- CLevelCrossing (Scotts Valley, CA)
- …Thorough knowledge of healthcare information technology, including systems supporting claims processing, clinical program management, health plan operations , ... reports: three Directors, one Information Security Analyst, and one Administrative Specialist . The CIO has strategic leadership of the following Departments and… more
- Zurich NA (Honolulu, HI)
- …Insurance industry ORBachelor's Degree with 20 or more years of experience in Claims or Underwriting Support area within the Commercial Insurance industry ... You will be expected to travel as necessary to support the needs of the team and to cultivate...and customer satisfaction.Participating in leadership team meetings to provide specialist guidance and enable the implementation of policies, projects… more
- Zurich NA (St. Paul, MN)
- RCIS Crop Claims Specialist , MN: Marshall, Polk, Red Lake, or Pennington 117075 Zurich is currently looking for a RCIS Crop Claims Specialist to join our ... the most effective, efficient way while delivering a customer-centric claims service. They will also provide support ...Area Claims Managers either as a local claims specialist in the facilitation of general… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Recovery Specialist , Large Loss - Claims to play your part in that transformation. It's an ... valued member of the team. Make your mark in Claims Stewardship Our Claims teams are the...you will create an impact The Large Loss Recovery Specialist is responsible for the end-to-end recovery process to… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Claims Recovery Specialist to play your part in that transformation. It's an opportunity ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...efficiency. How you will create an impact The Recovery Specialist is responsible for the end-to-end recovery process, including:… more
- AIG (Atlanta, GA)
- Claims , QA Specialist - Worker's Compensation Join us...is an exciting time to join us - across our operations , we are thinking in new and innovative ways to ... as a Claims QA Specialist to make more of your specialist ...our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage… more
- AIG (Charleston, WV)
- …reimagining the way we help customers to manage risk. Join us as a Casualty Claims Specialist III to play your part in that transformation. It's an opportunity ... WV account. How you will create an impact The Claims Specialist III will handle auto and...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …role does not manage people + This role reports to this job: SUPERVISOR, CLAIMS OPERATIONS Necessary Contacts: In order to effectively fulfill this position, the ... may include the following responsibilities or functions required to support the claims unit. Accurate processing of... Claims Specialist I must be in contact… more
- BrightView (Blue Bell, PA)
- Job Summary + The AL/GL Claims Specialist is a key member of the risk management team and has responsibility for directly investigating and settling in-house ... claims payments + Recognize and identify potential fraudulent claims . + Support workload surges. + Communicate...skills. + Ability to network and effectively collaborate with claims /insurance industry and commercial operations + Working… more
- AIG (Atlanta, GA)
- …responsive, fair and professional service with empathy and efficiency. The role of a Claims Specialist III is to investigate, evaluate and resolve first and ... help customers to manage risk. Join us as a Claims Examiner III, Accident & Health to play your...and damages. Must document facts and maintain evidence to support claim resolution. + Comply with all statutory and… more
- UT Health (Houston, TX)
- …All-Payor Claims Database (TX-APCD) project to assure its ongoing development and operations support to submitters. Areas of focus include data entry for ... Project Specialist - Texas All-Payor Claims Database...improving state population health. In this position, you will support the Data Operations Manager in preparing… more
- University of Washington (Seattle, WA)
- … Supervisor is responsible for the coordination and control of the Claim Specialist Team, ensuring that effective operations run smoothly and staff-assigned work ... Practice Plan Services (FPPS)** has an outstanding opportunity for a **full-time, day shift, CLAIMS SUPERVISOR.** **WORK SCHEDULE** + 40 hours per week + Day Shift +… more
- Zelis (NJ)
- …part of the Price Optimization division, this role will be depended on as an Operations SME to support clients through areas including but not limited to ... and negative trends to understand the underlying reasons. + Support implementations as a Product SME to provide direction...equity, inclusion, and belonging in all aspects of our operations . We embrace the power of diversity and create… more
- AIG (Atlanta, GA)
- …Reviewer Join us as a Claims Compliance Reviewer to make more of your specialist expertise and experience. Make your mark in Claims Our Claims teams ... enhancement. What you'll need to succeed + Proven claim adjudication or claim operations experience for multi-line commercial claims . Claim Audit or file review… more
- Zurich NA (Sacramento, CA)
- …They will also provide support to Area Claims Managers either as a local claims specialist in the facilitation of general day to day operations and ... claims management. In addition, the selected candidates will support the lower level adjusting staff by completing and/or providing training and assistance with… more
- AIG (Atlanta, GA)
- …loss trends, recovery carve outs, etc. that potentially impact loss ratios. + Support the execution of the GI Claims Salvage strategy, including deployment ... revise, and maintain appropriate Recovery Best Practices, including facilitating Salvage specialist recovery process training. + Collaborate with Claims to… more
- AIG (Lenexa, KS)
- …to make more of your specialist expertise and experience. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, ... claims by reviewing policies and documents submitted in support of claims . Analyze coverage and communicate...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- AIG (Atlanta, GA)
- …Accurate and consistent policy interpretation What you will need to succeed + Basic specialist knowledge in LoB technical claims topics + Policy language skills ... Make your mark in Claims Our Claims teams are the...continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes + Contribute… more
- Randstad US (Duarte, CA)
- …Professional Billing and Epic Resolute Professional Billing Claims certified specialist experienced in working with Revenue Cycle operations teams and ... is currently seeking a talented and accomplished Sr. Systems Analyst to support Resolute PB and PB Claims build for our large Health System client! If you would… more
- Medical Mutual of Ohio (OH)
- …and processes claims and/or issues and performs administrative functions in support of utilization management and effective daily operations of the ... will consider collective experience, training and education. + 3 years clinical operations support experience in health insurance or equivalent office experience… more
