- Daiichi Sankyo, Inc. (Bernards, NJ)
- …each request. Responsible for flagging issues pertaining to anti-kickback, false claim , and transparency reporting laws/regulations for additional DSI Compliance or ... sex, gender identity, sexual orientation, race, color, religion, national origin, disability , protected veteran status, age, or any other characteristic protected by… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …Division of the Company. [Specific assignments to be determined by direct manager of the role.]- Creates, implements, and presents training programs and materials ... scientific exchange, and disease state communications (including FDA regulations, False Claims Act, Anti-Kickback Statute, OIG guidance, the PhRMA Code, state and… more
- Elevance Health (Columbus, GA)
- **LOA/ Disability Case Manager Specialist** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 ... of one of our Elevance Health PulsePoint locations. The **LOA/ Disability Case Manager Specialist** will be responsible...+ Provides a timely and thorough review of Short-term Disability , FMLA, and ADA claims and makes… more
- HUB International (Chicago, IL)
- …due to our industry leading success in mergers and acquisitions. **Summary:** The ** Manager , Leave and Disability ** position reports to the Director, US ... Benefits. This position will be managing the leave and disability team and will serve as a subject matter...and analytics for all leave cases and workers' compensation claims . Presents reports as requested. + Partners closely with… more
- Alight (NJ)
- …cases. This role will facilitate medically sound decisions, ensure absence and disability claims are administered effectively, and deliver compassionate care. ... + Serving as primary resource on team managing medical disability and accommodation cases. + Presenting cases to a...plans. + Consulting on medical, behavioral health, and accommodation claims , if within the scope of licensure and clinical… more
- AIG (New York, NY)
- …How you will create an impact Reporting to the Head of North America (NA) Aerospace Claims , the Claim Manager - Hull, Light Aircraft & Vertical Unit is ... the US. You will serve as both a people manager and a technical referral point for NA Aerospace...for adjusting a selection of the department's most complex claims , and collaborate with NA Aerospace Claim … more
- HUB International (Wilmington, MA)
- …maintain their own unique, regional culture. We currently have an opportunity for a ** Claim Technical Manager ** . The selected employee reporting to the Director ... Acts as an intermediary between HUB and the insurers claims staff. + Schedule and coordinate claim ...origin, religion, age, color, sex, sexual orientation, gender identity, disability or veteran's status, or any other characteristic protected… more
- AIG (Atlanta, GA)
- Make your mark in Claims Our Claims teams are the...and efficiency. How you will create an impact As Claim Intake Department (C ID) Manager , you ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- Crawford & Company (Brea, CA)
- …determined by the Team Manager or claim technician/handler. + Informs Team Manager of all Workers Compensation "M" Case claims to be removed from the "M" ... reserves); approves payments and claimant reimbursements on lost time disability claims , within authority, after compensability has...issues (indemnity, legal, etc.) have been settled and the claim is only open for payment of medical benefits… more
- Travelers Insurance Company (Overland Park, KS)
- …appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims ... + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery of medical...expertise to assist in the resolution of highly complex claims . Mentor other Claim Professionals + Participate… more
- Travelers Insurance Company (Alpharetta, GA)
- …appropriate to resolve claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims ... Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is… more
- University of Rochester (Rochester, NY)
- …to insurance companies to determine reason for claim denial, or reason for unpaid claim . Address unpaid claims , and solicit a payment date from the payer. + ... Research and calculate under or overpaid claims ; determine final resolution + Re-calculate claim ...refund of credits + Review and advise supervisor or manager on trends of incorrectly paid claims … more
- Axis (Red Bank, NJ)
- … Team Manager - Media/E&O/Cyber will report to the Head of North American Cyber Claims . The Claim Team Manager will lead and develop a sophisticated team ... expression, national origin or ancestry, citizenship, physical or mental disability , age, marital status, civil union status, family or...E&O and Cyber Claims . **Candidate Profile** The Claim Team Manager for Media/E&O/Cyber will be… more
- Zurich NA (Parsippany, NJ)
- … caseload from assignment through resolution, with moderate direction from your team manager and Claims executives. At this level, you will provide technical ... and management of all communications and reporting associated with the life of a claim . At Zurich North America Claims we acknowledge that work life-balance and… more
- AIG (Atlanta, GA)
- Make your mark in Federal Work Comp Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and ... showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by… more
- AIG (Boston, MA)
- …take on key responsibilities within a world-class claims function. Make your mark in Claims As a Claim Analyst IV, you will be responsible for handling all ... aspects of multi-line, financial lines claims from inception through conclusion brought against insureds. The...+ Your goal will be timely, accurate and customer-focused claim resolution, minimizing indemnity exposure and mitigating vendor and… more
- Crawford & Company (FL)
- …Services. + Nationally accredited certification in a related profession such as Certified Disability Manager . + Management Specialist (CDMS) or Certified Case ... programs with preference for employer-based experience + Leadership role in a disability /absence insurance carrier claim operation or third party administrator … more
- AIG (Atlanta, GA)
- …agencies. The individual must have significant experience with Workers' Compensation as a Claims Manager /Director (managing a team of Claims Professionals ... help customers to manage risk. Join us as a Claims TPA Regulatory Governance and Performance Manager ...risk. + Communicate and/or educate TPAs regarding applicable AIG claims state regulatory procedures and claim handling… more
- GAF (Parsippany, NJ)
- …in Parsippany site safety programs and training. + Establish and report claims evaluation turnaround metrics to ensure claim review, evaluation, and ... we protect what matters most. **SUMMARY** Management of the Claims Evaluation Lab. Manage the overall Claims ...improvement to eliminate or reduce New Material and Warranty Claim cost, and assist in setting annual improvement targets.… more
- Walmart (Bentonville, AR)
- …reside within commuting distance of the primary job location** + Leads claim investigations by conducting ongoing medical and legal reviews; commissioning field ... investigators, reconstructionists, and cause and origin specialists to determine claim origination; managing media exposure during investigations; synthesizing information… more
