- Providence (TX)
- …must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, evaluate, and manage professional, ... take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims ...through the Risk & Integrity Services division and Risk, Claims , & Insurance department **_Providence welcomes 100% remote… more
- CareFirst (Fairfax, VA)
- …Qualifications** **PURPOSE:** Manages the daily activities of a multi-functional operations area . Functional areas may include but not limited to: installation, ... client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations. Investigates and settles … more
- American Family Insurance - Corporate (Brainerd, MN)
- You will work in the field and report to the Property Claim Manager and handle homeowner property field claims typically within the Brainerd, MN or Brainerd ... Lakes Area . You must be located within that metro ...candidates._ **Primary Accountabilities** + Investigates origin and cause of claims by contacting the appropriate parties including insureds, claimants,… more
- ALDI (Naperville, IL)
- …discover ways to improve our processes while growing your career. From managing claims to offering safety solutions for customers and employees, the work you ... individual to help strategically lead and manage our best-in-class claims management programs! Do you have experience with Workers'...to participate in ALDI's Hybrid Work Program, which allows remote work up to 3 days per week (ie,… more
- Zurich NA (Dallas, TX)
- …a customer-centric claims service. **We are hiring this role as a remote position.** **Job Responsibilities:** + Document claims file by accurately capturing ... assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the...and 6 or more years of experience in the Claims and/ or Litigation Management area .OR +… more
- Zurich NA (Madison, WI)
- …role will be filled at either the_ Crop Claims Specialist I or Crop Claims Associate. _The hiring manager will determine the appropriate level based upon the ... will need to live and service within a 100-mile area of the following Wisconsin counties:Washington County, Dodge, Fond...assist with workload(s), participate on CAT team and/or provide remote assistance for the CROP Claims Care… more
- Metropolitan Council (St. Paul, MN)
- Claims Rep. II (Liability) Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4922693) Apply Claims Rep. II (Liability) Salary $79,580.80 ... ARE This position is eligible for a hybrid (both remote and onsite) telework arrangement. The candidate's permanent residence...the regional government for the seven-county Twin Cities metropolitan area . We plan 30 years ahead for the future… more
- Lowe's (Mooresville, NC)
- …identifying, recommending, and implementing ways to address improvement opportunities + Assist Claims Manager with hiring, training, and development of talent ... of this role is to serve as a high-risk claims analyst for the Legal department, handling high risks/high...Completes work assignments by applying up-to-date expertise in subject area ; leveraging an understanding of policies, data, and resources… more
- Molina Healthcare (Louisville, KY)
- Molina Healthcare is hiring for a **Program Manager - Payment Integrity/Prepayment Solutions Implementation.** This role is remote and can be worked from states ... candidates will have the following experience-** + Knowledge of claims / claims processing. + Experience working...Serves as the subject matter expert in the functional area and leads programs to meet critical needs. +… more
- Bozeman Health (Bozeman, MT)
- This position is eligible for remote work following the completion of onsite training and onboarding. The onsite training will span 15 days and will be scheduled ... Provides information regarding available patient assistance programs. Assists in the claims denial process for insurance carriers and develops an appropriate appeals… more
- Community Health Systems (Sarasota, FL)
- **Job Summary** Processing of claims , via electronic claims management system, by reviewing identified errors or rejections and resolving these issues ... Also responsible for completing requests for rebilling of denied claims . **Essential Functions** + Bills all primary and secondary...and in a professional manner with the Billing Services Manager for any issues or billing delays identified. +… more
- Mount Sinai Health System (New York, NY)
- …coding, Accounts Receivable, Charge Entry, Edits and Payment Posting. Facilitates claims processing for services rendered by physicians. Assists with responses to ... analysis and problem resolution to ensure accurate and timely payment of claims and collection. Maintains open dialogue with the Department Administrator and/or… more
- Medtronic (San Francisco, CA)
- …live and remote + Experience in analysis of large administrative claims or EHR databases with proficiency in programming using statistical software (eg, SAS, ... interpretation, and messaging of retrospective analysis of administrative health care claims data (both public/Medicare, commercial, and hospital claims data)… more
- Prime Therapeutics (Washington, DC)
- …experience in at least one of the specific areas for position (eg, compliance, claims , eligibility, product, benefits, implementations or related area ) + Must be ... Posting Title** Senior Functional Business Consultant/ Regulatory Compliance exp required- REMOTE **Job Description** The Functional Business Consultant serves as a… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** 100% Remote based Must have previous experience administering Leave of Absence. Hours run EST - 8am -5pm. ... for the HR Service Center. Operates as subject matter expert in the area of Leave of Absence, FMLA, Disability Management, Workers' Compensation, and ADAAA. Applies… more
- US Pacific Fleet (Bremerton, WA)
- …that fully support their claims will not be referred to the hiring manager . Cover letter is optional. A complete resume is required. Your resume must show ... duty station to CONUS and OCONUS and may include remote or isolated sites. You must be able to...claims will not be referred to the hiring manager . Cover letter is optional. A complete resume is… more
- Keurig Dr Pepper (CO)
- **Job Overview:** **Senior Manager , Workers' Compensation - Direct Store Delivery (DSD)** The Senior Manager , Workers' Compensation will report into the Senior ... for the organization including the timely processing of workers' compensation claims ; providing consult to injured employees and their supervisors; coordinating… more
- Zurich NA (Chicago, IL)
- …High School Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support area + OR + Zurich Certified Insurance Apprentice ... AVP/VP, E&S Casualty Portfolio Manager 121634 Zurich E&S is currently looking for...and 12 or more years of experience in the Claims or Underwriting Support area + AND… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Statewide Workers' Compensation Program Manager Hybrid Recruitment # 250428-6467MP-001 Location Hartford, CT Date Opened 4/29/2025 12:00:00 PM Salary $111,028 - ... + Full-time, 40 hours/week + Monday - Friday + Hybrid work environment (On-site/ remote ) + Located at 450 Columbus Blvd POSITION RESPONSIBILITIES: As the Statewide… more
- Harris & Associates (Sacramento, CA)
- Contracts & Risk Manager , Risk & Project Management Office Harris is a 100% employee-owned company focused on solving today's complex challenges in planning, design, ... transportation, and education markets. We are seeking a Contracts and Risk Manager to oversee our DocuSign Contracts Lifecycle Management (CLM) platform and ensure… more