- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Complex Claim Director - AL/GL Field Claims to play your part in that ... member of the team. Make your mark in Casualty Claims Our Claims teams are the proven...+ Effectively strategize and budget the litigation of each claim through discussions with counsel, vendors and insureds. Establish… more
- Sharp HealthCare (San Diego, CA)
- …clinical practice of medicine. + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons License - Medical Board of CA ... **Shift End Time** Doctor of Osteopathic Medicine (DO); California Physicians and Surgeons License - Medical Board of CA; Doctor of Medicine (MD) **Hours** **:**… more
- AIG (Parsippany, NJ)
- …practices, and the ever-evolving legal and regulatory environment. About the role Complex Claim Director -Western World The Complex Claims Director ... highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. AIG manages claims...pretrial and post-trial + New York and/or Texas adjuster license strongly preferred + Motivated individuals who are interested… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- CVS Health (Albany, NY)
- …have a NJ License without encumbrances or the ability to obtain a NJ License . In the Medical Director role you will provide oversight for medical policy ... timely and consistent responses to members and providers. As a Medical Director you will focus primarily on overseeing utilization review / quality assurance… more
- AON (Fort Wayne, IN)
- …look like As a Claims Litigation Analyst, you will report directly to the Claims Manager and/or Claims Director working in the challenging and rewarding ... involvement + Demonstrate an awareness of jurisdictional nuances impacting claim evaluation and keeps abreast of legislation and court... Litigation Analyst, you will report directly to the Claims Manager and/or Claims Director … more
- Acosta Group (Charlotte, NC)
- …property and casualty risk management programs with an emphasis on Workers' Compensation claims . In addition to providing technical claim support and monitoring ... **DESCRIPTION** The Sr. Casualty Risk Analyst will assist the Director of Risk Management in the implementation of the...management and business units. + Provide new locations with claims packets for claim reporting, while continuing… more
- Topgolf (Dallas, TX)
- **Job Responsibilities** + Manages workers' compensation and general liability (guest) claims from inception to resolution; indirectly supervising the assigned 3rd ... party administrator, partnering with the broker claims consultant, and oversight of outside counsel. Manages large...material exposures or recoveries are properly accounted for. Supports Director of Risk Management with reporting and analysis for… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims ... claims management, coding rules and guidelines, and evaluating/analyzing claim outcome results for accurate industry standard coding logic and policies… more
- Crawford & Company (Phoenix, AZ)
- … adjusters and other staff and oversee the analysis, review and validation of claims under the direction of the Managing Director . Ensures processes and ... years of experience as an Adjuster, Adjuster in Charge, Claims Supervisor or Claims Manager. + Previous...+ Must have or secure and maintain the appropriate license (s) as required by the state(s) at the adjuster/supervisory/management… more
- Martin's Point Health Care (Portland, ME)
- …2015. Position Summary Job Description Position Summary: Under the supervision of the Director of Health Plan Operations, the Claims Auditor II will perform ... Martin's Point, either verbally or through written communications, regarding questions related to claims , claims audits or other matters directed to the Audit… more
- USAA (San Antonio, TX)
- …or progressive experience in complex litigation. + 2 years customer contact experience. + Claims adjusters license in assigned state or ability to obtain ... makes us so special! **The Opportunity** As a dedicated Claims Litigation Manager Senior, you will be responsible for...and policies. + May serve as assistant to the Director of Litigation Operations and assigned to work on… more
- Crawford & Company (Atlanta, GA)
- …We Touch Position Summary Under the direction of the SVP-National Claim Operations, assures satisfactory profit margins and long-term growth consistent with ... ensure maintenance and growth of revenue. Responsibilities + Managing Director over Vehicle Services and Heavy Equipment + Familar...Appraisal Under the Policy + Familiar with Diminished Value claims + Managing a National Client Base + Directs… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …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 ... Services provides industry-first resources designed to detect and deter fraudulent claims . Using some of the most comprehensive technology available, we have… more
- Commonwealth of Pennsylvania (PA)
- Director of Farm Viability and Natural Resource Division (Conservation Program Manager) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4727556) ... Apply Director of Farm Viability and Natural Resource Division (Conservation...position also requires a valid PA Class C Driver's License . + You must meet the PA residency requirement… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Summary The Risk Director assesses, plans, implements, and directs the Risk Management activities of the organization. The Risk Director works collaboratively ... (including information technology), and facilities or grounds/property risks. The Risk Director must be familiar with all state and federal compliance regulations… more
- Fairview Health Services (St. Paul, MN)
- **Overview** The Director of Revenue Cycle provides leadership and accountability for operational excellence of one or more of the major functions within Revenue ... Cycle. The Director of Revenue Cycle will implement effective strategies to...technology that results in leading practice clean and compliant claim creation. Leads employees and influences stakeholders to follow… more
- Fallon Health (Springfield, MA)
- …the Site Director . Oversees the timely and accurate processing of claims , data collection and reporting including those related to the Electronic Medical Record ... **Brief summary of purpose:** Works closely with SE Site Director to provide day to day oversight of PACE...PACE site. + Oversees the timely processing of all claims and invoices and referrals, ensuring all external appointments… more
- CVS Health (Hartford, CT)
- …Medical Director include support of the appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the ... Health company has an outstanding opportunity for a Medical Director . Ready to take your career to the next...Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but… more
- Montana State University (Bozeman, MT)
- …position, please contact: Jovanka Voyich ###@montana.edu ### Classification Title Managing Director Working Title Associate Director Montana Medical Laboratory ... Scientist (MMLS) Program Brief Position Overview The MMLS Associate Director will play an integral part in all aspects...laboratories across Montana. + Must possess a valid driver's license , an acceptable driving record, and meet all State… more