- Marriott (Costa Mesa, CA)
- …Full-Time **Located Remotely?** N **Relocation?** N **Position Type** Management **JOB SUMMARY** A Claims Adjuster II is responsible for the timely, good faith ... and complexity of Worker's Compensation and General Liability cases as determined by Claims Unit Manager .) **Expected Contributions** + Investigate claims … more
- Marriott (Costa Mesa, CA)
- …team, and **become** the best version of you. **Job Description** **JOB SUMMARY** A Claims Adjuster II is responsible for the timely, good faith adjustment and ... the jurisdiction(s), mix and complexity of General Liability cases as determined by Claims Unit Manager . **Expected Contributions** + Investigate claims … more
- JB Hunt Transport (Lowell, AR)
- …document incidents involving damages up to $20,000 (greater than $20,000 with manager approval/discretion). Manage claims made under our auto liability, general ... Maintain a suspense system to ensure regular review of case files. Monitor case files daily to...Bachelors: Law **Work Experience:** Legal **Job Opening ID:** 00560457 Claims Examiner II (Open) JB Hunt Transport,… more
- Elevance Health (Chicago, IL)
- **Anticipated End Date:** 2024-09-09 **Position Title:** "Telephonic" Nurse Case Manager II **Job Description:** **"Telephonic" Nurse Case Manager ... of receipt and meet the criteria._** The **"Telephonic" Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires a… more
- Elevance Health (Indianapolis, IN)
- **Anticipated End Date:** 2024-09-11 **Position Title:** Nurse Case Manager II **Job Description:** **Telephonic Nurse Case Manager II ** ... - Friday 8:30am to 5:00pm EST** The **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Louisville, KY)
- **Anticipated End Date:** 2024-09-06 **Position Title:** Nurse Case Manager II **Job Description:** **Location:** Virtual; Eastern and Central time zone ... per month required 11:30am - 8:00pm ET The **Nurse Case Manager II ** is responsible...treatment plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Elevance Health (Indianapolis, IN)
- **Anticipated End Date:** 2024-09-19 **Position Title:** RN Transplant Case Manager II (Telephonic) **Job Description:** **LOCATION** **: This is a remote ... hours, 8:30 am - 5:00 pm.** **The Transplant Nurse II ** is responsible for providing case management...and managed care products preferred. + Certification as a Case Manager is preferred. + Previous work… more
- Sutter Health (Burlingame, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- Elevance Health (Denver, CO)
- …Title:** Nurse Case Mgr II (US) **Job Description:** **Telephonic Nurse Case Manager II ** Elevance Health supports a hybrid workplace model with ... 10:30 - 7 pm CST. The Telephonic **Telephonic Nurse Case Manager II ** is responsible...as applicable. + Assists in problem solving with providers, claims , or service issues. + Assists with the development… more
- Elevance Health (Iselin, NJ)
- **Anticipated End Date:** **Position Title:** Nurse Case Mgr II (US) **Job Description:** **Location:** This is a virtual position. **Schedule:** Monday-Thursday ... rates of reimbursement, as applicable. Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more
- City of New York (New York, NY)
- … who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II ) involved in Claims processing. - Monitor and distribute cases in ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...of actions for potential SNAP benefit overpayments on agency case actions from all CA and SNAP sites from… more
- First Student (OH)
- …of TPA personnel and oversight of management of approved vendors. + Ensure the claims assigned to this manager are adequately reserved at all times, that ... brands include Transco, Total Transportation, Maggies Paratransit, and GVC II . Our employees are at the forefront of safety...in submitting information necessary to take liability or subrogation claims forward. The manager may also be… more
- State of Massachusetts (Boston, MA)
- …deliver program integrity. *What you'd do:* Lead Claims Examiner/Job Service Representative II , who reports to the Senior Manager of Benefit Operations & ... *Lead Claims Examiner/Job Service Representative II | Department...Job Service-Representative I's on fact-finding and the resolution of case issues. Interpret and explain relevant laws, regulations, policies… more
- Santa Clara Valley Water District (CA)
- …be administered by this Senior Management Analyst, with support from a Management Analyst II , and oversight by the Grants Unit Manager . Senior Management Analyst ... Grants Senior Management Analyst/ Analyst II (Two Positions) Print (https://www.governmentjobs.com/careers/scvwd/jobs/newprint/4646038) Apply Grants Senior… more
- City of New York (New York, NY)
- …cases with SNAP recoupments. SNAP-CR is recruiting for four (4) Eligibility Specialists level II to function as a Claims Review Specialist, who will: - Review, ... enhanced by the addition of the Supplemental Nutrition Assistance Program- Claims and Recovery (SNAP-CR). SNAP-CR establishes SNAP claims...of actions for potential SNAP benefit overpayments on agency case actions from all CA and SNAP sites from… more
- Sutter Health (San Francisco, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- Sutter Health (Modesto, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- LA Care Health Plan (Los Angeles, CA)
- …Worker; current and unrestricted California License. Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... Care Management Specialist II Job Category: Clinical Department: Care Management Location:...skills and judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and… more
- LA Care Health Plan (Los Angeles, CA)
- …Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical Requirements Light ... to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service… more
- Marriott Vacations Worldwide (Orlando, FL)
- …established Service Level Agreement (SLA) levels for resolution. The HR Generalist II , Associate Services, reports to the Manager , Leave Administration. Follows ... Position Summary The HR Generalist II , Leave Administration (HR Generalist), is responsible for...Leverages company policies to respond to inquiries by phone, case /e-mail, and in-person. All inquiries are to be documented… more
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