- Sedgwick (Portland, ME)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer ( Remote ) Claims Compliance Manager - Workers Compensation | ... issues or enhancements to the current systems. + Identifies and requests appropriate claims management system enhancements to improve compliance . + Acts as… more
- Providence (NM)
- …must empower them.** **Providence is calling a Sr. Professional Liability Medical Claims Manager who will:** **Investigate, Evaluate, and Manage Professional, ... take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims ...with potential excess exposure to excess insurers + Ensure compliance with relevant claims reporting procedures and… more
- Sedgwick (Houston, TX)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer General Liability Claims Manager | Remote | Dedicated Client **PRIMARY PURPOSE** ... management for assigned locations/offices. + Establishes policy and procedure to assure compliance to best practices, claims management services standards, state… more
- ADP (San Dimas, CA)
- ADP is hiring a Claims Lead Examiner. _RESPONSIBILITIES:_ + Assist Claims Manager in monitoring the workers compensation program within the ADPTS/PEO ... that could be problematic and take steps along with Claims Manager to take steps to develop...Risktrac and Origami. + Southern CA area ideal. \#LI-KD1 \#LI- Remote Base salary offers for this position may vary… more
- Zurich NA (Schaumburg, IL)
- Property Claims Handling Manager 118584 Zurich North America is currently seeking an experienced Commercial Property Claims Handling Manager who is ... levels of experience and that handle low to moderately complex Property claims . This includes conducting claim quality file audits, participating in claim reviews,… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Senior Product Manager , Claims will define the product strategy, vision, and value ... proposition of Highmark's claims ' platforms for our customers - employers & members....MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote -based Teaches / trains others Occasionally Travel from the… more
- Guardian Life (Columbus, OH)
- **Position Summary** The STD/Absence Claims Case Manager I (CM) is responsible for administering and medically managing Short Term and Absence claims with ... all internal and external customers. This position will review claims for Short Term Disability and requires consistent and...preferred or other equivalent work experience. + Regulatory and Compliance experience is a plus + Ability to provide… more
- Crawford & Company (Phoenix, AZ)
- …+ At least 5 years of experience as an Adjuster, Adjuster in Charge, Claims Supervisor or Claims Manager . + Previous supervisory experience desirable. ... staff and oversee the analysis, review and validation of claims under the direction of the Managing Director. Ensures...is an IN-OFFICE postion that will not convert to remote . Must be local to Phoenix AZ. Responsibilities +… more
- AON (Fort Wayne, IN)
- …look like As a Claims Litigation Analyst, you will report directly to the Claims Manager and/or Claims Director working in the challenging and rewarding ... by the applicable plan documents and policies. #LI-CC1 #LI-HYBRID #LI- REMOTE 2551890 Claims Litigation Analyst K&K Insurance... Litigation Analyst, you will report directly to the Claims Manager and/or Claims Director… more
- Centene Corporation (Tallahassee, FL)
- …of the departments while maintaining production and quality standards. + Ensure compliance with all related laws, regulations and executive orders. + Review and ... care, insurance, Medicare or Medicaid preferred. Experience with leading claims configuration teams as well as skills with SQL...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- World Insurance Associates, LLC. (Miami, FL)
- …communicating with insureds and claimants. + Seek support and reports directly to Claims /Fleet Manager . + Complete clients' initial accident report forms + Fill ... of our multiple offices throughout the region. Position Overview Claims facilitators' main task is to offer full range...necessary training to insureds or team members on policy compliance + Facilitate communication with the adjuster and clients… more
- Nestle (Bridgewater, NJ)
- …of health and nutrition for patients and consumers. Reporting to the Director of Compliance , the Manager , Pharma Compliance is responsible for supporting the ... implementation, and management of Nestle Health Science's "NHSc" Pharma compliance program. KEY RESPONSIBILITIES: + Develop, administer, and maintain NHSc… more
- Trinity Health (Livonia, MI)
- …all hours being remote . This role is within the Integrity and Compliance department of IAS in the professional services Center of Excellence, providing support ... opportunity consists of a hybrid or remote position, with the majority or...on compliance issues detected through audits/reviews and compliance monitoring to their I&C Manager . Assists… more
- McAfee, Inc. (San Jose, CA)
- **_Job Title:_** Senior Payments Manager , Fraud and Disputes - Remote **_Role Overview:_** The Senior Payments Manager , Fraud and Disputes with the Payments ... This role is based in the US as a remote position. We will only consider candidates currently in...areas for improvement to reduce first-party misuse and fraud claims . Manage multiple projects focused on preventing disputes and… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Compliants & Inquires) - Remote **Job Description** ... and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the Compliance department Potential pay… more
- Molina Healthcare (New Bedford, MA)
- **_ Remote and must live in Massachusetts _** **Job Description** **Job Summary** Provides leadership and direction to MMS Operational Units management staff (eg, ... Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider Network), for management and supervision of daily functional operations to… more
- RTX Corporation (Aurora, CO)
- Date Posted: 2024-10-21 Country: United States of America Location: RCO99: RTN Remote , Colorado Position Role Type: Remote At Raytheon, the foundation of ... a safer, more secure world. We have an exciting opportunity for a Senior Manager , Supply Chain (SC) Legal Advisor, who will report to the Associate Director,… more
- Molina Healthcare (MS)
- **_ Remote and must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for… more
- Sedgwick (San Francisco, CA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Risk Services Manager - Pooling ( Remote OR Hybrid in CA) **Are you looking for ... of an energetic culture?** + Enjoy flexibility -Hybrid in N. California (Sacramento), remote or telecommuter setting **in California only.** + This role will require… more
- Enterprise Mobility (Madison, WI)
- …a meaningful difference.** **ABOUT THE ROLE** The **Associate Customer Delivery Manager (ACDM)** provides product and technical guidance to customers implementing ... Management System (ARMS(R)) software by increasing efficiency throughout the claims process. We are a global organization that strives...join our team. **WHAT WE OFFER** We are a remote -first organization with remote and hybrid employees… more