- USAA (Colorado Springs, CO)
- …of what makes us so special! **The Opportunity** We are seeking a dedicated Manager, Claims Operations to lead a team of Auto Injury Examiners. As a Manager, ... Claims Operations you will lead and be...wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more… more
- USAA (Tampa, FL)
- …makes us so special! **The Opportunity** We are currently seeking a dedicated Manager, Claims Operations - DCT (Dedicated CAT Team). This position can be located ... for this role. **What you'll do:** As a Manager, Claims Operations , you will lead and be...wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more… more
- Wells Fargo (Chandler, AZ)
- …of applicants. **About this role:** Wells Fargo is seeking a Senior Fraud & Claims Operations Representative in Transactions & Processing as part of Consumer & ... Small Business Banking Operations . Learn more about our career areas and lines...improving or implementing processes and tools within fraud and claims functional area + Perform complex operational tasks, including… more
- Wells Fargo (Tempe, AZ)
- **About this role:** Wells Fargo is seeking a PCC Fraud & Claims Operations Representative in Detection Operations . Learn more about the career areas and ... wellsfargojobs.com. **In this role, you will:** + Support fraud and claims functional area by proactively identifying opportunities to improve customer experience,… more
- The Hartford (Naperville, IL)
- Operations Support Specialist, Claims - CH10KN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and ... team as we help shape the future. The Hartford's Claims Centralized Operations Group is seeking a...financial risks. We're also committed to programs that drive education and support volunteerism, which put human beings first.… more
- Santander US (East Providence, RI)
- Specialist, Claims & Fraud Operations East Providence, United States of America USA Job Family Description: Responsible for the day-to-day operations of the ... operational standards to execute service delivery. Evaluates and ensures that operations meet company objectives, business needs, service agreements and relevant… more
- Prime Healthcare (Ontario, CA)
- … and Claims will provide strategic leadership and development of the Claims Department and its employees, as well as collaborate with Network Development, ... (7) to ten (10) years prior work experience in Claims Operations and Health Plan Strategy, in...but not limited to geographic location, skill set, experience, education , credentials, and licensure. Additionally, employees in this position… more
- FM (Waltham, MA)
- …to assist the Manager, Runoff Operations in supervising and directing the Runoff Operations claims function and to assist the manager in the day-to-day ... operations of the Runoff claims function. It...Leads or participates in special projects as needed. **Required Education :** * 4-year bachelor's degree in business administration **Highly… more
- USAA (San Antonio, TX)
- …contracts. + Using data analytics, in partnership with actuary and analytics team and Claims Operations leaders, report on team health to drive business results, ... Injury or Litigation team + Experience applying advanced knowledge to partner with Claims Operations and provide guidance for complex claim settlements that… more
- Apex Health Solutions (Houston, TX)
- …professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department -based goals which ... Summary: Position is responsible for oversight of claims adjudication and regulatory reporting functions including all...EOPs and EOBs Works closely with stakeholders including clinical, operations and finance teams during the development of key… more
- Providence (Renton, WA)
- …with applicable Federal, State, health plan and contractual regulations and guidelines. The Executive Director Claims Operations interfaces with internal ... **Description** **THE ROLE** The Executive Director directs, manages and oversees...manages and oversees the activities of the delegated claim operations including claim adjudication, processing encounter data, and maintenance… more
- FM (Alpharetta, GA)
- …Interruption losses up to $1,000,000, as the first adjuster within the FM Atlanta Claims Operations geographical area, or as otherwise directed by the ... Operations Claims Manager. + Consults with the...of town as needed to effectively manage assigned losses. ** Education ** Bachelor's degree is preferred however equivalent work experience… more
- FM (Parsippany, NJ)
- …and as the first adjuster on losses up to $1,000,000 within the FM New York Claims Operations geographical area, or as otherwise directed by the Operations ... also responsible for identifying legal needs, and with the approval of the Operations Claims Manager also recommends engagement of attorneys where subrogation is… more
- Zurich NA (Rocky Hill, CT)
- …Act as a resource for GL claims teams and serve as liaison for GL Claims and Claims Operations . + Responsible for management of databases (data entry, ... and reporting). + Understand operational workflows for GL Technical Claims , as well as Claims Operations...and will be considered based on experience, skill, and education .** The salary provided is a nationwide market range… more
- Humana (Columbus, OH)
- …our caring community and help us put health first** The Senior Pharmacy Claims Operations Professional oversees the business processes and ensures accuracy for ... point of sale transition adjudicated claims logic. The Senior Pharmacy Claims Operations Professional work assignments involve moderately complex to complex… more
- USAA (Tampa, FL)
- …Owner Senior** that will support Medicare Supplement Claims for USAA Life Company Claims Operations . This employee will report to the Life Company Chief ... Claims & Fraud Officer and will work on Medicare...wellness programs. Additionally, our career path planning, and continuing education assists employees with their professional goals. For more… more
- Randstad US (Earth City, MO)
- …and service occupations + referenceAB_4630006 job details We are looking for a driven Claims Operations Specialist to join a growing team located in Earth City, ... shift: First work hours: 9 AM - 6 PM education : Associate Responsibilities + Conduct quality assurance audits of...Associate Responsibilities + Conduct quality assurance audits of pharmacy claims , vendor files, and operations tickets +… more
- USAA (Colorado Springs, CO)
- …for this position will have the opportunity to support all areas of Claims operations through partnership with decision science analysts and business ... in support of growing the Business Intelligence capability within the P&C Claims Analytics organization.** Analyzes complex business problems and issues using data… more
- Sysco (Houston, TX)
- …of the Casualty Claim Program. **DUTIES AND RESPONSIBILITIES** **:** + Oversight of claims activities for operations in all 50 states and Canada, representing ... over 2,600 open claims with $280 million incurred costs + Serve as...agent, CSC and distributes to appropriate parties **REQUIRED MINIMUM EDUCATION ** : Bachelor's Business Administration Degree- preferred Ongoing continuing… more
- FM (Bellevue, WA)
- …also responsible for identifying legal needs, and with the approval of the Operations Claims Manager also recommends engagement of attorneys where subrogation is ... disputes shall be brought to the attention of the Operations Claims Manager Written for review and...$127,100.The final salary offer will vary based on individual education , skills, and experience. The position is eligible to… more