- DeNovo Staffing (Santa Ana, CA)
- …law firm based in Santa Ana, CA is looking to add two experienced and reliable Case Managers to their team. This is a small firm that is growing therefore there is ... the firm. This is not a cookie cutter or case mill auto accident firm. The owner and managing...to handling cases from start to finish including opening claims with insurance companies, arranging medical care if needed,… more
- Dunhill Professional Search (Washington, DC)
- Case Processing SupervisorHybrid (one week per month onsite) - Washington DCUS CITIZENSHIP REQUIREDWe are looking for a Case Processing Supervisor to support a ... onsite! Acts as a supervisor, reporting to the NCIF Manager . Acts as a recognized technical or functional expert....functional expert. Ensures the timely processing of all new claims , from receipt through the screening process, data entry,… more
- Reynolds Consumer Products Inc. (Louisville, KY)
- …an opportunity for you! We currently have an opportunity for an Operational Excellence Manager to join our team located in Louisville, KY. Your Role: The Operational ... Excellence Manager is a critical leader for the Reynolds Consumer...rates, OEE, on time delivery, MUV, scrap, costs, customer claims and complaints, etc.Perform intuitive and data driven analysis,… more
- MultiPlan (Atlanta, GA)
- …fully prepares the cases for the Paralegals to successfully negotiate the liability claims . This role requires the incumbent be confident on the phone and ... letters.4. Continuously research and make outbound calls to request case information or status to drive cases to be...must engage to obtain advice and/or help of legal manager , negotiator, or paralegal to proactively resolve cases. Works… more
- Cambia Health Solutions, Inc (Lewiston, ID)
- …direct clinical care.Must have at least one of the following: Certification as a case manager from the URAC-approved list of certifications; or Bachelor's degree ... team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's… more
- Cambia Health Solutions, Inc (Lewiston, ID)
- …of direct clinical careMust have at least one of the following:Certification as a case manager from the URAC-approved list of certificationsMaster's degree in a ... team, our Care Management Clinicians provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the… more
- Sunbelt Rentals, Inc. (Fort Mill, SC)
- …with disability provider to ensure proper administration of disability claims .Collaborates, educates, and informs key stakeholders regarding change management, ... management. Provides critical thinking regarding absence management processes. Supports Manager , Leave Administration to provide guidance, coaching and training to… more
- ICONMA (Los Angeles, CA)
- …on call staff member for all US based operations Works with the Return to Work Case Manager on certain cases as needed, which includes conducting case ... to assist in claim evaluation, managing to conclusion lost time claims . Coordinate Employee Assistance Program and work/life balance activities by serving… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- …communities. About the Role:Job SummaryUnder the supervision of the Utilization Review Manager , this position is responsible for ensuring the delivery of outstanding ... of the pre-certification process.Works in conjunction with Physician offices, Case Management, Utilization Review, and patients to obtain supporting clinical… more
- Walmart (Bentonville, AR)
- …denial of the claim; and reserving file for payments that exceed authority for manager and serious case review. + Minimizes legal exposure by securing services ... in the claim/image management system. + Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of… more
- Travelers Insurance Company (Rancho Cordova, CA)
- … claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate ... through the best possible outcome + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery of medical services… more
- USAA (Chesapeake, VA)
- …liability and questionable coverage issues. + Applies intermediate knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison ... negotiation, settlement, and trial decisions. + Represents USAA at mediations, case conferences, and/or trials. + Reviews, audits, and approves legal fees… more
- The Cigna Group (Sacramento, CA)
- …6 pm or 7 pm** **Responsibilities** The Chronic Kidney Disease Case Manager interacts with benefit specialist and claims staff for claim payment direction ... catastrophic specialty program preferred + Demonstrated ability as a case manager and ability to assist supervisor...skills. + Expert knowledge of the insurance industry and claims processing + **Must have high-speed broadband wired internet… more
- Travelers Insurance Company (Orlando, FL)
- … claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate ... Openings** 1 **What Is the Opportunity?** Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements...outcome. + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the… more
- U-Haul (Phoenix, AZ)
- …calls and e-mails in a fast-paced environment + Acknowledging incoming suits/notifying Manager & U-Haul Legal + Acknowledging letters of representation and demands ... letters regarding coverage + Settling 1st & 3rd party claims using evident fraud as needed + Working closely...supervision. + An understanding of the litigation process and case evaluations in multiple jurisdictions. + Ability to carry… more
- The Cigna Group (Sacramento, CA)
- …is a Work-at-Home position. Monday-Friday** **Responsibilities** The Transplant Case Manager interacts with benefit specialist and claims staff for claim ... a catastrophic specialty program preferred Demonstrated ability as a case manager and ability to assist supervisor...interpersonal skills. Expert knowledge of the insurance industry and claims processing. **This role is WAH which allows work… more
- USAA (San Antonio, TX)
- …our Claims Auto Bodily Injury Litigation area. This role will directly lead claims litigation case managers that handle litigation for Auto Injury claims ... build out litigation and trial strategies for each litigated case in accordance with the overall Claims ...litigated case in accordance with the overall Claims Litigation Strategy and P&C Claims business… more
- Providence (MT)
- …we must empower them.** **Providence is calling a Sr. Medical Malpractice Claims Manager - Professional Liability who will:** **Investigate, Evaluate, and ... take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims ...roundtables + Assist in Regional CEO Conferences with Senior Manager Operations + Facilitate and participate in case… more
- House of Blues (Houston, TX)
- …these qualities, so if this sounds like you then please read on! THE ROLE The Claims Manager supports the global operations of Live Nation. In this role, you'll ... have primary responsibility for managing liability claims in North America. WHAT THIS ROLE WILL DO...Nation will also provide reasonable religious accommodations on a case by case basis. HIRING PRACTICESThe preceding… more
- UMB Bank (Columbus, OH)
- **Duties & Responsibilities** The Manager , Card Fraud Claims , will oversee and manage the UMB card fraud claims process, ensuring timely and accurate ... claims . + Continually evaluate the effectiveness of the case management process. + Validate both UMB and vendor...+ Work closely with the Enterprise Fraud Data Strategy Manager to produce appropriate data and reporting to fulfill… more
