- Prime Therapeutics (Columbus, OH)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Claims Operations Business Analyst - Remote **Job Description ... Summary** Serves as liaison between departmental team business owners, end users, IT, Claims and...Medicare, requires 3+ years of experience working in Medicare Operations . **Work Experience** Work Experience - Required: Business… more
- Humana (Columbus, OH)
- …caring community and help us put health first** The Senior Pharmacy Claims Operations Professional oversees the business processes and ensures accuracy ... of sale transition adjudicated claims logic. The Senior Pharmacy Claims Operations Professional...**Responsibilities** The Senior Pharmacy Claims Operations Professional analyzes, monitors and enhances business … more
- AIG (Atlanta, GA)
- Senior Lead Analyst Claims Operations...to lead initiatives with diverse scope and addressing complex business problems. It is critical for the Senior ... we help customers to manage risk. Join us as Senior Lead Analyst Claims Operations ...challenges stakeholders experience on an ongoing basis, including their business processes and general work environment. This role will… more
- USAA (Tampa, FL)
- …**The Opportunity** We are currently seeking a dedicated ** Business Process Owner Senior ** that will support Medicare Supplement Claims for USAA Life Company ... Supplement Claims activities and ensure a flawless execution of business -related processes, procedures, oversight and execution of the end-to-end claims … 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 ... **In this role, you will:** + Support fraud and claims functional area by proactively identifying opportunities to improve...well as making sound risk decisions commensurate with the business unit's risk appetite and all risk and compliance… more
- AIG (Jersey City, NJ)
- …products. + Present complex coverage issues and high exposure claims to senior management and internal business partners, while also having the ability to ... Casualty Coverage and Mass Tort Senior Claims Manager At AIG, we...along with potential product changes and enhancements. + Advise claims and business leaders on emerging risks.… more
- AIG (New York, NY)
- …are reimagining the way we help customers to manage risk. Join us as a Senior Complex Claims Director, Financial Lines to play your part in that transformation. ... valued member of the team. Make your mark in Claims Stewardship Our Claims professionals support AIG...a wealth of technical and market knowledge about risks, business practices, and the ever-evolving legal and regulatory environment.… more
- AIG (Atlanta, GA)
- Casualty Coverage and Mass Tort Senior Claims Adjuster At AIG, we are reimagining the way we help customers to manage risk. Join us as a Casualty Coverage and ... Mass Tort Senior Claims Adjuster to play your part...and concerning potential product changes and enhancements. + Advise claims and business leaders on emerging risks.… more
- USAA (San Antonio, TX)
- …a part of what makes us so special! **The Opportunity** We are seeking a dedicated Claims Litigation Case Manager Senior . This position is a hybrid work type and ... and manages existing and emerging risks that stem from business activities and the job role. + Ensures risks...colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts… more
- AIG (Atlanta, GA)
- Claims Analyst Sr. Severity Join us as a Senior Claims Analyst, Severity to grow your experience in Claims . Make your mark in Claims Our Claims ... skills. + 5 years work experience in Commercial Property Claims . + Experience in General Commercial Property, Business...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst Senior Severity to play your part in that transformation. It's an ... valued member of the team. Make your mark in Claims Our Claims teams are the proven... + Experience in Inland Marine, General Commercial Property, Business Interruption, Motor Truck Cargo, Contractors Equipment, Builders Risk,… more
- Wells Fargo (Charlotte, NC)
- …team within Fraud & Claims Management (FCM) as part of Consumer and Small Business Banking Operations (CSBBO). Learn more about the career areas and lines of ... business , business partners, industry forum managers, experienced consultants, and senior management on issues with high, critical impact on the success of… more
- FM (Waltham, MA)
- …property insurance solutions. FM helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and ... Operations in supervising and directing the Runoff Operations claims function and to assist the...per week on either Tuesday or Friday, based on business needs. Up to 5% occasional domestic travel is… more
- Pacific Medical Centers (Seattle, WA)
- …experience in Health Care Business Administration. + 4 years of Managed Care operations , including a minimum of 3 years claims processing experience, in a ... **Description** Adjudicates all claims submitted by outside purchased services for PMC's...Assists in managing the workflow of assigned Line of Business . Acts as primary department resource for at least… more
- Amazon (New York, NY)
- …processes. They are a trusted partner to our external partners and internal business operations and will leverage those trusting relationships to create ... safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company's reputation. Pursuant to the… more
- Cleco (Pineville, LA)
- …journey at Cleco where we're Energizing Your Tomorrow._** The Manager, Insurance and Claims is a senior professional with deep knowledge and understanding of ... and claims resolution processes. The role will require close interaction with business units and risk senior management. The incumbent will also build and… more
- Amazon (Tempe, AZ)
- …safely and respectfully with others, exhibit trustworthiness and professionalism, and safeguard business operations and the Company's reputation. Pursuant to the ... management of moderate and complex bodiliy injury litigated claims . . Work with business units to...business proposals and case studies for presentation to senior leaders. -Work across teams to share ideas, influence… more
- Banner Health (Phoenix, AZ)
- …leadership and direction to ensure cost effective and successful management of liability claims and litigation, including interacting with senior leaders of BH ... teams. Makes recommendations for division annual strategic initiatives and budget; manages operations within approved budget. 8. Collaborate with senior leaders… more
- Providence (NM)
- …for services and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with potential for media ... or facilitate claims roundtables + Assist in Regional CEO Conferences with Senior Manager Operations + Facilitate and participate in case reviews with Risk… more
- HUB International (Brentwood, TN)
- …the organization. **Other Responsibilities:** + Attend and participate in various senior claims management meetings. + Coordinate monthly underwriting/ claims ... best practices and KPIs; as well as managing daily workflow and handling of all claims within the units. The Assistant Vice President/ Senior Manager must be able… more