- USAA (Phoenix, AZ)
- …and impactful. The Opportunity It is all about learning and growing. Our Customer Service Claims Representative role may be a new career for you. There's a lot to ... Norterra Drive, Phoenix, AZ 85085) as a Customer Service Claims Representative. You will be part of an outstanding...Notice of Loss by obtaining relevant information for effective claim investigation. Set up appropriate services, as needed, to… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …of 340B PHS chargebacks and MFP rebates Ensure timely receipt of claim -level data, transmission of payment elements, and submission of required information such ... the MTF Data Module ("MTF DM") Contractor of any system changes that may impact connectivity Update CMS with...Information within 30 calendar days of such changes Access claim -level data elements through the MTF DM and maintain… more
- MCKESSON (Pensacola, FL)
- …tomorrow's health today, we want to hear from you. The Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting ... reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer… more
- Saisystems International (Bridgeport, CT)
- …features. Ensure smooth integrations with EHRs, clearinghouses, payer portals and practice management systems . Monitor KPIs such as claim rejection rate, days in ... RCM Product Manager - Digital Health If your skills, experience,...Saisystems International's Digital Health team as an RCM Product Manager . You will lead strategy and delivery for revenue… more
- Linn T. Hodge & Sons (Scottsdale, AZ)
- Hodge Insurance Senior Account Manager (CSR) Linn T. Hodge & Sons Insurance6928 E 5th Ave, Scottsdale, AZ 85251 Account Manager / Customer Service Representative ... -Insurance Agent About the Position: A Personal Lines or Commercial Lines Account Manager (CSR) is responsible for servicing the insurance needs of our Personal… more
- PedIM Healthcare (Crystal River, FL)
- …Supportive and collaborative work environment. Responsibilities: Review and process medical claims for accuracy and completeness. Verify patient billing data and ... resolve any discrepancies. Generate and submit insurance claims to payers promptly. Follow up on unpaid or denied claims and handle appeals as needed. Work with… more
- USAA (Colorado Springs, CO)
- …systems to collect and analyze data. What sets you apart: P&C Litigation Claims Operations and/or Optimization experience. 2+ years Manager , Claims ... assistance is not available for this position. These positions will support Claims Litigations. What you'll do: Develop and implement strategic customer specific… more
- Cipla (Hauppauge, NY)
- …FDA, EMA) and industry standards, including proper labeling, dosage information, and claim . Maintain and organize a comprehensive archive of approved artwork files ... of dispensed printed packaging materials and samples into SAP system (ERP system ) and to perform other...of compliance and per GMP requirement. Report, escalate to Manager quality assurance about daily shop floor activities and… more
- Christus Health (Albuquerque, NM)
- …POSITION SUMMARY: Responsible for performing billing, collections and reimbursement services of claims and duties of the hospital business office. In doing so, ... ensures that all claims billed and collected meet all government-mandated procedures for...other computer applications related to the work (document imaging systems , Organizational Share Point, Revenue Cycle systems )… more
- Zoltek-Toray Group (St. Louis, MO)
- …Senior HR Generalist Classification: Exempt / Full Time Reports To: US HR Manager Location: Corporate Headquarters - Bridgeton, MO Date: November 5, 2025 Job Summary ... mentoring, and developing employees. Identify risks and challenges to the employee/ manager relationship. Recommend and develop training to meet employee needs and… more
- Endeavor Health (Skokie, IL)
- …based on department standards. Identifies trends in coding issues and works with manager to educate and implement solutions. Work follow-up work queues with the ... apply coding and billing guidelines for resubmission to obtain final adjudication of claim . Use coding resources (NCCI manual, LCD's payor bulletins) to assist with… more
- Unknown (Lansdowne, VA)
- …Human Resources, the VPAO will work closely with the Operations & People Care Manager to manage employee healthcare benefits, annual renewals, and complex claims ... Form 990 preparation, as well as managing the corporate credit card and expense reporting system . Overall, the VPAO role at The client in Lansdowne, VA is a key… more
- Ryder System (Augusta, ME)
- …coaching, education, audits, file reviews and performance appraisals of assigned staff. Assists Claim Manager with other staff as directed Assists in team ... leadership role when appropriate or if the Claim Manager is not available. Participates with Claim Manager in the selection and management of outside… more
- Walmart (Bentonville, AR)
- …Compensation or General Liability claims is responsible for overseeing multiple claims manager teams and driving performance across a multi-jurisdictional ... improved claim outcomes. **Strategic Planning & Execution** - Implement claims strategies and key initiatives that drive operational excellence, reduces claim… more
- Travelers Insurance Company (Downers Grove, IL)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provide quality claim handling throughout the claim ... facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel....records and damages documentation. + Keeps effective diary management system to ensure that all claims are… more
- Travelers Insurance Company (Las Vegas, NV)
- …negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel...for adherence to quality standards. + Utilizes diary management system to ensure that all claims are… more
- Travelers Insurance Company (Rancho Cordova, CA)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel...quality standards and trend analysis. + Utilizes diary management system to ensure that all claims are… more
- Travelers Insurance Company (Salem, OR)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... appropriate records and damages documentation. + Utilize diary management system to ensure that all claims are...by field severity management. + COMMUNICATION/INFLUENCE: + Consult with Manager on use of Claim Coverage Counsel… more
- Travelers Insurance Company (Calabasas, CA)
- …claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim resolution for personal or business claims of moderate ... in accordance with the Knowledge Guides. + Maintains diary system , capturing all required data and documents claim...claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts,… more
- Alight (NJ)
- …you a successful leader who is experienced in leading a team of claims professionals? Seeking an experienced team leader skilled in delivering subject matter ... of leave and disability managers with varying degrees of claim handling skills. This role will leverage expertise to...oversee work across both Alight's and the client's payroll systems for a premier Fortune 100 client. **Responsibilities** +… more
