- Elevance Health (Denver, CO)
- **Business Change Director- Claims /Payment Integrity Use-Case Lead** **Location:** This position will work a hybrid model (remote and office). Ideal candidates ... live within 50 miles of a PulsePoint location. The **Business Change Director- Claims /Payment Integrity Use-Case Lead** is responsible for collaborating with… more
- USAA (Colorado Springs, CO)
- …injury (BI)/uninsured motorist (UIM) experience + Current or recent experience as a Claims Manager /Supervisor + Experience handling auto injury claims for ... members. We believe in our core values of honesty, integrity , loyalty and service. They're what guides everything we...so special! **The Opportunity** We are seeking a dedicated Manager , Claims Operations to lead a team… more
- USAA (Phoenix, AZ)
- …a part of what makes us so special! **The Opportunity** As a dedicated Claims Litigation Manager , you will be responsible for handling **moderately complex ... members. We believe in our core values of honesty, integrity , loyalty and service. They're what guides everything we...advice and empathy. You will be servicing BI, UM/UIM claims for the following states: **CA, NV, AK, AZ,… more
- USAA (San Antonio, TX)
- …a part of what makes us so special! **The Opportunity** We are seeking a dedicated Claims Litigation Case Manager Senior. This position is a hybrid work type and ... a real impact for our members. We believe in our core values of honesty, integrity , loyalty and service. They're what guides everything we do - from how we treat… more
- USAA (San Antonio, TX)
- …Injury or Litigation team + Experience applying advanced knowledge to partner with Claims Operations and provide guidance for complex claim settlements that ... members. We believe in our core values of honesty, integrity , loyalty and service. They're what guides everything we...**The Opportunity** We are seeking dedicated Managers for our Claims Auto Bodily Injury Litigation area. This role will… more
- Providence (NM)
- …must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, Evaluate, and Manage Professional, ... take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims ...to assist the SVP Chief Risk Officer and Senior Manager Operations as needed ** Provide Input to… more
- United Rentals (Stamford, CT)
- …equipment rental provider , **come build your future with United Rentals!** As a Claims Manager - Worker's Comp at United Rentals, you will supervise the ... investigation, handling, and evaluation of of workers' compensation claims pending throughout the United States, Canada, Europe, Australia and New Zealand. **What… more
- Cleco (Pineville, LA)
- …a part of our journey at Cleco where we're Energizing Your Tomorrow._** The Manager , Insurance and Claims is a senior professional with deep knowledge and ... responsibilities. **Key Responsibilities** - Lead the vision for the Insurance and Claims function; provide clarification to identify and measure risk exposure;… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Senior Product Manager , Claims will define the product strategy, vision, and value ... proposition of Highmark's claims ' platforms for our customers - employers & members....platform, simplifying explanation of benefits for members, improving payment integrity , and optimizing the experience of denials, appeals, and… more
- Sysco (Houston, TX)
- …and doctor / attorney issues + Performing quality review of third party claims administration, integrity of reserves and cost containment practices + ... Claim Program. **DUTIES AND RESPONSIBILITIES** **:** + Oversight of claims activities for operations in all 50 states and...all 50 states and Canada, representing over 2,600 open claims with $280 million incurred costs + Serve as… more
- City of New York (New York, NY)
- …Revenue, and Enforcement Administration (IREA) is responsible for supporting the integrity of social services programs administered by the New York City ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...Principal Administrative Associate III to function as an Assistant Manager who will: - Directly and indirectly supervise staff… more
- USAA (Chesapeake, VA)
- …we need the right people. We're looking for those who share our values of honesty, integrity , loyalty and service. Because what we do is just as important as how we ... is all about learning and growing. Our Associate Auto Claims Representative role may be a new career for...The days from home will be determined by your manager . Relocation assistance is not available for this position.… more
- USAA (Phoenix, AZ)
- …we need the right people. We're looking for those who share our values of honesty, integrity , loyalty and service. Because what we do is just as important as how we ... what makes us so special! It is all about learning and growing. Our Customer Service Claims Representative role may be a new career for you. There's a lot to learn,… more
- U-Haul (Ivyland, PA)
- …18974 United States of America Under the general direction of the Claims Manager , Repwest Insurance Company, responsible for the investigation, evaluation ... management, products offered and insurance investigation techniques within the claims office. Must maintain integrity of proprietary...by dictating a letter to go out under the Claims Manager 's signature if there is no… more
- HUB International (Spokane, WA)
- …Commercial Construction clients, as main claims advocate + Conducting analysis of complex claims with input from Claims Manager and/or Regional VP of ... as needed + Discussing claims with insured, claimants, and Claims Manager regarding liability decision, and following-up with appropriate documentation… more
- Guidehouse (Lewisville, TX)
- …billing, secondary billing, and payer audit follow-up for government and non-government claims . Must work with other departments to facilitate the meeting of both ... regarding this opening, you may contact Chris Rivera (Recruiting Manager ) at ###_** **Essential Job Functions** + Hospital Billing...Billing Emphasis + Correcting and billing electronic and hardcopy claims + Submits Adjusted claims + Provides… more
- ADP (San Dimas, CA)
- ADP is hiring a Claims Lead Examiner. _RESPONSIBILITIES:_ + Assist Claims Manager in monitoring the workers compensation program within the ADPTS/PEO ... that could be problematic and take steps along with Claims Manager to take steps to develop...return to work programs. + Perform regular reviews of claims by specified criteria on diary. + Provide… more
- IKO (Kankakee, IL)
- …people who hold these values. People like you! Job Description Reporting to the Warranty Claims Manager (US) , the Warranty Claims Representative is a key ... claims into internal claim system + Evaluate and make recommendations to the Warranty Claims Manager regarding payment or declination of warranty claims +… more
- Prime Therapeutics (Eagan, MN)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Claims Specialist - Hybrid **Job Description** The Claims Specialist is responsible ... Work in Medicare, Commercial and Health Insurance Marketplace (HIM) integrity lines of business to ensure strict adherence to...accredited institution or equivalent GED + 1 year of claims experience + Must be eligible to work in… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …implementations team. FEP is BCBSMA's single largest account Position Summary: The RN Clinical Provider Post Service Review Manager , led by a Registered Nurse, ... perform claim adjustments in a dual system environment. This manager also has direct oversight to a team of...MA required. Bachelor's degree preferred + Experience with the Provider appeals process required; coding and claims … more