- Banner Health (Phoenix, AZ)
- … claims team roundtable and reserve review processes. Monitors for and identifies system claim trends, as well as industry benchmarks. Prepares claims ... Claims Mgmt **Work Shift:** Day **Job Category:** Legal The **Executive Director , Claims & Litigation Counsel** will provide strategic and operational… more
- CenterLight Health System (NY)
- …+ Manage, in collaboration with the Director , functions related to claim processing, including monitoring of pending claims , appeals, recoupments, pricing, ... Payment Integrity supports the Senior Vice President and the Director in the day-to-day operations of the Claims...Relations, Care Delivery, and Business Development to ensure accurate claim outcomes and accurate and actionable insight for key… more
- AIG (Atlanta, GA)
- …+ Developed computer proficiency with an aptitude for both common and specialized claims systems programs and applications. + Self-motivated, ability to manage ... manage risk. Join us as a North American Aerospace Claims Complex Director Severity to play your...serves as a technical referral point for NA Aerospace claim team members and will collaborate with NA Aerospace… more
- State of Minnesota (St. Paul, MN)
- … Claims Adjudication Manager** **Job Class: State Program Administrator, Director ** **Agency: Department of Employment and Economic Development** + **Job ID** ... serving Minnesotans. It is a start-up environment without legacy systems or preconceived ways of working, so we have...Subject matter expertise: During the implementation phase, represent the claims adjudication team in process and system … more
- AIG (New York, NY)
- Complex Claims Director , Cyber Media & Technology Join us as a Complex Claims Director to grow your experience in Claims . Make your mark in Claims ... experts in the field and a dedicated team of claim professionals, helping our insureds manage and mitigate their...connection with Cyber, Media Liability and Technology E&O Liability claims . As a Complex Claims Director… more
- HUB International (Wilmington, MA)
- …process on new prospective clients. + Other responsibilities as assigned by the claims director . **Qualifications:** + BA or equivalent work experience. + ... Technical Manager** . The selected employee reporting to the Director of Claims is responsible for working...Acts as an intermediary between HUB and the insurers claims staff. + Schedule and coordinate claim … more
- Apex Health Solutions (Houston, TX)
- S ummary: Position is responsible for overall strategy and effectiveness of Claims Operations. Position is responsible for oversight of claims adjudication and ... also responsible for the timely processing and accuracy of claims and day to day interactions with any vendor...revenue impacting performance or delivery issues within core business systems as assigned through the creation of remediation plans;… more
- AIG (New York, NY)
- Join us as a Senior Complex Claims Director - Cyber, Media, & Technology to grow your experience in Claims . Make your mark in Claims Our Claims teams ... you will create an impact As a Senior Complex Claims Director , you will be responsible for...preferred + Knowledge or experience in computer network and systems security or information security is a plus Ready… more
- Scripps Health (San Diego, CA)
- …quarter of our employees have been with Scripps Health for over 10 years. The Director of HMO Payment ( Claims ) Services for Scripps Health Plan, leads claims ... * Mailroom experience. **Job:** **Finance* **Organization:** **Scripps Health Corp* **Title:** * Director , HMO Claims Services* **Location:** *Central San Diego… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Healthsource blog: https://healthsource.premera.com . We are seeking an experienced and dynamic ** Claims Operations Director ** to join our team and oversee our ... role in enhancing the quality and efficiency of our claims processes. In this capacity, you will lead a...Experience with quality and production management tools, strategies, and systems . + Experience in related business areas of sales,… more
- AON (IL)
- …initiatives. This role involves collaborating closely with our Third-Party Administrator (TPA), Director of Global Claims , Broker, Hotels, Legal and other ... summarizing findings, identify patters, risk exposures, emerging trends and recommendations to Director of Global claims and various leadership groups. +… more
- City of New York (New York, NY)
- …childcare claims , including downloading monthly Automated Child Care Information System (ACCIS) reports, reviewing ACCIS data on a comprehensive level as part ... backup data and summary reports to supervisors and managers, and entering the actual claim into the State claiming system using monthly claim data. The… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …examiners and claim adjusters in responding to insured commercial property claims * Review and determination of complex coverage issues * Maintains reports on ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4717187) Apply Property Claims Manager… more
- MTA (New York, NY)
- …the effective and efficient management of claim information input into the Claims database system and accurate and timely management and processing of the ... follow-up to ensure payments are timely made. + Assist Claim adjuster and Claims secretaries as necessary,...tasks and functions at the direction of Asst. and/or Director - Claims & Investigations. + Tendering of … more
- Acosta Group (Charlotte, NC)
- …property and casualty risk management programs with an emphasis on Workers' Compensation claims . In addition to providing technical claim support and monitoring ... management efforts. + Provide data input and maintain claims administrator and RMIS system comments and...Windows environment, Word, Excel, software and use of on-line claims data systems . + Ability to learn… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims ... on financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System )… more
- Topgolf (Dallas, TX)
- …performance as appropriate. (5% time) + Reviews data from carrier and in-house claims systems to understand trends and suggest improvements for efficiency in ... **Job Responsibilities** + Manages workers' compensation and general liability (guest) claims from inception to resolution; indirectly supervising the assigned 3rd… more
- Marriott (Plano, TX)
- …including interviewing, orientation and counselling. * Effectively utilize the Valley Oaks System (VOS) to manage all claims electronically. * Ensure timely ... Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** A Claims Unit Manager is responsible for overseeing the professional and administrative… more
- Whitney Young Health Center (Watervliet, NY)
- …complex or problem claims or insurance types as designated by the Director . Reviews payer coding policies and procedures to ensure that the department remains in ... Claims Coding Specialist (Req 100825) Watervliet, NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL… more