- USAA (Colorado Springs, CO)
- …of what makes us so special! **The Opportunity** We are seeking a dedicated **Manager, Claims Operations ** , to lead a team of Auto Adjusters. This team will ... handle express level Auto Non-Injury Claims . The **Manager, Claims Operations ** manages and is accountable for auto claims operations member service… more
- USAA (Tampa, FL)
- …a part of what makes us so special! **The Opportunity** As a dedicated Manager, Claims Operations you will lead and be accountable for auto, property, and other ... claims operations member service employees who are responsible for serving our members, and providing appropriate solutions as they investigate, evaluate and… more
- Apex Health Solutions (Houston, TX)
- S ummary: Position is responsible for overall strategy and effectiveness of Claims Operations . Position is responsible for oversight of claims adjudication ... This position is also responsible for the timely processing and accuracy of claims and day to day interactions with any vendor partners that have direct… more
- USAA (San Antonio, TX)
- …us so special! **The Opportunity** **What you'll do:** We are seeking a dedicated Manager Claims Operations - STARS. This position must be based in the San ... is available for this position. Manages and is accountable for auto claims operations member service employees who are responsible for serving our members, and… more
- Aflac (Shelton, CT)
- Mgr, Claims Operations The Company: Aflac Columbus The Location: Shelton, CT, US, 6484 Remote, US, 31999 The Division: PLADS Job Id: 7222 Salary Range: $83,000 - ... FLMI or ALHC Principal Duties & Responsibilities * Manages the daily operations of the Claims business unit; manages employees and operations of the business… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Healthsource blog: https://healthsource.premera.com/ . We are seeking an experienced and dynamic ** Claims Operations Director** to join our team and oversee our ... claims management organization. This position offers an exceptional opportunity...business planning, and overall leadership for Premera's healthcare payer operations across various customer segments within our organization. +… more
- Wells Fargo (Chandler, AZ)
- …benefits package. Apply today. **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Representative in Fraud & Claims Management. Find out ... + Fraud claims , detection, or prevention experience or banking financial operations experience + Ability to work effectively, as well as independently or as… more
- The Hartford (Columbus, OH)
- …as we help shape the future. The Hartford seeks a Data Scientist within Claims & Operations Data Science to develop machine learning and generative artificial ... intelligence solutions across a range of strategic initiatives. The Claims & Operations Emerging Sciences team is a new team focused on providing deep insights… more
- FM (Waltham, MA)
- …to assist the Manager, Runoff Operations in supervising and directing the Runoff Operations claims function and to assist the manager in the day-to-day ... operations of the Runoff claims function. It also supports the Runoff Operations manager by ensuring that the claims handling processes within Runoff … more
- FM (Parsippany, NJ)
- …and as the first adjuster on losses up to $1,000,000 within the FM New York Claims Operations geographical area, or as otherwise directed by the Operations ... for identifying legal needs, and with the approval of the Operations Claims Manager also recommends engagement of attorneys where subrogation is involved.… more
- HCA Healthcare (Nashville, TN)
- … claims compliance reporting/audits preferred + Three years (3) experience in a Claims operations position required + Five years (5) previous experience in a ... make a difference. We are looking for a dedicated ** Claims Compliance Spec WFH** like you to be a...is skilled in physician employment, practice and urgent care operations . We are experts in hospitalist integration, and graduate… more
- Axis (Chicago, IL)
- …with AXIS stakeholders including IT, Data Analytics, Legal, Procurement, Underwriting Operations , Claims Operations , Underwriting, and Finance. + ... Litigation Management Services_** to join our Shared Services Global Claims team. As a direct report to the Head...As a direct report to the Head of AXIS Claims Shared Services, the successful candidate should possess the… more
- Axis (New York, NY)
- …other departments and stakeholders (eg, Legal & Compliance, Internal Audit, Finance, North America Claims and Claims Operations etc.) to ensure that Quality ... request for candidates taking part in the selection process. AXIS is seeking a Claims Quality Assurance & Audit Coordinator, Claims Shared Services to join our… more
- Zurich NA (Schaumburg, IL)
- …liability claims + Experience managing construction. + People management experience + Claims operations experience + Knowledge and skill in claims ... Claims Team Manager, General Liability 116047 Zurich North...moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims .… more
- LA Care Health Plan (Los Angeles, CA)
- … claims , Provider Disputes and Adjustments. This position works with the Claims Operations Supervisor to develop procedures ensuring the achievement of goals ... Claims Quality Auditor II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time… more
- UCLA Health (Los Angeles, CA)
- …preferred or equivalent work experience, preferred + 5 years previous experience in claims operations specifically related to Medicare Advantage or managed care ... Description We are seeking a detailed-oriented and experienced Claims Manager to join our Claims leadership team. In this key role, you will oversee a dedicated… more
- Kelly Services (Houston, TX)
- …claim vendor. - Develop and implement backup extracts and protocols to support ongoing claims operations . - Create a data dictionary for the new SQL database ... for historical data loading. - Implement reporting necessary for IPA claims operations and delegated reporting responsibilities. - Collaborate with… more
- Humana (Tampa, FL)
- …us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve investigation of claims for and against ... support duties that require independent initiative and judgment. Tampa Office The Claims Research & Resolution Representative 2 + Works with ancillary departments,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and experience. . 7 years progressive experience in health insurance claims operations , preferably in a leadership capacity. **Technical Skills ... their best possible health and quality of life. Supervises daily operations and staff of claims processing and/or claims support area. Provides staff with… more
- AIG (Salida, CO)
- …Key Relationships Internal Interactions (Within the Organization) + Japan IT + Japan Claims + Japan Claims Operations External Interactions (Outside the ... Job Purpose End-to-end responsibility of claims IT systems delivery to support business initiatives...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
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