- Elite Staffing Inc. (Cary, NC)
- Case Manager Responsible for providing telephonic patient counseling, nursing intervention with some support to physicians and coordination and delivery of ... background Key Responsibilities: Process and perform adjudication of specialty pharmacy claims through point of sale functions. Manage assigned queues keeping… more
- Schaeffler Group (Wooster, OH)
- …business division and derivation of independently give recommendations for action in case of deviation and drive improvement measures Management of process and tool ... to the accounting team on divisional impacts (eg pricing/rebate accruals, warranty claims , IC billing of project cost, evaluation of other financial proceedings,… more
- The Travelers Companies, Inc. (Madison, WI)
- …Unit and/or Subrogation Unit.Identifies and refers claims with Major Case Unit exposure to the manager .Performs administrative functions such as ... this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim… more
- BELFOR Property Restoration (Birmingham, MI)
- …within the BELFOR HR department. This role works regularly with the Benefits Manager , Head of HR, HR team, and various department, general, and regional managers ... The Leave of Absence & Benefits Specialist is responsible for the day-to-day case management of employees on various leaves of absences and assisting with Benefits… more
- Creative Financial Staffing (Shelton, CT)
- …state, federal and partner ownership filings. The position will also assist the Manager of Financial Services in filings and management of property taxes for local ... legal contracts for compliance with insurance policies and managing insurance claims including documentation, claim preparation, interfacing with outside council and… more
- Mindlance (Columbia, SC)
- …. RN / Registered Nurse License . Chronic condition care . Case Management Job Responsibilities Reviews and evaluates medical or behavioral eligibility regarding ... or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to… more
- City of Healdsburg (Healdsburg, CA)
- …City standards, pertinent laws, codes and regulations.* Serve as project manager for the construction of capital projects including inspection, contract ... administration, project budget and claims avoidance; assist with the selection and oversight of...physical disability will be considered for accommodation on a case -by- case basis.* Possession of a valid Registration… more
- Northeast Georgia Health System, Inc (Braselton, GA)
- …communities. About the Role:Job SummaryUnder the supervision of the Utilization Review Manager , this position is responsible for ensuring the delivery of outstanding ... of the pre-certification process.Works in conjunction with Physician offices, Case Management, Utilization Review, and patients to obtain supporting clinical… more
- Guardian Life (Columbus, OH)
- **Position Summary** The Group Life Claims Case Manager will spend 6-8 weeks in eligibility training followed by at least 3 months of reviewing live ... eligibility claims while being mentored. The Group Life Claims Case Manager then begins to build an active claim caseload while being mentored on benefit… more
- Guardian Life (Bethlehem, PA)
- LTD Claims Case Manager I The Long Term Disability (LTD) Claims Case Manager is responsible for making accurate decisions on assigned claims ... return to work efforts when the capability and opportunity exist. The LTD Claims Case Manager can be located in multiple locations including Bethlehem, PA;… more
- USAA (San Antonio, TX)
- …We are hiring for multiple positions! **The Opportunity** We are seeking a dedicated Claims Litigation Case Manager Senior. This position is a hybrid ... resource for colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison with… more
- Walmart (Bentonville, AR)
- …denial of the claim; and reserving file for payments that exceed authority for manager and serious case review. + Minimizes legal exposure by securing services ... in the claim/image management system. + Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of… more
- Veterans Benefits Administration (IN)
- …for salary rates with locality for your location. Position Description/PD#: Veterans Claims Examiner (Education Case Manager ); 06266A Relocation/Recruitment ... Summary The Education Case Manager (ECM) in the Education...entitled to under the laws administered by VA. The claims adjudicated are some of the most difficult and… more
- USAA (Colorado Springs, CO)
- …liability and questionable coverage issues. + Applies intermediate knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison ... negotiation, settlement, and trial decisions. + Represents USAA at mediations, case conferences, and/or trials. + Reviews, audits, and approves legal fees… more
- Baystate Health (Springfield, MA)
- …Summary Description: Workers' Compensation & Return to Work (RTW) Case Manager will manage workers' compensation claims across all Baystate Health entities. ... for a full time Workers Compensation, Return to Work Case Manager to join our team in...in regard to workers' compensation 2) Manage workers' compensation claims from start to finish, including reporting, investigating, and… more
- The Hartford (San Antonio, TX)
- Medical Case Manager - CT08GE We're determined...The ideal candidate for the Nurse Case Manager role will oversee Workers' Compensation claims ... as we help shape the future. + As Nurse Case Manager , we seek to improve on...This individual will have the opportunity to collaborate with claims staff, the injured worker, an employer, and other… more
- Travelers Insurance Company (St. Paul, MN)
- … claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate ... through the best possible outcome + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the delivery of medical services… more
- Travelers Insurance Company (Alpharetta, GA)
- … claims . Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate ... Openings** 1 **What Is the Opportunity?** Manage Workers' Compensation claims with lost time to conclusion and negotiate settlements...outcome. + Collaborate with our internal nurse resources (Medical Case Manager ) in order to integrate the… more
- USAA (Tampa, FL)
- …out litigation and trial strategies with their teams to drive outcomes for each litigated case in accordance with the overall Claims Litigation Strategy and P&C ... makes us so special! **The Opportunity** As a dedicated Manager , Litigation Operations you will lead a team of..., Litigation Operations you will lead a team of Claims Litigation Managers and Senior Litigation Managers. This team… more
- Providence (ID)
- …we must empower them.** **Providence is calling a Sr. Medical Malpractice Claims Manager - Professional Liability who will:** **Investigate, Evaluate, and ... take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims ...roundtables + Assist in Regional CEO Conferences with Senior Manager Operations + Facilitate and participate in case… more
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