• ( Remote ) Claims Team

    Sedgwick (Harrisburg, PA)
    …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Claims Team Lead - Workers Compensation | AZ, ... or health savings account, and other additional voluntary benefits. #teamlead # claims # remote #LI- remote Sedgwick is an Equal Opportunity Employer and… more
    Sedgwick (11/08/25)
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  • Claims Team Lead | Auto…

    Sedgwick (Harrisburg, PA)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead | Auto Property Damage | Remote Are you looking for an opportunity to ... your location, and your career path. **This is a remote , work-at-home, telecommuter role*.** + Be a part of...technical staff? If so, this is your opportunity to lead a high-performing team in a role… more
    Sedgwick (11/20/25)
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  • Workers Compensation Claims Team

    Sedgwick (Pittsburgh, PA)
    …Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | NY Jurisdictional Knowledge - Remote **ARE YOU AN IDEAL CANDIDATE?** ... We are seeking a highly motivated and experienced **Workers' Compensation Claims professionals** to join our team . The ideal candidate will have at least 5… more
    Sedgwick (12/12/25)
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  • Claims Team Lead - General…

    Sedgwick (Harrisburg, PA)
    …Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - General Liability | Remote (Evergreen) **PRIMARY PURPOSE** : To supervise ... multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training,...Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Performance… more
    Sedgwick (12/02/25)
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  • Product Owner, Claims Management Platform…

    Citizens (Pittsburgh, PA)
    Description Product Owner, Claims Management Platform & Transformation Lead We are seeking a results-driven leader to own and drive the development and ... transformation of our Claims Management product platform and its evolution toward next-generation...hybrid schedule of four days onsite and one day remote per week: + Johnston, RI - One Citizens… more
    Citizens (11/21/25)
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  • Manager Major Claims Unit

    ICW Group (Philadelphia, PA)
    …strategies aligned with company values and objectives. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Lead a high-performing Major Claims team , fostering ... team members located in various branches or remote locations. Oversee claims to ensure company...complex workers' compensation claims . + Ability to lead , manage and mentor claims team more
    ICW Group (12/12/25)
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  • FHA Claims Recovery & Loss Analysis…

    Carrington (Coraopolis, PA)
    **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial ... to reduce costs and eliminate non-essential and manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including,… more
    Carrington (11/26/25)
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  • Sr USDA Claims Recovery & Analysis Loss…

    Carrington (Coraopolis, PA)
    **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred ... to reduce costs and eliminate non-essential and manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including,… more
    Carrington (11/14/25)
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  • Systems Analyst - Expert (Epic Hospital Billing,…

    UPMC (Pittsburgh, PA)
    …highly accomplished team . This position is specifically for the Hospital Billing Claims Bridges EHR Transformation team . If you have current Epic Hospital ... is for you. APPLY NOW!! Work Location: Hybrid: This position is predominately ' remote work' with the exception of the mandatory onsite (one week per month)… more
    UPMC (11/19/25)
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  • FNMA Claims Recovery & Loss Analysis…

    Carrington (Coraopolis, PA)
    …to reduce costs and eliminate non-essential and manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, ... Come join our amazing team and work remote from home!...to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and… more
    Carrington (11/20/25)
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  • Medical Director - IP Claims Management

    Humana (Harrisburg, PA)
    …some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, and Humana colleagues. After completion of mentored ... adapt and the courage to innovate **Additional Information** Typically reports to a Lead Medical Director, depending on the line of business. The Medical Director… more
    Humana (12/11/25)
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  • Medical Director - OP Claims Mgmt

    Humana (Harrisburg, PA)
    …some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health ... + Ability to obtain additional medical licenses **Additional Information** Typically reports to Lead depending on size of region or line of business. The Medical… more
    Humana (11/24/25)
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  • Clinical Research Analyst, Senior - Remote

    Prime Therapeutics (Harrisburg, PA)
    …The Senior Clinical Research Analyst works closely with Prime's Health Outcomes Research team to lead clinical research projects that measure, and report ... the synthesis of data findings in support of clinical claims and programs. **Responsibilities** + Synthesizes a wide variety...various levels within the organization + Serves as the lead analyst in producing reports, scorecards, or other data… more
    Prime Therapeutics (12/11/25)
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  • Category Manager (Intermediate, Senior,…

    PPL Corporation (Allentown, PA)
    …**_The Category Manager position may be hired at the Intermediate, Senior or Lead level. The position responsibilities listed below reflect those of the Intermediate ... or obtaining parental guarantees. + Analyze and develop company position on claims and disputes and subsequently consult with senior management to resolve/negotiate … more
    PPL Corporation (11/06/25)
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  • Business Analytics Senior Advisor (Uniform Data…

    The Cigna Group (Philadelphia, PA)
    …actuarial professional with a passion for problem solving and a strong desire to learn, lead and innovate to join our growing team . This role will work ... individual should be an inquisitive learner and a strong team player who enjoys working in a dynamic environment....and setting discount or trend guarantees. The candidate will lead the exploration and implementation of data quality strategies… more
    The Cigna Group (11/26/25)
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  • Reporting Principal - Remote

    Prime Therapeutics (Harrisburg, PA)
    …Experience with data consolidation and modeling **Preferred Qualifications** + Team lead /supervisory/management experience + Business Intelligence consulting ... drives every decision we make. **Job Posting Title** Reporting Principal - Remote **Job Description** The Finance Reporting Principal is responsible for supporting… more
    Prime Therapeutics (10/30/25)
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  • Principal Solution Strategist - JUDI…

    Prime Therapeutics (Harrisburg, PA)
    …pharmacy with us. **Job Posting Title** Principal Solution Strategist - JUDI - Remote **Job Description** **We are currently on the lookout for a Principal Solution ... Strategist to help lead the Medicare and Medicaid migrations for the JUDI...products + Experience using queries, thorough understanding of pharmaceutical claims data and general understanding of medical claims more
    Prime Therapeutics (11/08/25)
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  • Stop Loss Operations Manager, Remote

    CVS Health (Harrisburg, PA)
    …as the Manager of Stop Loss/Reinsurance Operations. In this high impact role, you will lead a team of about 12-15 colleagues who are responsible for the filing ... of Stop Loss claims to partner Managing General Underwriter (MGU) and Stop...posting of Stop Loss reimbursements. As Manager, you will lead day to day colleague management, as well as… more
    CVS Health (12/04/25)
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  • Sr. Solution Strategist - Benefit Configuration…

    Prime Therapeutics (Harrisburg, PA)
    …Posting Title** Sr. Solution Strategist - Benefit Configuration - JUDI - Remote **Job Description** **The Senior Solution Strategist - Benefit Configuration** is ... presentations utilized to provide recommendations on product discovery and definition, lead estimation efforts and delivery at performance review sessions + Create,… more
    Prime Therapeutics (11/14/25)
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  • Account Manager - Remote

    Prime Therapeutics (Harrisburg, PA)
    …future of pharmacy with us. **Job Posting Title** Account Manager - Remote **Job Description** The Account Manager provides information, analyses, and consulting to ... Knowledge of PBM functions such as but not limited to customer service, claims , benefits, prior authorizations, rebates, and networks. + Build business case for all… more
    Prime Therapeutics (12/12/25)
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