• Medical Director -- Claims

    Humana (Columbus, OH)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
    Humana (10/29/24)
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  • Director of Change Order and Claims

    Tutor Perini (Sylmar, CA)
    ** Director of Change Order and Claims Management ** Office or Project Location **Sylmar, CA** Company **Tutor Perini Corporation** Job Code **2401** Tutor ... Corporationis seeking a Director of Change Order and Claims Management to join ourofficein Sylmar, CA **About Tutor Perini Corporation** **_Extraordinary… more
    Tutor Perini (11/28/24)
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  • Complex Claim Director , Management

    AIG (New York, NY)
    …service with empathy and efficiency. How you will create an impact As a Complex Claims Director for Management Liability, you will have the unique ... Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our… more
    AIG (11/22/24)
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  • Healthcare Medical Claims Coding Sr.…

    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 ... Payment Integrity and Analytics + Direct and relevant experience with HCFA/UB-04 claims management , coding rules and guidelines, and evaluating/analyzing claim… more
    Commonwealth Care Alliance (11/26/24)
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  • Clinical Risk Program Manager Apopka

    AdventHealth (Maitland, FL)
    …well as Risk Management Program Surveys + Investigates and reports to the Risk Management Director and to claims management any occurrence which has ... CRM identifies potential compensatory events and works collaboratively with claims management coordinators to mitigate litigation. The...and reports aggregated event report data to the Risk Management Director and hospital leaders, with a… more
    AdventHealth (11/26/24)
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  • Clinical Risk Program Manager

    AdventHealth (Winter Garden, FL)
    …well as Risk Management Program Surveys + Investigates and reports to the Risk Management Director and to claims management any occurrence which has ... CRM identifies potential compensatory events and works collaboratively with claims management coordinators to mitigate litigation. The...and reports aggregated event report data to the Risk Management Director and hospital leaders, with a… more
    AdventHealth (11/26/24)
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  • Worker's Compensation Claims

    AON (Chicago, IL)
    Worker's Compensation Claims Director - Construction & Infrastructure This is a hybrid role with the flexibility to work both virtually and from our Chicago ... conditions of the applicable incentive plan. #LI-AR1 #LI-HYBRID 2552338 Worker's Compensation Claims Director - Construction & Infrastructure This is a hybrid… more
    AON (11/16/24)
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  • Complex Claims Director (s)…

    AIG (Atlanta, GA)
    …are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director to play your part in that transformation. It's an opportunity to ... direct defense and trial strategy, presenting to senior AIG claims management and working with other motivated...career to the next level? If yes, the Complex Claims Director role may be for you.… more
    AIG (10/21/24)
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  • Claims Complex Director Severity…

    AIG (Atlanta, GA)
    …way we help customers to manage risk. Join us as a North American Aerospace Claims Complex Director Severity to play your part in that transformation. It's an ... will create an impact This position requires the adjustment of complex aircraft damage claims . The Complex Director will function as a key account contact for… more
    AIG (11/11/24)
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  • Complex Claims Director , General…

    AIG (Parsippany, NJ)
    …and the ever-evolving legal and regulatory environment. About the role Complex Claim Director -Western World The Complex Claims Director will handle and ... and strong negotiation skills + Advanced experience and capabilities in litigation claims management , including ADR and mediation processes, involving auto/GL… more
    AIG (10/15/24)
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  • Complex Claims Director - Primary…

    AIG (Atlanta, GA)
    …around the country to direct defense and trial strategy, presenting to senior AIG claims management and working with other motivated experienced claims ... Complex Director - Excess Major Claims | Primary...negotiation skills; + Advanced experience and capabilities in litigation claims management including ADR and mediation process;… more
    AIG (10/08/24)
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  • Senior Complex Claims Director

    AIG (New York, NY)
    …the way we help customers to manage risk. Join us as a Senior Complex Claims Director , Financial Lines to play your part in that transformation. It's an ... you will create an impact As a Senior Complex Director , you are respected for your deep technical expertise...negotiation skills + Advanced experience and capabilities in litigation claims management including ADR and mediation process… more
    AIG (09/06/24)
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  • Complex Claims Director

    AIG (Alpharetta, GA)
    …reimagining the way we help customers to manage risk. Join us as a Complex Claims Director - International Casualty to play your part in that transformation. ... for our insured's in Asia Pac. As a Complex Claims Director in the International Casualty Home...reserves. + Present the large value cases to senior management . + Conduct Claim Reviews of foreign claims more
    AIG (11/18/24)
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  • Director , HMO Claims Services

    Scripps Health (San Diego, CA)
    …quarter of our employees have been with Scripps Health for over 10 years. The Director of HMO Payment ( Claims ) Services for Scripps Health Plan, leads claims ... * Mailroom experience. **Job:** **Finance* **Organization:** **Scripps Health Corp* **Title:** * Director , HMO Claims Services* **Location:** *Central San Diego… more
    Scripps Health (11/14/24)
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  • Claims Complex Director - Healthcare…

    AIG (Jersey City, NJ)
    Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a ... world-class claims function. Make your mark in Claims ...own and execute a claim resolution strategy, that includes management of timely and adequate reserves, negotiating complex settlements,… more
    AIG (11/08/24)
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  • Executive Director , Claims

    Banner Health (Phoenix, AZ)
    …have **significant leadership experience with healthcare risk management , quality management , in house liability claims management (including litigation ... of claim files, creating reports, database entries, establishing and following standardized claims management procedures and other claims management more
    Banner Health (09/26/24)
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  • Claims Complex Director TPA

    AIG (Atlanta, GA)
    Complex Claims Director TPA Join us as a Complex Claims Director , Third Party Administrator (TPA) to grow your experience in Claims . Make your mark ... in Claims Our Claims teams are the proven problem solvers of choice...and in writing. + Strong interpersonal skills, effective time management and organizational skills. + Provide superior customer service… more
    AIG (11/08/24)
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  • Claims Complex Director

    AIG (Lenexa, KS)
    …and strong negotiation skills + Advanced experience and capabilities in litigation claims management , including ADR and mediation processes involving auto/GL ... Claims Complex Director Join us as a Claims Complex Director to take on key responsibilities within a world-class claims function. Make your mark in … more
    AIG (10/08/24)
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  • Claims Adjudication Manager - State Program…

    State of Minnesota (St. Paul, MN)
    …process and system design and testing to ensure tools and workflows support efficient claims management . + Startup environment: Be prepared to adapt and take a ... Claims Adjudication Manager** **Job Class: State Program Administrator, Director ** **Agency: Department of Employment and Economic Development** + **Job ID**… more
    State of Minnesota (11/29/24)
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  • Complex Claim Director - Casualty…

    AIG (Atlanta, GA)
    …are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director to play your part in that transformation. It's an opportunity to ... and strong negotiation skills + Advanced experience and capabilities in litigation claims management , including ADR and mediation processes, involving auto/GL… more
    AIG (10/30/24)
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