- Apex Health Solutions (Houston, TX)
- Summary: Position is responsible for oversight of claims adjudication and regulatory reporting functions including all associated processes, reporting of key ... also responsible for the timely processing and accuracy of claims and day to day interactions with any vendor...EOPs and EOBs Works closely with stakeholders including clinical, operations and finance teams during the development of key… more
- Zurich NA (Topeka, KS)
- Claims Crop Field Adjuster II 115218 Zurich is...assignment of work and ability to serve as an interim manager in Area Claims Manager 's absence. ... or local claims specialist in the facilitation of general day to day operations and claims management. In addition, the selected candidate will support the… more
- Providence (WA)
- …for services and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with potential for media ... them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, Evaluate, and...roundtables + Assist in Regional CEO Conferences with Senior Manager Operations + Facilitate and participate in… more
- Flexport (Dallas, TX)
- …both fulfillment claims and the recovery processes. **The opportunity:** The Claims Manager will be responsible for leading Flexport's Omnichannel claims ... and carrier recoveries. This individual will oversee the day-to-day operations of the claims department, manage a... claims are handled efficiently and effectively. The Claims Manager will also play a key… 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 ... of leading practices in managing corporate insurance program and claims activities. The incumbent will lead and drive analyzing...Bachelor's and/or Master's degree in Finance, Economics or related field - 7+ years of related experience in years… more
- UCLA Health (Los Angeles, CA)
- Description We are seeking a detailed-oriented and experienced Claims Manager to join our Claims leadership team. In this key role, you will oversee a ... preferred or equivalent work experience, preferred + 5 years previous experience in claims operations specifically related to Medicare Advantage or managed care… more
- GAF (Parsippany, NJ)
- …This position is based in our Corporate Headquarters in Parsippany, NJ. Summary The Commercial Claims Manager will serve as a resource for the team by providing ... of the Sr Director, Contractor & Technical Services, the Manager , Commercial Claims will be responsible to...and data to gather insights into day to day operations of the team/areas and identify opportunities for improvement.… more
- The Cigna Group (Denver, CO)
- The Medical Claims FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and ... is expected to be the largest focus for the manager in the medium and long term. This individual...limited to FP&A centralization, Market Finance, Product, Pricing, Reserving, Operations , and external Audit Firms. Given the close partnership… more
- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 216 **Position:** Manager Claims Accounts Rec **Union Code:** 00 - Non Union ... 24040 - KH Patient Financial Services **Job Description:** *Long Term Care* The Manager PFS Claims & AR is responsible for establishing policies and… more
- FM (Parsippany, NJ)
- …York Claims Operations geographical area, or as otherwise directed by the Operations Claims Manager . + Consults with the insureds and offers FM ... identifying legal needs, and with the approval of the Operations Claims Manager also recommends...some cases. The position is office based with required field work. The candidate must be willing to travel,… more
- FM (Alpharetta, GA)
- …Atlanta Claims Operations geographical area, or as otherwise directed by the Operations Claims Manager . + Consults with the insureds and offers FM ... identifying legal needs, and with the approval of the Operations Claims Manager also recommends...some cases. The position is office based with required field work. The candidate must be willing to travel,… more
- Ryder System (Columbus, OH)
- …third party claimants. + Interacts with Law Department on significant cases, and updates field operations personnel on claims status. + Recommends and sets ... appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes...of exposures and recommends solutions. + On-going interaction with field and operations management, legal counsel, safety… more
- Amazon (Tempe, AZ)
- …program around the world across all of its various use cases. Amazon's Last Mile Claims team is seeking a talented claims professional to support our rapidly ... You will lead strategy on complex bodily injury auto claims , handling pre-litigation disputes and resolving litigated claims...candidate will support and report to a Senior Risk Manager and be enthusiastic about driving change, enjoy working… more
- FM (Bellevue, WA)
- …are also responsible for identifying legal needs, and with the approval of the Operations Claims Manager also recommends engagement of attorneys where ... disputes shall be brought to the attention of the Operations Claims Manager Written for...or more years of FM claims adjuster, field engineering or account manager experience preferred.… more
- DoorDash (Tempe, AZ)
- …focus on our bottom line. The team is divided into multiple subgroups: Actuarial, Claims Operations , and Risk Management. We are looking for individuals eager to ... handling at DoorDash. You will report to the Insurance Claims Manager and work a hybrid schedule...encouraged to apply. Thank you to the Level Playing Field Institute for this statement of non-discrimination. Pursuant to… more
- DoorDash (Tempe, AZ)
- …the company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations , and Risk Management & Mitigation. We are looking for ... are required. You will report to the Insurance Claims Manager and work a hybrid schedule...encouraged to apply. Thank you to the Level Playing Field Institute for this statement of non-discrimination. Pursuant to… more
- Providence (Mission Hills, CA)
- **Description** Working under the direction of the Manager , Claims , this position has direct responsible for the supervision of staff and for overseeing the ... day-to-day operations of the Claims Processing and UM...3 years experience in a leadership role within medical claims related field . + 5 years experience… more
- UT Health (Houston, TX)
- …state population health. In this position, you will support the Data Operations Manager in preparing professional and concise public-facing material for ... Project Specialist - Texas All-Payor Claims Database - Hybrid **Location:** Texas Medical Center-Houston,...Database (TX-APCD) project to assure its ongoing development and operations support to submitters. Areas of focus include data… more
- Elevance Health (Atlanta, GA)
- **Business Architect Executive - Claims ** **Location:** This position will work a hybrid model (remote and in office 3 days per week). Candidates will live within 50 ... our Atlanta, GA Pulse Point location. The **Business Architect Executive - Claims ** drives and completes the Business Architecture portion of business blueprints,… more
- Guidehouse (Lewisville, TX)
- …in Lieu of Diploma / GED. + 0-1+ year's experience in office, business, operations , customer service or healthcare field . **What Would Be Nice To Have** ... from home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###._** The Patient Account Representative has an… more