- Lyric (Newtown Square, PA)
- …coding guidelines with strong leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with clients to ... support are not available for this position. The Senior Manager , Clinical Content Maintenance will serve as a strategic...at least 3 years of experience in a health insurance payer or automated claims editing solution,… more
- Towne Park (Media, PA)
- …**Benefits:** Employees are eligible to enroll in medical, dental, and vision insurance , accident insurance , critical illness insurance , hospital indemnity ... and telemedicine benefits. Employees are provided company-paid basic life and AD&D insurance as well as short-term and long-term disability. Employees are also able… more
- Towne Park (Philadelphia, PA)
- …**Benefits:** Employees are eligible to enroll in medical, dental, and vision insurance , accident insurance , critical illness insurance , hospital indemnity ... and telemedicine benefits. Employees are provided company-paid basic life and AD&D insurance as well as short-term and long-term disability. Employees are also able… more
- Commonwealth of Pennsylvania (PA)
- Insurance Claims Manager Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5126977) Apply Insurance Claims Manager Salary ... is seeking an innovative and ambitions individual for the position of Insurance Claims Manager . In this critical leadership role, the incumbent will… more
- BrightView (Blue Bell, PA)
- …Onsite in Blue Bell, PA No Agency Resumes At This Time **Job Summary** + The Claims Manager is a key leader in the Risk Management team, responsible for ... litigated claims , and workers' compensation enhancements. The Claims Manager serves as a subject matter...for full-time team members include medical, dental, and vision insurance , ancillary and voluntary products, a 401k savings plan… more
- Grant Thornton (Philadelphia, PA)
- …CIA or CISM preferred + Proven track record managing and resolving complex insurance claims , including property, casualty, and liability. + Experience working ... As a Process Risk & Claims Audit Manager , you will get...As a Process Risk & Claims Audit Manager , you will get the opportunity to grow and...with clients in insurance , financial services, or other regulated industries. + Strong… more
- Zurich NA (Harrisburg, PA)
- …organizations. **This role will be filled at either the** **Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate ... in the Claims and/or Litigation Management areaOR + Zurich Certified Insurance Apprentice, including an Associate Degree with 8 or more years of experience… more
- Elevance Health (Seven Fields, PA)
- …Stop loss claims experience highly preferred. + Working knowledge of insurance industry and medical terminology; working knowledge of relevant systems and proven ... ** Claims Auditor I, II and Senior** **Location :**...in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience… more
- WelbeHealth (Harrisburg, PA)
- …policies and procedures, or other established quality standards + Work alongside manager to establish and maintain claims processing rules that meet ... ensure excellent care delivery for our participants, and the Claims Examiner plays a pivotal role in ensuring timely...where every person feels uniquely cared for. + Medical insurance coverage (Medical, Dental, Vision) starting day one of… more
- WelbeHealth (Harrisburg, PA)
- …processing and auditing Medicare and Medicaid professional, institutional, and dental health insurance claims + Experience working with CMS and Medicaid ... team for corrections + Provide feedback to the Oversight & Monitoring Manager on claims processing errors, quality improvement opportunities, and configuration… more
- Penske (Reading, PA)
- … Manager **Qualifications:** + 1-3 years of experience in auto liability insurance claims handling preferred. + High School Diploma or equivalent required. ... **Position Summary:** The Liability Claims Examiner is responsible for investigating, documenting, managing,...+ Respond to requests such as tenders to customer insurance carriers and document production. + Provide guidance to… more
- Insight Global (Reading, PA)
- …Skills and Requirements Qualifications: - 1 to 3 years of experience in insurance claims handling preferred. - Excellent negotiation skills and the ability ... Job Description Position Summary: The role of the Liability Claims Examiner is to investigate, document, manage, direct and resolve liability, property, cargo,… more
- Kuehne+Nagel (Media, PA)
- …preferably in marine or commercial insurance + Strong knowledge of insurance policies, underwriting, and claims processes + Client-focused mindset with a ... **It's more than a job** As an Insurance professional at Nacora Insurance Brokerage,...+ Coordinate with underwriters on policy changes, renewals, and claims + Review loss run and claims … more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an ... Description Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine... Companies is looking to add a Product Development Manager to join our Compliance team. Summary The Product… more
- World Insurance Associates, LLC. (Philadelphia, PA)
- World Insurance is one of the fastest-growing insurance brokerage firms in the United States offering top products and services from major providers, combined ... that is changing the industry. We specialize in personal and commercial insurance lines, surety and bonding, employee benefits, financial and retirement services,… more
- Otsuka America Pharmaceutical Inc. (Harrisburg, PA)
- …to defy limitation so that others can too._ In this exciting role, as a Manager within the OAPI supply chain team, you will look to acheive operational goals while ... with key vendors / suppliers. Working closely with program / project manager , product development, new product introduction, technical operations, site quality and… more
- Sedgwick (Philadelphia, PA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Implementation Project Manager **PRIMARY PURPOSE** **OF THE ROLE** To serve ... technology and regulatory compliance. + Serves as a project manager and process owner for all components of a...and experience required to include two (2) years of claims management, managed care or other related experience. **Skills… more
- Genesis Healthcare (Pennsburg, PA)
- …a meaningful impact in the communities we serve. Responsibilities The Business Office Manager "BOM" must be familiar with company policies and procedures related to ... business office/administration department which may include Assistant Bus. Office Manager , Bookkeepers, and Receptionists. The BOM regularly interfaces with the… more
- Travelers Insurance Company (Wyomissing, PA)
- …and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel as needed.… more
- Highmark Health (Pittsburgh, PA)
- …employees. **GENERAL OVERVIEW** This job oversees, develops, and manages the end-to-end claims functions and operational inputs including but not limited to the ... receipt of claims , operational correspondences, and corporate correspondences for multiple customer segments; fully utilizes the support mechanisms available to… more
