- CMA CGM (America) LLC (Norfolk, VA)
- …as FMC CADRS dispute resolution requests and FMC Charge Complaints, and informal disputes/ claims . Ensure quality and timely feedback and/or formal responses to ... FMC-related disputes/ claims , along with FMC investigations or audits. Serve as primary point of contact for responses to FMC staff related to disputes, complaints,… more
- USAA (Phoenix, AZ)
- …what truly makes us special and impactful. The Opportunity As a dedicated Manager, Claims Operations you will lead and be accountable for auto, and other claims ... is not available for this position. What you'll do: Inspect and review quality of claim files and provide feedback to employees as appropriate. Responsible for… more
- USAA (San Antonio, TX)
- …what truly makes us special and impactful. The Opportunity As a dedicated Claims Litigation Manager- Auto , you will be responsible for managing moderately complex ... liability and questionable coverage issues. Applies intermediate knowledge of claims litigation processes. Proactively manages litigation and acts as liaison… more
- USAA (Phoenix, AZ)
- …service, paying what we owe, controlling legal expenses, employee engagement, quality , operational risk and compliance across multiple operational areas. Sets ... operational goals and measures to achieve overall claims litigation targets. Designs and implements claim's strategies supporting enterprise objectives. Collaborates… 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 ... member service, paying what we owe, controlling expenses, employee engagement, quality , operational risk and compliance across multiple operational areas. Sets… more
- Kaiva Tech (Washington, DC)
- Kaiva Tech, LLC is seeking Licensed Attorney - Claims Reviewer Location: Washington, DC Clearance: 5C Public Trust Position Type: Full-Time, Hybrid/Remote Position ... to support our federal government customer in reviewing and adjudicating claims submitted under an agency-managed program. This role involves evaluating claim… more
- Buckeye Community Health Plan (Thornville, OH)
- …of recommendations to providers that would improve utilization and health care quality . Reviews claims involving complex, controversial, or unusual or new ... the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Provides medical… more
- Harbor Health Services, Inc. (Mattapan, MA)
- …We are currently seeking a Director of Utilization Management & Quality Programs. Harbor Health offers an excellent, comprehensive benefits package including ... Director of Health Plan Operations, the Director of Utilization Management and Quality Programs is responsible for the day-to-day support, direction and supervision… more
- USAA (Colorado Springs, CO)
- …assistance is not available for this position. These positions will support Claims Litigations. What you'll do: Develop and implement strategic customer specific ... execution/knowledge/experience, consulting, and/or process engineering/optimization. Experience in successfully applying quality management, process improvement, and problem-solving tools and methodologies.… more
- MCKESSON (Pensacola, FL)
- …healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, ... reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer… more
- PedIM Healthcare (Crystal River, FL)
- Description: About Us: PedIM Healthcare is a leading provider of high- quality healthcare services in Lecanto, Florida. We are currently seeking a detail-oriented and ... Supportive and collaborative work environment. Responsibilities: Review and process medical claims for accuracy and completeness. Verify patient billing data and… more
- Christus Health (Santa Fe, 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 Integrity and Compliance. Requirements EDUCATION: HS Diploma or equivalency… more
- Zoltek-Toray Group (St. Louis, MO)
- …hiring managers to ensure alignment with business needs and deliver high- quality candidate experience. Manage and administer comprehensive onboarding and orientation ... of contact for all workers' compensation matters. Responsible for managing claims , coordinating with insurance providers, ensuring compliance with state and federal… 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 ... as needed. In essence, they orchestrate efficient utilization management to deliver high- quality patient care. DUTIES & ESSENTIAL JOB FUNCTIONS : NOTE: Following are… more
- Optum (Kansas City, MO)
- …Optum combines people, technology, data and action to improve the delivery, quality and efficiency of health care. Our internship opportunities provide a view ... use Perform clerical duties such as filing patient records and processing insurance claims Ensure compliance with all relevant laws of the applicable State Board of… more
- Linn T. Hodge & Sons (Scottsdale, AZ)
- …We are appointed with the most reputable carriers and strive to provide the highest quality of service to all clients, specializing in the needs of high net worth ... procedures for processing: New business Renewals Endorsements Cancellations Billing Payments Claims Maintain the Tam Management records in an up-to-date manner.… more
- BJC (St. Louis, MO)
- …compensation model Generous Sign-on bonus and retention bonus Annual quality bonus incentive Relocation Assistance Comprehensive benefits include Medical, dental, ... Generous student loan repayment assistance Fellowship training stipend available Claims made malpractice insurance with tail coverage provided Hospital Affiliation:… more
- BJC (St. Louis, MO)
- …student loan reimbursement Monthly stipend while completing residency Large signing bonus Annual quality bonus incentive 20 days of Annual Time Off plus 5 days for ... 401k & a 457b deferred compensation plan Generous Relocation package Claims made malpractice insurance with tail coverage provided Community Information: St.… more
- TAGHLEEF INDUSTRIES (Newark, DE)
- …internal Ti functions such as Business Directors, Sales, Marketing, Manufacturing and Quality . A highly motivated and ethical person with very strong technical ... consultation with customers, especially in times of technical difficulties, during claims investigations with sales team. Participate in business development team… more
- BJC (St. Louis, MO)
- …allowance and ATO provided Comprehensive benefits package including retirement options Claims Made Malpractice Insurance with Tail Coverage provided For questions, ... Illinois areas. Our providers are nationally recognized for excellent patient satisfaction, quality health care, and improving the health and well-being of the… more
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