- Centene Corporation (Indianapolis, IN)
- …and provide immediate feedback on findings including high dollar claims , coaching for quality review claims and internal audits. Create ODS reports of ... assure a smooth and timely work flow. + Manage the Claims Quality Analysts to perform quality review of completed high risk claims and provide… more
- CHS (Clearwater, FL)
- …presentations, regulatory reviews and contracting of vendors. **Primary Performance Expectations:** Performance review for the Claims Manager is ongoing, ... **Overview** ** Claims Manager ** **Servicing** **Health Insurance Policies...Claims Department strategy, planning, staffing projection, budgeting and quality assurance and improvement. * Responsibility for final hiring… more
- AON (Fort Wayne, IN)
- Aon is looking for a Claims Manager I As part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective ... solutions as a Claims Manager I in our Ft. Wayne,...ensuring compliance with carrier requirements and internal procedures. + Review and manage examiner caseloads, providing guidance on complex… more
- USAA (Colorado Springs, CO)
- …assistance is **not** available for this position. **What you'll do:** + Inspect and review quality of claim files and provide feedback to employees as ... 6 months time in role. **What sets you apart:** + Current experience as a Claims Manager or Supervisor + 2+ years handling Complex Non-Injury Auto coverage and… more
- USAA (Denver, CO)
- …assistance is not available for this position. What you'll do: + Inspect and review quality of claim files and provide feedback to employees as appropriate. ... us special and impactful. **The Opportunity** As a dedicated Manager , Claims Operations, you will manage and...+ Experience leading and developing teams of adjusters ensuring quality , accuracy, and timely resolution of claims … more
- Walmart (Bentonville, AR)
- …Compensation or General Liability claims is responsible for overseeing multiple claims manager teams and driving performance across a multi-jurisdictional ... - Foster a high-performing, collaborative culture that supports team development and claims excellence. - Review escalated claims , including high-exposure and… more
- CVS Health (Annapolis, MD)
- …And we do it all with heart, each and every day. **Position Summary** The Manager of Claims Management is responsible for overseeing Medicaid claims ... QA programs tomonitorclaim accuracy, provider payment integrity, and policy adherence. + Review and analyze claims performance dashboards, error trends, and key… more
- USAA (Baltimore, MD)
- …of what truly makes us special and impactful. **The Opportunity** As a dedicated ** Manager , Claims Operations** , you will manage and be accountable for auto ... leadership experience. + Experience leading and developing team of adjusters ensuring quality , accuracy, and timely resolution of claims that will include high… more
- State of Massachusetts (Boston, MA)
- …to join our Victim Compensation team. Reporting to theDirector of Victim Compensation,the Claims Manager provides management and oversight of MOVA's Claims ... victim compensation program in accordance with Massachusetts statute and regulations. The Claims Manager implements trauma informed, victim and survivor centered… more
- Sedgwick (Concord, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Manager - Dedicated Are you looking for an opportunity to join ... operational management for assigned dedicated client. + Oversees company and client internal quality review process and reports monthly. + Establishes policy and… more
- USAA (Plano, TX)
- …what truly makes us special and impactful. **The Opportunity** As a dedicated Claims Litigation Manager you will be responsible for managing moderately complex ... liability and questionable coverage issues. + Apply intermediate knowledge of claims litigation processes. + Proactively manage litigation and acts as liaison… more
- Guardian Life (Harrisburg, PA)
- The STD/Absence Claims Case Manager I (CM) is...to all internal and external customers. This position will review claims for Short Term Disability and ... responsible for administering and medically managing Short Term and Absence claims with specific diagnoses or leave types that tend to resolve quickly. The CM will… more
- Grant Thornton (New York, NY)
- …including performance reviews, task delegation, project scheduling, project financials, quality review and client management + Actively participate ... As a Process Risk & Claims Audit Manager , you will get...claims operations experience and claim audit experience to review and analyze claims processed by TPAs… more
- CVS Health (Raleigh, NC)
- …elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable Diagnostics, will leverage existing & new methodologies to ... help review , understand, and identify process improvements across key provider...across key provider journeys including self-service / digital transactions, claims management, dispute resolution, and more. They will directly… more
- Travelers Insurance Company (Wilmington, DE)
- …face-to-face and written guidance to ensure effectiveness, engagement, accuracy and efficiency. + Review new notices, ensuring claims are assigned to staff with ... line of business (LOB) management team, responsible for product quality and performance for a specific team of Outside...continuous process of management involvement and frequent claim file review . Serve as a field representative for the Home… more
- Ryder System (Cheyenne, WY)
- …position leads an internal staff of approximately 40; this consists of professional Claims Managers, Supervisors, Senior Office Manager , Claims Analysts, and ... _Job Seekers can review the Job Applicant Privacy Policy by clicking...all aspects of the operations + Leads and directs claims managers, office manager , and supervisors as… more
- MAPFRE Insurance (Webster, MA)
- …1st and 3rd Party Automobile Casualty claims and 3rd Party Homeowner liability claims . + Review and monitor files to ensure compliance with customer service ... where teamwork is encouraged both within the unit, within Claims and the company. + Regularly review ...goals. + Continuously monitor and observe opening and closing claims counts. Utilize claim quality and productivity… more
- Zurich NA (Denver, CO)
- … Specialist, your primary accountabilities will include: + Work the most complex claims , involving multiple causes of loss, multiple quality issues, subrogation ... policies with the ability to change unit structure pending review outcome + Completes claims on specialty...area + Completes Crop Hail re-inspections when requested for quality assurance purposes + Works claims of… more
- Zurich NA (Frankfort, KY)
- … Specialist, your primary accountabilities will include: + Work the most complex claims , involving multiple causes of loss, multiple quality issues, subrogation ... policies with the ability to change unit structure pending review outcome + Completes claims on specialty...area + Completes Crop Hail re-inspections when requested for quality assurance purposes + Works claims of… more
- Zurich NA (Bismarck, ND)
- …Adjuster II, your primary accountabilities will include: + Work the most complex claims , involving multiple causes of loss, multiple quality issues, subrogation ... policies with the ability to change unit structure pending review outcome + Completes claims on specialty...area + Completes Crop Hail re-inspections when requested for quality assurance purposes + Works claims of… more