- USAA (Colorado Springs, CO)
- …data.Reviews and interprets relevant medical literature for application to health claims policies and guidelines.Collaborates with senior leaders and staff ... and procedures.Applies expert knowledge of fraud risk associated with health claims .Ensures risks associated with business activities are effectively identified,… more
- USAA (Colorado Springs, CO)
- …accurate, thorough, and current claim file documentation throughout the claims process .Applies proficient knowledge of estimating technology platforms ... with moderate complexity damages that require commensurate knowledge and understanding of claims coverage.Partners with vendors and internal business partners to… more
- Banner Health (Phoenix, AZ)
- …& Claims Mgmt **Work Shift:** Day **Job Category:** Legal The ** Senior Director, Claims & Litigation Counsel** will provide strategic and operational ... managing financial responsibility for claims performance, including overseeing claims reserves and outcomes, process improvement and providing legal… more
- Marriott (Costa Mesa, CA)
- …Program. The Senior Director follows and upholds the applicable claims sections of MIP-41, Risk Management. **SCOPE/ BUSINESS CONTEXT/EXPECTED CONTRIBUTIONS** ... messages to customers and/or claimants + Good investigation skills. + Advanced knowledge of claims process . + Strong computer skills. + Willingness to accept and… more
- Axis (Red Bank, NJ)
- …variety of loss scenarios as well as reporting and presenting about same to senior management + In-depth knowledge of claims , litigation, arbitration, and trial ... upon request for candidates taking part in the selection process . AXIS is seeking a _Senior Claim Specialist_ _-_...Claim Specialist_ _-_ _Surety_ to join our North America Claims team. This role will report to the Head… more
- ICW Group (San Diego, CA)
- …members with opportunities to contribute, develop, and belong. **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a ... to an equitable conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands insurance… more
- WTW (New York, NY)
- …of the policy terms and conditions + Provide guidance to the Assured regarding the claims process and what information and documentation is necessary to get the ... **Description** The Senior Marine Claims Specialist is part...managing large losses within Hull & Liability lines of business . + Review the facts of the claim in… more
- Amazon (New York, NY)
- …build one of the largest carriers on the planet. Our team is hiring a Senior Financial Analyst, Amazon Transportation Claims and Insurance to play a key role ... finance team closely partners to support this rapidly expanding business while building a portfolio of delivery stations, vans,...also owns working with Middle Mile Finance to drive process improvement in claims allocation methodology to… more
- Zurich NA (Atlanta, GA)
- Senior Claims Specialist, General Liability 119602 Zurich is seeking an individual interested in growing their claims career with our General Liability team. ... or Gold River, CA. As a General Liability (GL) Senior Claims Specialist on our IPZ (international...ability to develop and maintain strong relationships + Understands claims adjustment process and possesses the ability… more
- NextEra Energy (North Palm Beach, FL)
- ** Senior Speciality Lines Claims Adjuster** **Date:** Mar 5, 2025 **Location(s):** North Palm Beach, FL, US, 33408 **Company:** NextEra Energy NextEra Energy is ... claims * Provides support and assistance to company attorneys throughout the claims litigation process , including court testimony * Performs other job-related… more
- Equitable (Charlotte, NC)
- …supporting Disability and Leave Management claims to join our team! The Senior Claims Examiner is responsible for providing excellent customer service. You ... Senior Disability and Leave Management Claims ...judgment and assess risk as you work with various business partners to render claim decisions and partner with… more
- MVP Health Care (Schenectady, NY)
- Senior Claims Examiner Headquarters Office, 625...time usage reports for each unit and line of business . + Responsible for specialized training of new and ... improvement. To achieve this, we're looking for a **Sr. Claims Examiner** to join #TeamMVP. If you are a...checks and drug testing are part of our hiring process . If you require accommodations during the application … more
- Southern California Edison (Rosemead, CA)
- **Join the Clean Energy Revolution** Become a Senior Workers' Compensation Claims Adjuster at Southern California Edison (SCE) and build a better tomorrow. At ... to a culture of care and recovery. As a Senior Workers' Compensation Claims Adjuster, your work...laws and regulations. **Preferred Qualifications** + Bachelor's degree in business , or a related technical field; or an equivalent… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Senior Manager of Claims Administration** **Job Class: State Program Administrator, Manager Senior ** **Agency: Department of Employment and ... processes and systems to deliver this new benefit to Minnesotans. **Position Purpose:** The Senior Manager of Claims Administration plays a critical role in our… more
- HUB International (Brentwood, TN)
- …under which our subsidiaries reside: + Avant Underwriters (AU + Avant Specialty Claims (ASC) + Avant Brokerage (AB) + Avant Supermarket Group (ASG) + SafeHerb ... : Investigate, coordinate, evaluate, and negotiate complex Non-Subscriber/Occupational Accident claims presented by insured's or claimants. This includes, but is… more
- MetLife (Cary, NC)
- Role Value Proposition: We are looking for a Senior Scrum Leader for our ADM Claims teams in our Claims & Member Servicing Agile Release Train (ART), part of ... Support Claims Delivery: Oversee the delivery of Claims solutions aligned to business requirements and...Agile project management tools such as Azure DevOps, Target Process , Jira, Confluence, and other relevant software Preferred: *… more
- Capgemini (New York, NY)
- …practice's core focus areas are commercial and digital transformation, innovation, business agility, patient services, and patient experience. Skilled across the ... Access, Patient Services) + **Notable experience analyzing various industry-related RWD, claims , clinical, and specialty channel data sets (eg, IQVIA LAAD,… more
- Amazon (Boston, MA)
- …in becoming the world's safest and fastest online pharmacy. We're seeking a Senior Product Manager - Technical to spearhead our critical Tier 1 Claim Services, ... foundational technology, and new feature development in claims , billing, and compliance domains. This high-impact role will...and resolve strategic issues to help the team meet business , financial, and technical goals * Manage product planning… more
- Amazon (New York, NY)
- …providers around the world across all of the various use cases. As a Senior Product Manager, you will own and deliver product developments and feature innovations ... areas of investment to drive impactful changes. You will have regular senior and executive leadership visibility, and will crisply communicate your roadmap to… more
- Fairview Health Services (Minneapolis, MN)
- **Responsibilities Job Description** The Senior Application PB/HB Claims Analyst role with Epic Hospital and/or Professional billing (HB and/or PB) will provide ... applications and technology expertise to the specification and design development process . Lead the creation of system and operating documentation. Support all… more
