- Guardian Life (Plano, TX)
- …Dental benefits industry experience is preferred. + Thorough understanding of the dental insurance industry claims management experience, and a ... of utilization management and utilization review, as requested by the Dental Director, Clinical Review. This position will be expected to uphold Guardian's… more
- Sedgwick (Brea, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Management - (Hybrid Schedule) **HYBRID ROLE:** Must be able ... line of business preferred. **Experience** Five (5) years of claims management experience or equivalent combination of...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- CVS Health (Boston, MA)
- …**Position Summary** The Director of Claims is responsible for managing all claims lines within Risk Management including the relationship with CVS' third ... party administrator. This includes liability claims (premises, auto, product), workers' compensation claims ,...communities. The Company offers a full range of medical, dental , and vision benefits. Eligible employees may enroll in… more
- Walmart (Bentonville, AR)
- …a claim; and structuring complex settlements. Manages the continuous improvement of claims management initiatives and processes by developing and maintaining ... or denial of the claim. Manages quality assurance reviews to improve claims handling procedures by performing quality assurance audits; analyzing audit results for… more
- Walmart (Bentonville, AR)
- …documenting, and indexing information received on each claim in the claim/image management system. Handles monetary aspects of assigned claims by establishing ... store managers of significant reserve increases; monitoring reserves for all open claims ; authorizing payment for approval or facilitating denial of the claim; and… more
- AON (IL)
- …analytical, excellent communication, interpersonal and organization skills. + Proficiency with claims management systems and reporting tools. + Understanding of ... analytical, excellent communication, interpersonal and organization skills. + Proficiency with claims management systems and reporting tools. + Understanding of… more
- Cushman & Wakefield (Chicago, IL)
- … roles + Experience with US general liability insurance coverages + Experience with claims management of litigated and non-litigated claims + Multi-state ... to key stakeholders and management for settlement authority + Review all open claims at least every 30 days internally to ensure timely handling of claim and… more
- New York State Civil Service (Albany, NY)
- …Broadway City Albany State NY Zip Code 12207 Duties Description Primary PurposeThe Risk Management Claims Analyst guides all aspects of the claims ... Communicate the client's response to the Director, Insurance, Senior Risk Management Claims Analyst, Counsel's Office, outside counsel, insurance carriers,… more
- Sedgwick (Albany, NY)
- …State Workers' Compensation Board rules and procedures. + Experience with Public Entity claims management . + **Education:** + High school diploma or equivalent; ... simultaneously and prioritize workload effectively. + Proficiency with claims management software and Microsoft Office Suite...+ A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. _As required by… more
- Sedgwick (Columbus, OH)
- … Management (CPHRM) preferred. **Experience** Ten (10) years of complex claims management experience or equivalent combination of education and experience ... provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within company...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- Metropolitan Council (St. Paul, MN)
- Workers' Compensation Claims Representative II - REPOST Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4511198) Apply Workers' ... Compensation Claims Representative II - REPOST Salary $76,148.80 - $123,510.40...Full-Time Job Number 2024-00163 Division Regional Administration Department Risk Management Opening Date 10/17/2024 Closing Date Continuous + Description… more
- WMCHealth (Valhalla, NY)
- …meet risk management program goals and objectives for efficient and effective claims management to ensure compliance with regulations and codes; + Makes ... compliance with reporting requirements; Qualifications/Requirements / Experience: Thorough knowledge of claims management functions related to a hospital or… more
- Sedgwick (Roseville, CA)
- …business preferred. **Experience** Five (5) years of **California Workers Compensation claims management experience** or equivalent combination of education and ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Dedicated Client | Roseville, CA (Agile) Are you… more
- Sedgwick (Brea, CA)
- … claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of claims management processes and procedures for multiple product lines + ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and analyzes management reports and… more
- Kellermeyer Bergensons Services (Oceanside, CA)
- …field managers to improve workers' compensation results, including loss prevention and claims management . Essential Duties and Responsibilities Legal adherence * ... completeness. Ensures that adequate investigations are conducted. Provides high-level analysis regarding risk management based on claims data. Works closely with… more
- HomeSafe Alliance (Columbus, OH)
- …and motivated Assistant Claims Manager to assist in all aspects of claims management , to support and promote process improvement methodologies and best ... **Title:** Claims Adjuster (SCA) HHG/Military Move **_HomeSafe Alliance_** is...Excel, PowerPoint) + Detail-oriented with superior organizational and time management skills + Positive interpersonal and problem-resolution skills **Job… more
- AON (New York, NY)
- …the purpose of the job How this opportunity is different Our approach to claims management is quite simple: through hard work, dedication, and creative thinking, ... consideration for long-term incentive awards at Aon's discretion; medical, dental and vision insurance, various types of leaves of...job How this opportunity is different Our approach to claims management is quite simple: through hard… more
- AON (Denver, CO)
- …the purpose of the job How this opportunity is different Our approach to claims management is quite simple: through hard work, dedication, and creative thinking, ... consideration for long-term incentive awards at Aon's discretion; medical, dental and vision insurance, various types of leaves of...job How this opportunity is different Our approach to claims management is quite simple: through hard… more
- Sedgwick (Columbus, OH)
- …while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** Claims Management and Processing: + Handle a diverse portfolio of ... business preferred. **Experience** At least five (5) years of claims management experience, with at least (2)...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more
- Sedgwick (Los Angeles, CA)
- …as applicable to line of business preferred. **Experience** Six (6) years of claims management experience or equivalent combination of education and experience ... provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within Company...package is offered including but not limited to, medical, dental , vision, 401k and matching, PTO, disability and life… more