- TEKsystems (Austin, TX)
- …to render the claim decision as quickly as possible. + Documents the claims system in an accurate and comprehensive manor while maintaining efficiency. + Prepares ... a basic developing level of proficiency in STD, SDI and AM products and claims administration techniques. + Work as a team to support one another through… more
- UMB Bank (Columbus, OH)
- **Duties & Responsibilities** The Manager , Card Fraud Claims , will oversee and manage the UMB card fraud claims process, ensuring timely and accurate ... claims . + Continually evaluate the effectiveness of the case management process. + Validate both UMB and vendor...+ Work closely with the Enterprise Fraud Data Strategy Manager to produce appropriate data and reporting to fulfill… more
- Truist (Naples, FL)
- …research **Preferred Qualifications:** 1. Associate in Risk Management (ARM) or Associate in Claims (AIC) designation 2. Multi-line claim experience 3. ... matters for clients and prospects. May also provide support for solving complex claims or leading claim consulting teams in specialized industry verticals. Must be… more
- Staples (Framingham, MA)
- …the proper handling of high exposure general liability, auto and property claims being handled by our Third Party Administrator - including coverage confirmation, ... + Attend legal proceedings (virtual or in person), as necessary for case resolution. + Establish, issue, and approve appropriate loss and expense reserves… more
- Marriott (Costa Mesa, CA)
- …and complexity of Worker's Compensation and General Liability cases as determined by Claims Unit Manager .) **Expected Contributions** + Investigate claims ... Program and complete required Service Call reports detailing current case status + Actively participate in regularly scheduled unit...or Certification** + High School Diploma or GED + Associate degree (or higher) in Claims or… more
- Crawford & Company (New Orleans, LA)
- … claims of low monetary amounts, including Fast Track and Incident Only claims . Documents and monitors open case inventory to ensure proper/timely closing and ... billing of files. Makes decisions on claims within delegated limited authority. Responsibilities + Conducts investigations...bill coding rules and state regulations. + Keeps Team Manager informed verbally and in writing of activities and… more
- CGI Technologies and Solutions, Inc. (Walnut Creek, CA)
- …Walnut Creek, CA. Under the direction of the Asset Manager /Central Services Manager (CSM), the Business Claims Processing Specialist will work directly with ... **Business Claims Processing Specialist - Walnut Creek** **Category:** Administration...skills. **Your future duties and responsibilities:** Reports to Asset Manager /Central Services Manager in carrying out core… more
- Crawford & Company (Champaign, IL)
- …years diverse clinical experience and one of the below: + Certification as a case manager from the URAC-approved list of certifications (preferred); + A ... be fully vaccinated for COVID-19. If required, the hiring manager will discuss with you during your interview process....employer and physicians. + Maintains contact and communicates with claims adjusters to apprise them of case … more
- Crawford & Company (Eau Claire, WI)
- …years diverse clinical experience and one of the below: * Certification as a case manager from the URAC-approved list of certifications (preferred); * A ... be fully vaccinated for COVID-19. If required, the hiring manager will discuss with you during your interview process....employer and physicians. * Maintains contact and communicates with claims adjusters to apprise them of case … more
- PSEG (Springfield, NJ)
- …particularly exciting time to join PSEG. **Job Summary** This position reports to the Manager - Operations Claims and is responsible to investigate and defend ... camaraderie and care for one another you might typically associate with a small business. Our focus on combatting...performing investigations involving general, auto, and property damage liability claims , as well as personal injury claims … more
- CVS Health (Springdale, OH)
- …paid holidays, and flexibility as you coordinate the care of your members. Nurse Case Manager is responsible for telephonically and/or face to face assessing, ... -Computer Skills (Microsoft office such as: Word, Excel, and outlook)-Certified Case Manager is preferred. -Additional national professional certification (CRC,… more
- CVS Health (Olympia, WA)
- …personal, convenient and affordable. Position Summary This role is fully telework. Nurse Case Manager is responsible for telephonically and/or face to face ... and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case...to Pacific Time Zone applicants. Preferred Qualifications + Certified Case Manager + Case Management… more
- CVS Health (Frankfort, KY)
- …may require working after school, after work, etc. The Medically Complex Nurse Case Manager is responsible for assessing members through regular and consistent ... to facilitate and support the member's improved health. The Case Manager develops a proactive course of...comprehensively address member biopsychosocial care needs. + Reviews prior claims to address potential impact on current case… more
- CVS Health (Charleston, WV)
- …Boone Greenbrier Logan McDowell Mercer Mingo Monroe Pocahontas Raleigh Summers Wyoming The Case Manager RN (CM RN) is responsible for telephonically and/or face ... including co-morbid and multiple diagnoses that impact functionality. * Reviews prior claims to address potential impact on current case management and… more
- CVS Health (Columbus, OH)
- …holidays, and flexibility as you coordinate the care of your members. + Nurse Case Manager is responsible for telephonically and/or face to face assessing, ... and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case...office such as: Word, Excel, and outlook) Education + Associate 's degree or Nursing Diploma Required + Bachelor's degree… more
- CVS Health (Springfield, IL)
- …Chicago area. Schedule is Monday-Friday, standard business hours, 8:00am-5:00pm CST. Nurse Case Manager is responsible for telephonically and/or face to face ... including co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management and… more
- CVS Health (Norfolk, VA)
- …EST. Position Summary This is a full time remote teleworker position in Virginia. The Case Manager RN (CM RN) is responsible for telephonically and/or face to ... conditions including co-morbid and multiple diagnoses that impact functionality.* Reviews prior claims to address potential impact on current case management and… more
- US Tech Solutions (Richmond, VA)
- …Case management and/or discharge planning experience preferred **Position Summary** + Nurse Case Manager is responsible for telephonically and/or face to face ... including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and… more
- CVS Health (Richmond, VA)
- …Country or surrounding areas (ie Pulaski, Christiansburg, Blacksburg) Position Summary Nurse Case Manager is responsible for telephonically and/or face to face ... co-morbid and multiple diagnoses that impact functionality. Reviews prior claims to address potential impact on current case...field based face to face visit experience - Prior case management experience Education - Associate 's degree in… more
- CVS Health (Raleigh, NC)
- …Planning and/or Home Healthcare Coordination experience Preferred Experience + Certified Case Manager + Excellent analytical and problem-solving skills. + ... into new markets across the country. Fundamental Components + Nurse Care Manager is responsible for assessing, planning, implementing, and coordinating all case… more