- Society Insurance Company (Fond Du Lac, WI)
- …audits, adjuster manual updates, and other resource needs. Supports managers with complex coverage and loss questions.Contributes to the development and ... a career at Society. Society Insurance is seeking a Director of Claims to lead our auto...of focus assigned.Recommends action by reviewing and analyzing damages, coverage , and liability issues on large losses. Collaborates closely… more
- AIG (Lenexa, KS)
- Claims Complex Director Join us...impact + Determining the scope and extent of available coverage . Re-evaluating coverage as warranted. + Clear and ... as a Claims Complex Director to take on key responsibilities within a world-class...and insureds. Establish clear ground rules with defense and coverage counsel to maintain financial control of budget and… more
- Mass Markets (Wichita, KS)
- POSITION OVERVIEW MCI is seeking an experienced Insurance Call Center Claims Director experienced in Property and Casualty and Life insurance to support ... complex business process outsourcing accounts. You will be responsible...monitor, and manage production to ensure accurate and timely claims processing. This is a senior-level position requiring experience… more
- Zurich NA (New York, NY)
- Sr. Claims Coverage Counsel or AVP, Claims Coverage Counsel 114069 We are looking to add an experienced Coverage Attorney to our Claims Legal ... person for this role will, under technical direction, manage complex coverage /extra contractual litigation of the highest...IL. Talent will be considered for either our Sr. Claims Coverage Counsel role or our AVP,… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …in responding to insured commercial property claims * Review and determination of complex coverage issues * Maintains reports on high profile claims , ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4534112) Apply Property Claims Manager… more
- LA Care Health Plan (Los Angeles, CA)
- … department is of the highest quality and is well documented. Works with the Claims Director , Claims Managers and Supervisors to ensure the Plan's core ... created by the state of California to provide health coverage to low-income Los Angeles County residents. We are...maintained. The Manager must have the ability to research complex claims problems and to create clear… more
- AIG (Alpharetta, GA)
- …regulatory environment. About the role Complex Claim Director -Western World The Complex Claims Director will handle and analyze general liability ... claim and control their costs. + Identify and evaluate coverage issues; prepare comprehensive coverage letters with...we're looking for: + 10+ years of General Liability claims experience + Experience with complex and… more
- LA Care Health Plan (Los Angeles, CA)
- Manager, Claims Integrity Provider Remediation (ALD) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: ... created by the state of California to provide health coverage to low-income Los Angeles County residents. We are...required to achieve that purpose. Job Summary The Manager, Claims Integrity Provider Remediation is responsible for development and… more
- Staples (Framingham, MA)
- …, negligence principles, claim investigation and negotiation techniques. + Experience with complex and litigated claims . + Ability to work independently, with ... + Oversee the proper handling of high exposure general liability, auto and property claims being handled by our Third Party Administrator - including coverage … more
- The Cigna Group (Grove City, OH)
- Coverage Review Operations provides a variety of clinical services that help health plans and pharmacy benefit managers protect patient health and safety and improve ... affordability while reducing unnecessary costs. The Director is responsible for the daily oversight and management of an expansive team (500+ FTEs) consisting of… more
- Alight (IN)
- …Training and Development: | Provide expert guidance and consultation to staff on complex claims scenarios. | Conduct training sessions to enhance technical ... Direct and oversee the quality and training function for claims operations | Work with the Operations Leader in...the whole person. Options include a variety of health coverage options, wellbeing and support programs, retirement, vacation and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- ADMINISTRATIVE PROGRAM DIRECTOR 4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4558265) Apply ADMINISTRATIVE PROGRAM DIRECTOR 4 Salary ... or university. Job Concepts FUNCTION OF WORK: To direct complex and diverse administrative programs and support functions at...be used by all agencies. JOB DISTINCTIONS: Administrative Program Director jobs within this job series differ by a… more
- HCA Healthcare (Austin, TX)
- …is incentive eligible. **Introduction** Do you have the career opportunities as a(an) Director of Patient Safety you want with your current employer? We have an ... The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost...of colleagues. Do you want to work as a(an) Director of Patient Safety where your passion for creating… more
- Stantec (Honolulu, HI)
- …Ensures that information provided is accurate and timely. Keeps the Project Director informed of "high visibility," particularly complex or sensitive problems, ... Director of Design and Construction - ( 240002LW...and construction management teams assigned to deliver a large, complex transportation construction project with construction values in excess… more
- CVS Health (Trenton, NJ)
- …of utilization management, quality management, network management and clinical coverage and policies. Primary Job Duties & Responsibilities: Behavioral Health ... Medical Director + Collaborates with health plan Sr Leadership to...and interprets medical policies and procedures, including service authorization, claims review, discharge planning, and medical reviews performed through… more
- GE Vernova (NY)
- …HVDC Solutions. In this context, Grid Solutions is looking for a Project Director who will be responsible for project on-time delivery, profit & loss accountability, ... up to receipt of the Provisional Acceptance Certificate (PAC). The Project Director will provide leadership to strategically manage risks & opportunities and ensure… more
- Point32Health (Canton, MA)
- …Reporting to the Vice President of Network and Provider Performance Management, the Director of Network and Provider Analytics plays a strategic leadership role with ... the Provider Partnerships organization. The Director manages a team of managers and analysts, working...between payers and providers; solid knowledge of health care claims data, coding schemes (ICD-9/ICD-10, CPT/HCPCS, DRGs), and health… more
- The Hartford (Charlotte, NC)
- …others accomplish theirs, too. Join our team as we help shape the future. Director of Product Development Job Description A new role can expand your knowledge and ... your manager. Reporting to the Head of E&S Product and Strategy, the E&S Director of Product Development will manage the Liability Line of Business suite of products… more
- Amgen (Thousand Oaks, CA)
- …to Commercial leadership, providing strategic guidance and data-backed insights. As the Executive Director of Forecasting, you will lead a team of 4-5 directors and ... the organization. This role requires a dynamic leader who can navigate complex environments, foster collaboration, and drive innovation to maximize the commercial… more
- Olson Kundig (Seattle, WA)
- …worship, creative production, urban design, and interior design. Currently, we are seeking a Director of Legal Affairs to join and lead the legal and contracts team ... to the overall excellence of work coming from Olson Kundig. Primary Responsibilities: The Director of Legal Affairs plans and directs all aspects of the firm's legal… more