notate clear and detail client interactions for case notes This job is for you if you:… more
- Travelers Insurance Company (Pittsburgh, PA)
- … player with extensive industry experience to join our Strategic Resolution Group Claim team as a Major Case Specialist handling complex toxic tort, latent ... your highly advanced knowledge of legal issues and applicable case law in multiple jurisdictions. Your case ...and potential future changes to, loss reserves on assigned claims . + LITIGATION MANAGEMENT : + Proactively develop… more
- Crawford & Company (Philadelphia, PA)
- …review files for claims adjusters and supervisors for appropriate referral for case management services. + May meet with employers to review active files. ... is a work from home position requiring local field case management travel to cover Philadelphia, PA...employer and physicians. + Maintains contact and communicates with claims adjusters to apprise them of case … more
- Highmark Health (Pittsburgh, PA)
- …Description :** Date Posted: 20240228 Location: Allegheny General Hospital Department: Case Management , Emergency Department/CDU Status: Full Time Shift: 80 ... overnight as needed, rotating weekends and holidays Union: Yes ** CASE MANAGEMENT :** The Case ...their support systems in managing medical conditions effectively. Our team of talented Case Managers aims to… more
- CVS Health (Harrisburg, PA)
- …functionality. -Reviews prior claims to address potential impact on current case management and eligibility. -Assessments include the member's level of work ... time being 9:00am in the time zone of residence. Team is open to varying hours until 9:00pm EST....face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate… more
- Sedgwick (Harrisburg, PA)
- …While partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful ... accredited college or university or equivalent work experience preferred. Certification in case management , rehabilitation nursing or a related specialty is… more
- CVS Health (Harrisburg, PA)
- …in EST. Job Purpose and Summary: The Care Manager is a member of the Care Team . The Care Manager is responsible for the care management of members that are ... Care (TOC) Coach, and other members of the Care Team to improve the member's health outcomes, address social...problems, goals and interventions. + Based on assessments and claims data creates a care plan for members to… more
- CVS Health (Harrisburg, PA)
- …themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical ... care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible...in meeting goals and objectives, presents cases at interdisciplinary case conferences + Utilizes case management… more
- CVS Health (Harrisburg, PA)
- …themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical ... care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible...in meeting goals and objectives, presents cases at interdisciplinary case conferences + Utilizes case management… more
- Sedgwick (Philadelphia, PA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Field Case Manager **This Field Case Manager will cover Philidelphia , PA ... to be considered.** **PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery… more
- Zurich NA (Harrisburg, PA)
- …We are currently looking for a National General Adjuster to join our Commercial Property team in the Major Case Unit at Zurich North America. The selected ... coverage. + Working to have a timely resolution to claims by developing case strategy; developing a...and 6 or more years of experience in the Claims and/ or Litigation Management area.OR +… more