- Providence (Anaheim, CA)
- …+ Bachelor's Degree or equivalent education/experience. + 10 or more years HMO claims processing and/or auditing experience in a managed care environment, ... Full time **Job Shift:** Day **Career Track:** Admin Support **Department:** 7520 CLAIMS PROCESSING CA HERITAGE SERVICES **Address:** CA Anaheim 200 W… more
- Conduent (Hunt Valley, MD)
- …developing team members to achieve their goals?** **About the Role:** As a Senior Supervisor, Claims Processing , you will lead a complex medical claim ... **Senior Supervisor, Claims Processing ** **Are you a seasoned leader ready to elevate operational excellence and drive performance in a dynamic team… more
- Equitable (Charlotte, NC)
- …both environments. This position is a lead role, guiding team members on claims processing projects. + Work with the business to develop processes and ... Employee Benefits- Technology Strategy Claims Lead Analyst ( 2400007L ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED… more
- Trinity Health (Troy, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** CLAIMS PROCESSING TECH II - Eddy Home Care - FT Days The Eddy Senior Living division is ... way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce… more
- Subaru of America (Camden, NJ)
- …PowerPoint, Excel). + Strong working knowledge of all system applications related to claims processing , including the claims system, Subarunet, Retail Parts ... SUMMARY Provides direct, day-to-day supervision of a team of Retailer Claims Specialists, including prioritizing workload, performance review and coaching, and… more
- AON (Garden City, NY)
- …latest technological advancements and explore how they can be applied to improve claims processing and customer service. Education: + Bachelor's degree strongly ... Lead and Mentor: Guide a team of 120+ claims professionals and develop the 6+ direct reports in...and explore how they can be applied to improve claims processing and customer service. Education: +… more
- Axis (Red Bank, NJ)
- …reinsurance claims , ensuring compliance with regulations, as well as fair claims processing . You'll also be responsible for developing and implementing ... needed. + Lead and foster a change, transformation mindset supporting claims improvement and growth aligned to Underwriting strategy and growth plans. + Maintain… more
- Wells Fargo (Charlotte, NC)
- …to the Head of Claims and Recovery. This group is responsible for end-to-end claims processing for all dispute types. This individual will lead a large, ... + Address issues and maintain an awareness of fraud and claims activity across the company + Lead fraud and claims team by making strategic decisions… more
- Access Dubuque (Dubuque, IA)
- …growth, and inclusion. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... - Auto Liability Sedgwick Client Service Representative (CSR) Kunkel & Associates, Inc. Claims Associate - Recovery Sedgwick TPA Team Lead - Remote (Must… more
- UMB Bank (Columbus, OH)
- …to credit card fraud + Demonstrates in-depth knowledge of back-office fraud claims processing + Demonstrates knowledge of report building and presentation ... **Duties & Responsibilities** The Manager, Card Fraud Claims , will oversee and manage the UMB card...and accurate resolution of fraud cases. The role will lead a team of fraud analysts and assist in… more
- Entergy (Reserve, LA)
- Customer Service Specialist - Claims **Date:** Jun 25, 2024 **Location:** Reserve, Louisiana, United States **Company:** Entergy **Work Place Flexibility:** Hybrid ... internal and external stakeholders in order to thoroughly and fairly resolve claims . **JOB DUTIES/RESPONSIBILITIES** + Handles claims in assigned territories… more
- Wellpath (Nashville, TN)
- …into the RMIS system, analyzing exposures, recommending settlements or denials, and processing claims within designated authority levels. Work closely with ... medical malpractice claims , preferably in a multi-state environment. The Claims Litigation Manager will lead the litigation team inprovidingstrategic… more
- Trinity Health (Livonia, MI)
- …behavior. **MINIMUM QUALIFICATIONS** Must possess a comprehensive knowledge of liability claims processing and administration. High school diploma plus a ... week._** Claim technicians are a vital component to the IRMS Liability Claims operation. The position is responsible for maintaining electronic claim files,… more
- Centene Corporation (Tampa, FL)
- … Lead a large scale organization accountable for the accurate, timely and efficient processing of Claims . Set the strategic vision and objectives of the ... claims operations to drive innovation, higher operational performance and...operational performance and quality outcomes. + Set the strategic claims vision in compliance with federal, state and Company… more
- Trinity Health (Farmington Hills, MI)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting or ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- Capital One (Mclean, VA)
- …Engineering to lead our modernization journey of Fraud disputes and claims processing . You will partner with engineers, product and business stakeholders ... States of America, McLean, Virginia Director. Software Engineering - Fraud disputes and claims We are seeking a Director of Software Engineering who is passionate… more
- Trinity Health (Farmington Hills, MI)
- …organization or other health care financial service setting, performing medical claims processing , financial counseling, financial clearance, accounting, or ... way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce… more
- Trinity Health (Farmington Hills, MI)
- …Administrative/Technical accounts, focusing upon retrospective follow-up and appeal processing ) with the objective of appropriately maximizing reimbursement based ... years of utilization review/case management, managed care or comparable patient payment processing experience. Must have current registration with the state Board of… more
- ASSA ABLOY (Carrollton, TX)
- …of RPA. Process corresponding credit memos where necessary. + Coordinate the processing of warranty claims received from distributors. Gather all information, ... Career Opportunities: Specialist, Order Processing (29558) Requisition ID 29558 - Posted - 4Front Engineered Solutions, Inc - BSI IB NA Sales Group - USA: Texas… more
- ASSA ABLOY (Muskego, WI)
- …Sales Processing Support Functions + Investigate and process freight claims . + Provide product and sales information to distributors. Inform distributors of ... program for distributors. + Coordinate Returned Product Authorizations (RPAs) and the processing of warranty claims . + Collaborate with 4Front technical support… more