• Senior Claims Representative…

    Ryder System (Columbus, OH)
    …Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Summary** The Senior Claims Representative handles complex and mid-to-high ... being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact Ryder… more
    Ryder System (11/02/24)
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  • Sr. Professional Liability Medical Claims

    Providence (WA)
    …statements for services and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with potential for ... them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, Evaluate, and... roundtables + Assist in Regional CEO Conferences with Senior Manager Operations + Facilitate and participate… more
    Providence (10/05/24)
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  • Fraud & Claims Operations Senior

    Wells Fargo (Chandler, AZ)
    **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Senior Manager in Consumer & Small Business Banking providing coverage for the ... Claims Assistance Center within CSBB Operations. Learn more about...+ Ability to provide leadership to a virtual or remote team + Knowledge and understanding of operations support… more
    Wells Fargo (10/30/24)
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  • Senior Product Manager

    Highmark Health (Pittsburgh, PA)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Senior Product Manager , Claims will define the product strategy, vision, and value ... proposition of Highmark's claims ' platforms for our customers - employers & members....MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote -based Teaches / trains others Occasionally Travel from the… more
    Highmark Health (10/10/24)
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  • Senior Homeowner Liability Desk…

    American Family Insurance - Corporate (Madison, WI)
    …property liability claims . You will report to an Adjusting Services Manager . Position Compensation Range: Pay Rate Type: Salary _Compensation may vary based on ... This a Senior level role that Investigates and maintains complex... level role that Investigates and maintains complex property/casualty claims . You will determine liability, secure information, review coverages,… more
    American Family Insurance - Corporate (09/07/24)
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  • Assistant Claims Manager , Runoff…

    FM (Waltham, MA)
    …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 ... claims function. It also supports the Runoff Operations manager by ensuring that the claims handling...Waltham, MA. This position may be eligible for one remote day per week on either Tuesday or Friday,… more
    FM (11/03/24)
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  • Claims Crop Field Adjuster II

    Zurich NA (Topeka, KS)
    …assurance + Assist managers in assignment of work and ability to serve as an interim manager in Area Claims Manager 's absence. Individuals in this role are ... assist with workload(s), participate on CAT team and/or provide remote assistance for the CROP Claims Care...work outdoors in varying temperatures/weather conditions OR Crop CAT Senior Claims Specialist Basic Qualifications: + High… more
    Zurich NA (10/10/24)
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  • Senior Payments Manager , Fraud…

    McAfee, Inc. (San Jose, CA)
    **_Job Title:_** Senior Payments Manager , Fraud and Disputes - Remote **_Role Overview:_** The Senior Payments Manager , Fraud and Disputes with the ... This role is based in the US as a remote position. We will only consider candidates currently in...areas for improvement to reduce first-party misuse and fraud claims . Manage multiple projects focused on preventing disputes and… more
    McAfee, Inc. (10/22/24)
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  • Claims Specialist - Primary Casualty

    Axis (Red Bank, NJ)
    …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim reserves and make referrals ... to senior members of the team where necessary * Obtain...relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage… more
    Axis (10/16/24)
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  • Senior Manager , Supply Chain Legal…

    RTX Corporation (Tewksbury, MA)
    …that create a safer, more secure world. We have an exciting opportunity for a Senior Manager , Supply Chain (SC) Legal Advisor, who will report to the Associate ... 2024-10-30 Country: United States of America Location: RCO99: RTN Remote , Colorado Position Role Type: Remote At...Review and advise SC on performance issues such as claims and insolvency. + Assist the organization in writing… more
    RTX Corporation (11/05/24)
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  • Senior Contracts Manager - DoD…

    First Division Consulting (Burke, VA)
    REMOTE (DC/Virginia/Maryland area preferred) FirstDiv is seeking a highly experienced Senior Contracts Manager specializing in Department of Defense (DoD) ... contracts to join our dynamic, growing team. As a Senior Contracts Manager , you will oversee contract...the resolution of contract issues, including pricing disputes and claims , while working closely with internal and external stakeholders.… more
    First Division Consulting (10/10/24)
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  • Commercial Claim Desk Senior Adjuster…

    American Family Insurance - Corporate (Phoenix, AZ)
    In this senior -level role, you investigate and maintain complex or highly complex property/casualty claims . You determine liability, secure information, review ... coverages, arrange appraisals, and settle claims . You may specialize in liability (bodily injury, property)...garage keepers. You will report to an adjusting services manager . Position Compensation Range: Pay Rate Type: Salary _Compensation… more
    American Family Insurance - Corporate (10/29/24)
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  • Senior Application Technician - P & C…

    DXC Technology (Columbia, SC)
    …we deliver excellence for our customers and colleagues at DXC.com. This role is for a Senior Technician to join our Assure Claims Delivery team with the goal of ... Superior communication skills are a must. Property & Casualty Insurance background, particularly claims , would be a plus. Occasional travel to client sites in the… more
    DXC Technology (11/02/24)
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  • Senior Applications Systems Analyst,…

    Dartmouth Health (Lebanon, NH)
    …Epic Business Systems, Hospital Billing Team At the direction of the Manager , work collaboratively with all departments, and function independently in defining, ... of other information system initiatives within all billing operations. Works with Manager to develop work plans, and assists in recruitment, technical development… more
    Dartmouth Health (11/01/24)
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  • Senior Business Analyst- Growing Health…

    Fallon Health (Worcester, MA)
    …purpose:** As a member of the Enterprise Project Management Office team, the Senior Business Analyst is responsible for the documentation of Business requirements at ... fast-paced environment. Many of systems rely on core business functions (ex. claims processing, provider contracting, network management) and a complex ecosystem, so… more
    Fallon Health (08/28/24)
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  • Medicare Appeals Processing Senior

    The Cigna Group (Bloomfield, CT)
    …Proactively communicates with appellants, leadership team, providers and the original case manager to resolve investigation issues and to ensure the appeal is ... and peers. . + Understand and investigate billing issues, claims and other plan benefit information. + Additional duties...Prefer background as a medical assistant or prior Medicare Claims experience + 2+ years' experience in Medicare Advantage… more
    The Cigna Group (11/04/24)
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  • Senior Manager , Product Operations

    HealthEdge Software Inc (Columbus, OH)
    **Overview** ** Senior Manager , Product Operation** **Position Overview:** We areseekinga highly skilled and experiencedSenior Manager , ProductOperationsto ... business. Our product teams are cross-functional and durable,generally comprisedof a product manager , a product designer, several engineers, and QE. We have divided… more
    HealthEdge Software Inc (09/21/24)
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  • Senior Pharmacy Revenue Reconciliation…

    Centene Corporation (Tallahassee, FL)
    …reimbursement and benefit verification between finance and operations. Ensures timely claims submissions, accurate reporting, process improvement and the ability to ... and training other associates and provides direct support the Senior Leadership Team. + Builds cross functional teams and...the verification and collection of extremenly high dollar medication claims + Acts as a Lead in various committees… more
    Centene Corporation (11/03/24)
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  • Senior Account Manager (Network…

    Integra Partners (Troy, MI)
    About the Position Integra Partners is looking for a Senior Account Manager for our Network Expansion team. This role is a blend of strategic account management, ... improve the performance of providers + Work closely with claims , customer service, and our sales teams to drive...+ Health and wellness programs + Career development opportunities Remote Opportunities We are actively seeking new colleagues in:… more
    Integra Partners (10/10/24)
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  • Senior Manager - DHH Revenue…

    Dartmouth Health (Lebanon, NH)
    Overview Reporting to the System Director of Compliance, the Senior Manager of Revenue Compliance develops and deploys strategies to mitigate organizational risk ... related to the submission of claims for reimbursement by state, federal and private payers. The Senior Manager of Revenue Compliance partners closely with… more
    Dartmouth Health (10/15/24)
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