- Usaa (Chesapeake, VA)
- …adjust claims . Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, ... of liability, setting and managing services throughout life of the claim while providing excellent service. Within defined guidelines and framework, you… more
- Usaa (Phoenix, AZ)
- …special and impactful. The Opportunity Accountable for auto, property and/or other claims teams to deliver operational business results at scale. Responsible for ... multiple operational areas. Sets operational goals and measures to achieve overall claims targets. Designs and implements claims strategies supporting enterprise… more
- Usaa (Los Angeles, CA)
- … claim damages including communicating with the insured, internal claims adjusters, and third parties/vendors. May require face-to-face interactions with members ... to Special Investigations Unit for handling, if applicable. Maintain accurate and current claim file documentation throughout the claims process for complex … more
- Usaa (Charlotte, NC)
- …Special Investigation Unit (SIU) referrals, when appropriate. Maintains accurate and current claim file documentation throughout the claims process for low ... and appraise low complexity (drivable, material loss, auto physical damage) auto claims in accordance with the terms and conditions of the contract, corporate… more
- Usaa (Colorado Springs, CO)
- …various 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
- Unknown (San Antonio, TX)
- …regulations.andlt;/pandgt; andlt;pandgt;Key responsibilities include managing the billing operations , accounts receivable, and collections processes. The ideal ... collaborate with other departments, and ensure the accurate processing of claims and payments.andlt;/pandgt; andlt;pandgt;The position demands a high level of… more
- Alameda Health System (Oakland, CA)
- …Their responsibilities span from managing admissions to ensuring clean claims , identifying trends, and optimizing resource utilization. This role supports ... and procedures, and service standards for the utilization management operations . Evaluate utilization reviews and determine program improvements. Develop and… more
- AIG (Atlanta, GA)
- …Policies, US based adjuster licensing process and leading efforts on various Global Claim initiatives. You will have oversight of Claims Compliance activities ... working in close collaboration with the Technical Business lines, Operations and Claim Legal. + Align and...Key Stakeholders and business partners, develop and maintain Global Claim policies, standards, and controls ensuring Claims … more
- Ryder System (Augusta, ME)
- …claims within Ryder's self-insured, self-administered liability program. Oversees claim -handling processes performed by a professional staff. Handles complex ... safety managers, customers, insurance carriers, and third party claimants. Participates in large claim review calls and updates field operations personnel on … more
- Travelers Insurance Company (West Bridgewater, MA)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- AIG (Atlanta, GA)
- …will also be responsible for adjusting a selection of the department's most complex claims , and collaborate with NA Aerospace Claim leaders, Global and NA ... Make your mark in Aerospace Claims Our Claims teams are the...aviation clients. How you will create an impact The Claim Manager - General Aviation is a key leadership… more
- Travelers Insurance Company (Salem, OR)
- …experience. + 5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment determining ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly...of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations… more
- Boston Mutual Life Insurance (Canton, MA)
- …and Accident Claims . This includes setting strategic direction, managing claims operations and ensuring regulatory compliance and an exceptional customer ... President of Customer Experience. This role will also manage our external claims partners. ** Claim Processing** : + Directs and oversees the handling of all… more
- AIG (Lenexa, KS)
- …What you'll need to succeed + Proven claim adjudication or claim operations experience for multi-line commercial claims . Claim Audit or file review ... valued member of the team. Make your mark in Claims . Our Claims teams are the proven...individual with working knowledge of commercial or personal line claim operations for the purpose of conducting… 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...case management, and a minimum of 3 years of claims leadership experience. + Show the proven ability to… more
- AIG (Atlanta, GA)
- … by investigating and gathering information to determine the exposure on the claim ; ensure proactive claims handling aimed at the prompt and cost-effective ... claim experience. + Experience resolving moderate severity injury claims and ability to evaluate complex coverage scenarios. +...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- CVS Health (Tallahassee, FL)
- …Claim Field Analyst** works with the grievance and appeal and claims operations department to trend provider claim issues or concerns that could be ... non-participating providers. Additionally, they will assist in creating bulletins, newsletters, and claim trainings to improve provider claims issues. as well as… more
- Molina Healthcare (Buffalo, NY)
- …7am-3:30pm PST M-F** **Job Summary** Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, focal, audit the ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- Prime Healthcare (Ontario, CA)
- … and Claims is responsible for the development and execution of Claim Operations strategies, end-to-end Claim process automation, optimization and ... and Operating Models, Long Term Business Objectives, Healthcare Payers, Claim Operations Strategies, Claim Process...(7) to ten (10) years prior work experience in Claims Operations and Health Plan Strategy, in… more
- AIG (Atlanta, GA)
- …Claim Supplier Management, the role will be responsible for the management of the Claims Law Firm and Claim Vendor function for AIG North America business. ... the team's standard operating process. + Lead discussions with Claim leadership to develop Claims Law Firm...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
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