• Senior Supervisor, Claims Processing

    Conduent (Hunt Valley, MD)
    …developing team members to achieve their goals?** **About the Role:** As a Senior Supervisor, Claims Processing , you will lead a complex medical claim ... **Senior Supervisor, Claims Processing ** **Are you a seasoned leader ready to elevate operational excellence and drive performance in a dynamic team… more
    Conduent (06/06/24)
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  • Lead Claims Specialist…

    Providence (Anaheim, CA)
    …+ Bachelor's Degree or equivalent education/experience. + 10 or more years HMO claims processing and/or auditing experience in a managed care environment, ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Anaheim 200 W… more
    Providence (06/13/24)
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  • Claims Processing Tech II- Eddy Home…

    Trinity Health (Troy, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** CLAIMS PROCESSING TECH II - Eddy Home Care - FT Days The Eddy Senior Living division is ... way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce… more
    Trinity Health (06/19/24)
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  • Employee Benefits- Technology Strategy…

    Equitable (Charlotte, NC)
    …both environments. This position is a lead role, guiding team members on claims processing projects. + Work with the business to develop processes and ... Employee Benefits- Technology Strategy Claims Lead Analyst ( 2400007L ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED… more
    Equitable (04/10/24)
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  • Retailer Claims Team Lead

    Subaru of America (Camden, NJ)
    …PowerPoint, Excel). + Strong working knowledge of all system applications related to claims processing , including the claims system, Subarunet, Retail Parts ... SUMMARY Provides direct, day-to-day supervision of a team of Retailer Claims Specialists, including prioritizing workload, performance review and coaching, and… more
    Subaru of America (06/14/24)
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  • VP Claims

    AON (Garden City, NY)
    …latest technological advancements and explore how they can be applied to improve claims processing and customer service. Education: + Bachelor's degree strongly ... Lead and Mentor: Guide a team of 120+ claims professionals and develop the 6+ direct reports in...and explore how they can be applied to improve claims processing and customer service. Education: +… more
    AON (06/11/24)
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  • Head of A&H Reinsurance Claims

    Axis (Red Bank, NJ)
    …reinsurance claims , ensuring compliance with regulations, as well as fair claims processing . You'll also be responsible for developing and implementing ... needed. + Lead and foster a change, transformation mindset supporting claims improvement and growth aligned to Underwriting strategy and growth plans. + Maintain… more
    Axis (06/20/24)
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  • Fraud & Claims Operations Director

    Wells Fargo (Charlotte, NC)
    …to the Head of Claims and Recovery. This group is responsible for end-to-end claims processing for all dispute types. This individual will lead a large, ... + Address issues and maintain an awareness of fraud and claims activity across the company + Lead fraud and claims team by making strategic decisions… more
    Wells Fargo (06/19/24)
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  • Workers' Compensation Claims Examiner…

    Access Dubuque (Dubuque, IA)
    …growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... within designated authority. + Communicating claim activity and processing with the claimant and the client. + Reporting...Lead - Remote (Must have commercial prope Sedgwick Claims Representative - Auto Sedgwick Claims Examiner… more
    Access Dubuque (06/15/24)
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  • Manager - Card Fraud Claims

    UMB Bank (Columbus, OH)
    …to credit card fraud + Demonstrates in-depth knowledge of back-office fraud claims processing + Demonstrates knowledge of report building and presentation ... **Duties & Responsibilities** The Manager, Card Fraud Claims , will oversee and manage the UMB card...and accurate resolution of fraud cases. The role will lead a team of fraud analysts and assist in… more
    UMB Bank (06/13/24)
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  • REMOTE Claims Analyst

    Insight Global (Franklin, TN)
    Job Description The Claims Systems Lead Analyst position is the SME for the Claims Systems and suite of Claims Products. Within their SME role, the CSA ... will provide support to Claims Systems Analysts and other internal departments, as well as, external clients and vendors. This position will be the primary associate… more
    Insight Global (06/15/24)
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  • Claims Litigation Manager

    Wellpath (Nashville, TN)
    …into the RMIS system, analyzing exposures, recommending settlements or denials, and processing claims within designated authority levels. Work closely with ... medical malpractice claims , preferably in a multi-state environment. The Claims Litigation Manager will lead the litigation team inprovidingstrategic… more
    Wellpath (06/14/24)
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  • (Hybrid) Claims Technician

    Trinity Health (Livonia, MI)
    …behavior. **MINIMUM QUALIFICATIONS** Must possess a comprehensive knowledge of liability claims processing and administration. High school diploma plus a ... week._** Claim technicians are a vital component to the IRMS Liability Claims operation. The position is responsible for maintaining electronic claim files,… more
    Trinity Health (05/29/24)
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  • Regional Vice President, Claims Operations

    Centene Corporation (Tampa, FL)
    Lead a large scale organization accountable for the accurate, timely and efficient processing of Claims . Set the strategic vision and objectives of the ... claims operations to drive innovation, higher operational performance and...operational performance and quality outcomes. + Set the strategic claims vision in compliance with federal, state and Company… more
    Centene Corporation (04/07/24)
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  • Billing and Follow-up Representative-I (Hospital…

    Trinity Health (Farmington Hills, MI)
    …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
    Trinity Health (06/21/24)
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  • Human Resource Generalist

    Nissha Medical Technologies (New Richmond, WI)
    …employee limitations identified before return. + Assist with FMLA and Leaves of Absence Claims Processing and Tracking. + Lead and facilitate employee ... engagement activities. + Other duties as assigned. **Education and/or Experience:** + Bachelors' degree in Human Resource Development/Management + Minimum of 3 years demonstrated exp in Human Resource Generalist role + Minimum of 3 years exp. of Benefits… more
    Nissha Medical Technologies (06/19/24)
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  • Director. Software Engineering - Fraud disputes…

    Capital One (Mclean, VA)
    …Engineering to lead our modernization journey of Fraud disputes and claims processing . You will partner with engineers, product and business stakeholders ... States of America, McLean, Virginia Director. Software Engineering - Fraud disputes and claims We are seeking a Director of Software Engineering who is passionate… more
    Capital One (06/11/24)
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  • Payment Posting Representative-I (Medical…

    Trinity Health (Farmington Hills, MI)
    …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting, or ... way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce… more
    Trinity Health (06/21/24)
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  • Loss Claims Supervisor

    Fifth Third Bank, NA (Grand Rapids, MI)
    …goals are met or exceeded. Focuses on resolving issues, and processing functions in a customer centric manner. Responsible for centralized administration ... school diploma required. Bachelor's degree preferred. + Minimum 3 year supervisory/ lead experience required + Minimum 3 years collections, customer service,… more
    Fifth Third Bank, NA (06/19/24)
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  • Claims Business Analyst II

    Centene Corporation (Tallahassee, FL)
    …of Microsoft Applications, including Excel and Access preferred. Knowledge of claims and/or encounter processing and data analysis experience preferred. ... + Develop and incorporate organizational best practices into business applications. + Lead problem solving and coordination efforts between various business units. +… more
    Centene Corporation (06/13/24)
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