- Centene Corporation (Austin, TX)
- …Serve as the claims payment expert for the Plan and as a liaison between the plan, claims , and various departments to effectively identify and resolve ... claims issues. Act as the subject matter expert for other Claims Liaisons. + Analyze trends in claims processing issues and identify work process solutions +… more
- Trustmark (Columbus, OH)
- …improvement and innovation within the claims organization. + Works with Claims Compliance Liaison to ensure correct interpretation of new statutory and ... the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization. Ensures claims are processed in a timely manner… more
- Healthfirst (FL)
- …used in claims configuration to drive application of medical policy and accurate claims payment. + Liaison with applicable departments to gather claims ... + Assist in the on-going evaluation of configuration for new and existing claims business rules including member benefits, claims editing, reference data and… more
- Aerotek (Tempe, AZ)
- …calls regarding new and existing workers' compensation claims . + Intake new claims and act as liaison between employee and Third-Party Administrator (TPA). + ... with facilitating post-accident drug testing. + Assist adjuster in investigation of claims by gathering and forwarding information needed to analyze liability and… more
- Zurich NA (Overland Park, KS)
- …complexity type and jurisdiction. You will act as a resource for the GL claims team and serve as a liaison for GL Claims and the Claims Operation. **Key ... compliance with jurisdictional license requirements. + Act as a resource for GL claims teams and serve as liaison for GL Claims and Claims Operations. +… more
- AIG (Los Angeles, CA)
- …information to take full advantage of medical management programs. + Act as liaison with clients, claims staff, client engagement and underwriting in provider ... manage risk. Join us as a Pre-Injury Consultant - Claims to play your part in that transformation. It's...valued member of the team. Make your mark in Claims Stewardship Our Claims teams are the… more
- AIG (New York, NY)
- …partners and being an integral part of the sales process. + Acting as chief liaison between AIG Claims and insured, broker, TPA, and AIG partners including UW, ... help customers to manage risk. Join us as a Claims Client Service Manager to play your part in...valued member of the team. Make your mark in Claims Our Claims teams are the proven… more
- Insight Global (Glen Allen, VA)
- …associate will be the primary contact point for all vendor relations, acting as liaison between the claims department and external vendors. This position will ... Job Description The Claims Vendor Operations Analyst, with limited supervision, is...issues, and other responsibilities as requested by management. The Claims Vendor Operations Analyst will assist the claims… more
- HUB International (Downers Grove, IL)
- …coverages, and appropriate/available risk management/control solutions. + Work with the client as claims liaison as needed on day to day issues that may ... arise and be able to prepare and coordinate claims review with client, producer and markets. + Establish...stewardship reports, delivery of risk control services, carrier meetings, claims reviews, preparation of coverage outlines, and marketing of… more
- HUB International (Denver, CO)
- …coverages, and appropriate/available risk management/control solutions. + Work with the client as claims liaison as needed on day-to-day issues that may arise, ... and be able to prepare and coordinate claims review with client, Sales Executive, and markets. +...stewardship reports, delivery of risk control services, carrier meetings, claims reviews, preparation of coverage outlines, and marketing of… more
- Valvoline Global (Lexington, KY)
- …claimants, and/or policyholders regarding claims and/or disputes. Records and analyzes claims . + Serves as the liaison between the Legal team and ... or concerns and will present an in-depth knowledge of employment law and claims management. Valvoline Global Operations Headquarters is located in Lexington, KY. If… more
- AIG (Lenexa, KS)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner IV, Accident & Health to play your part in that transformation. It's an ... the team. Make your mark in Accident and Health Claims Our Claims teams are the proven...to read and interpret insurance policies and act as liaison with Underwriting as well as regular interaction with… more
- Martin's Point Health Care (Portland, ME)
- …Summary: Under the supervision of the Director of Health Plan Operations, the Claims Auditor II will perform the following job functions: + Audit Development and ... II will range from basic to complex. + Interdepartmental Liaison : The Auditor II will be responsible for supporting...verbally or through written communications, regarding questions related to claims , claims audits or other matters directed… 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 ... Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration… more
- The Cigna Group (Bloomfield, CT)
- …Lives?** EviCore, a line of business within The Cigna Group, is hiring a Claims System Configuration Lead Analyst. This **highly technical systems** role acts as the ... Matter Expert (SME) for the Configuration of the eviCore Claims Systems and the suite of eviCore Claim Products....develop new data sources for reporting + Act as liaison between business and technology to execute project initiatives,… more
- The Cigna Group (Bloomfield, CT)
- …EviCore, a line of business within The Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst. For this **highly technical senior ... configuration** role, you'll review our claims system to ensure all configurations were input correctly...new data sources for reporting and act + as liaison between business and technology to execute project initiatives,… more
- SpartanNash (Indianapolis, IN)
- …Description:** **Position Summary:** This individual will be responsible for handling freight claims filed by the owner of the goods, investigating and settling ... claims in accordance with carrier liability rules, regulations and...transportation partners. In this role, you will act as liaison between the carrier and customer to facilitate owed… more
- The Hartford (New York, NY)
- Dir Claims FL - CV06EE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... President, Financial Lines, the Financial Lines Technical Officer will manage a claims team handling Management Liability and Professional Liability Claims for… more
- AIG (Lenexa, KS)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner II, Accident & Health to play your part in that transformation. It's an ... the team. Make your mark in Accident and Health Claims Our Claims teams are the proven...to read and interpret insurance policies and act as liaison with Underwriting as needed. + Ability to coach… more
- HUB International (Chicago, IL)
- …act as liaison between clients, adjusters, lawyers and insurance companies, claims management and other related client services. A successful candidate will have ... by developing relationships with others **Position Summary** Working within the Claims Department in a client-facing role, the successful candidate will apply… more