- CRC Insurance Services, Inc. (TN)
- …job description:** This role is focused on technical claim handling of complex general liability claims , both litigated and non-litigated. This role requires ... affecting primary and excess policies in a fast-paced E&S Claim remote environment 2. Independently evaluating information...and underwriters in the handling and adjudication of all claims 10. Handling complex claims … more
- Elevance Health (Nashville, TN)
- **Rating/ Claims System Advisor** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while ... balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- The Sr. Manager , CTA Regulatory Strategy is responsible for providing critical support in developing global regulatory strategy, planning, and execution of global ... options to effect innovative regulatory pathways and solutions to complex global requirements and regulatory challenges. + Serves as...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Valvoline Global (TN)
- …Founded in 1866, we introduced the world's first branded motor oil, staking our claim as a pioneer in the automotive and industrial solutions industry. Today, as an ... of automotive and industrial solutions. **How You'll Make an Impact** The **Senior Manager , Identity and Access Management (IDAM)** is a key leader in the… more
- Guardian Life (Nashville, TN)
- …experience. + A minimum of 3 years of experience handling appeals or complex claims (preferred). + Bachelor's Degree (preferred) or equivalent professional ... and learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II, you will report to our Leader, Appeals Team, who reports to… more
- Sharecare (Nashville, TN)
- …training** The role of the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to members and their families ... eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status,… more
- Prime Therapeutics (Nashville, TN)
- …decision we make. **Job Posting Title** Senior Functional Business Consultant- REMOTE **Job Description** The Functional Business Consultant serves as a business ... regulatory requirements, process improvement, advanced research, root cause analysis, complex issue research, documentation, advanced communications, client interaction, training,… more
- Lincoln Financial (Nashville, TN)
- …closely with medical and vocational operations and serve as a consultant to the claim operations team for complex clinical issues. **What you'll be doing** * ... Fort Wayne, IN (Indiana); Omaha, NE (Nebraska) **Work Arrangement:** Remote : Work at home employee residing outside of...We are excited to bring on a Clinical Operations Manager to our organization. As a Clinical Operations … more
- CenterWell (Nashville, TN)
- …vision of the organization by identifying, evaluating, and operationalizing high-impact complex care initiatives to drive quality and cost improvement for high-risk ... Duties and Responsibilities** + Analyze value-at-stake for clinically and socially complex patients, based on assessment of existing clinical care model performance… more
- Sedgwick (Nashville, TN)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Manager Technical Standards & Compliance As an Sr. Manager Technical ... opportunity to take on new challenges and help solve complex problems for the world's best brands. + Be...policies and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service… more
- GE Aerospace (Nashville, TN)
- **Job Description Summary** As a contract performance manager you will have a major impact on GE Aerospace profitability through owning overall contract performance, ... conditions (T&Cs) of the contract, and the management of claims . This role is responsible for ownership of contract...required to achieve outcomes. This role is eligible for remote work - preference is in EST or on… more
- NASCO (Nashville, TN)
- **Overview** Under general direction, the Customer Success Manager (CSM) role is principally responsible for overseeing the delivery of NASCO's customer commitments, ... meet customer's success requirements. The CSM is responsible for resolving customer's complex technical issues, working with NASCO teams to achieve precut and… more
- CVS Health (Nashville, TN)
- …do it all with heart, each and every day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.** **Shift schedule is ... position consists of working intensely as a telephonic case manager with patients and their care team for fully...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- Guardian Life (Nashville, TN)
- The **Advisory Market Account Implementation Manager ** , primarily handles complex and large group implementations, providing overall coordination and support to ... gathering of implementation information and enrollment data to ensure the ability to pay claims by the agreed upon effective date and accuracy of the first bill. +… more
- Elevance Health (Nashville, TN)
- …line of business** _Location: This position will work a hybrid model ( remote and office)._ _Alternate locations may be considered._ _The Ideal candidate must ... is responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover… more
- Elevance Health (Nashville, TN)
- …line of business** _Location: This position will work a hybrid model ( remote and office)._ _Alternate locations may be considered._ _The Ideal candidate must ... is responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover… more
- Sedgwick (Memphis, TN)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Field Case Manager **We are only considering full time employees at this time.** **Looking ... for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple cities in the country to...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- HUB International (Brentwood, TN)
- …under which our subsidiaries reside: + Avant Underwriters (AU + Avant Specialty Claims (ASC) + Avant Brokerage (AB) + Avant Supermarket Group (ASG) + SafeHerb ... one-stop source for insurance solutions **Job Summary** The UW Manager acts is responsible for the execution of Underwriting...stretch assignment for UW team. + Provide basic and complex system admin for issue resolution and problem solving… more
- Zurich NA (Nashville, TN)
- …for an experienced Loss Sensitive Casualty Underwriter to join our Middle Markets Complex Casualty Underwriting team in the Southeast region. We are open to hiring ... a technical and market facing role working with our complex /loss sensitive casualty products and is a great opportunity...on a hybrid basis. You will partner with your manager to set a flexible work schedule that supports… more
- Elevance Health (Nashville, TN)
- **Financial Operations Analyst Lead** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates must live within 50 miles of one of ... data and providing new processes, system enhancements and technical solutions to complex business issues. Leads and coaches staff. Manages workflow and oversees… more