- AIG (Jersey City, NJ)
- …efficiency. How you will create an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") Claims ... Claims Complex Director - Healthcare Professional...internal coordination with the corporate legal team. + Achieves quality standards by effectively managing each claim to ensure… more
- 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 ... ever-evolving legal and regulatory environment. Make your mark in high- quality Claims resolution. Claims Complex...career to the next level? If yes, the Complex Claims Director role may be for you.… more
- Banner Health (Phoenix, AZ)
- … Claims Mgmt **Work Shift:** Day **Job Category:** Legal The **Executive Director , Claims & Litigation Counsel** will provide strategic and operational ... If you have **significant leadership experience with healthcare risk management, quality management, in house liability claims management (including litigation… more
- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk. Join us as a Managing Director to play your part in that transformation. It's an opportunity to grow your ... of the team. Make your mark in AL/GL Field Claims Our Claims teams are the proven...establishing policies and procedures in support of claim file quality . + Conduct periodic claim file audits of field… more
- Sedgwick (St. Paul, MN)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director - Complex Claims **PRIMARY PURPOSE** **:** To be responsible for ... the day to day activities of the complex claims unit, to assess the work done by the...within the unit, while creating a culture of continual quality improvement designed to elevate the overall claim handling… more
- Apex Health Solutions (Houston, TX)
- …to support Claims budget process Develop and implement a comprehensive Claims Quality program to measure financial and clerical accuracy. Identify trends, ... S ummary: Position is responsible for overall strategy and effectiveness of Claims Operations. Position is responsible for oversight of claims adjudication and… more
- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk. Join us as a Dir Field Claims WC to play your part in that transformation. It's an opportunity to grow your ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...+ Implements procedures that will shape behaviors to achieve quality results on a consistent basis in meeting Best… more
- Trustmark (Columbus, OH)
- …the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization. Ensures claims are processed in a timely manner ... in accordance and compliant with government regulations. Develops claims adjudication policies and procedures that maximize the accuracy of claims payments.… more
- Sedgwick (Roseville, CA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Director - HYBRID Roseville, CA **PRIMARY PURPOSE** : To be ... company standards and industry best practices; to ensure consistent delivery of quality services including direct operational responsibility of an office in the… 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 ... where your expertise will play a crucial role in enhancing the quality and efficiency of our claims processes. In this capacity, you will lead a strong claims… more
- AON (NY)
- Aon is looking a virtual candidate to fill our Client Product Director , Claims role! The person in this role will be responsible for developing relationships ... broking and work closely with technology to deliver high quality software. Additionally, in close partnership with the business,...looking a virtual candidate to fill our Client Product Director , Claims role! The person in this… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- AIG (Atlanta, GA)
- …impact This position will ensure that Third Party Administrators (TPAs) provide high quality claims management and State Regulatory compliance performance in the ... individual must have significant experience with Workers' Compensation as a Claims Manager/ Director (managing a team of Claims Professionals with… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing Office team. PURPOSE/BELIEF ... STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and...team, CBO cash posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management, and others. The… more
- City of New York (New York, NY)
- …Within AO, exists Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP guidelines to recover inaccurate ... supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute cases in the...the agency such as CA and SNAP only sites, Quality Control and Internal Audits prior to establishing in… more
- GAF (Parsippany, NJ)
- …of the Sr Director , Contractor & Technical Services, the Manager, Commercial Claims will be responsible to lead the day to day management of our commercial ... claims team and processes. This position is based in...what is under that hospital's roof. In addition to quality products, we make sure they are installed by… more
- Ankura (Atlanta, GA)
- …services across the Firm. Practice Summary: Ankura's Forensic Accounting and Claims Consulting (FACC) practice focuses on assisting corporations in the ... quantification and presentation of first party insurance claims as a result of a covered loss. Commonly...will work closely with our professionals - Consultants through Director - and gain first-hand experience in consulting. Your… more
- Sevita (Sarasota, FL)
- …as well as associated AR adjustments and refunds, with a focus on quality and accuracy. This position requires the analyst to work independently and collaborate ... reporting to the Sarasota, FL office. **_Responsibilities:_** * Collaborate with Director , Supervisors and Managers to define opportunities and priorities * Utilize… more
- Providence (Burbank, CA)
- **Description** **THE ROLE** Under the direction of Executive Director of Quality provides day to day operational leadership for risk management, responsible for ... and readiness programs designed to reduce incidence and magnitude of damage claims made against the hospital and to maintain regulatory compliance. Works to… more
- Brunswick (Edgewater, FL)
- …a culture of quality and continuous improvement throughout the organization. The Quality Director will be responsible for both internal and external ... will help transform vision into reality:** Position Overview: The Boston Whaler Director of Quality will be responsible for developing and implementing… more