• Merck & Co. (North Wales, PA)
    …omnichannel projects across the US, including the definition and execution of project scope, goals, and deliverables Responsible for the E2E program management of ... and managing program status dashboard for leadership Advance and share project -specific measurement plans, selecting KPIs and setting goals, targets and measurement… more
    HireLifeScience (11/07/24)
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  • Merck & Co. (North Wales, PA)
    Job DescriptionResponsibilities:Utilize big data to analyze the safety and efficacy claims of potential medical breakthroughs.Review the quality and reliability of ... including clinical development and safety evaluation.Collaborate with statistics and other project stakeholders in ensuring project plans are executed… more
    HireLifeScience (11/06/24)
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  • Merck & Co. (North Wales, PA)
    …Quantitative Sciences team uses big data to analyze the safety and efficacy claims of our potential medical breakthroughs. We review the quality and reliability of ... Research & Development (R&D) projects (data, analyses, tables, listings, figures)Strong project management skills; leadership at a program level; determines approach… more
    HireLifeScience (11/02/24)
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  • Business Process Owner Senior - Medicare…

    USAA (Tampa, FL)
    …execution of business-related processes, procedures, oversight and execution of the end-to-end claims process . This role will work with our third-party supplier ... Process Owner Senior** that will support Medicare Supplement Claims for USAA Life Company Claims Operations....strategies. + Utilizes reporting, data, and analytics to measure process and project performance, deliver process more
    USAA (10/23/24)
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  • Disability and Absence Claims Leader,…

    Equitable (Charlotte, NC)
    …experience. **Key Job Responsibilities** + ** Claims Management:** Oversees the end-to-end claims process for all disability and leave of absence products. ... management abilities + Prior experience leading other leaders of people in a Claims organization structure + Specific experience with Short Term Disability, Long… more
    Equitable (11/08/24)
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  • Head of Business Transformation, Group…

    Guardian Life (Boston, MA)
    …leadership + Assist in championing and leading continuous improvement initiatives across the Group Claims organization + Work directly with the Head of Group ... the Group Claims value stream on the Absence Comprehensive Experience project , while also being responsible for the leadership, launch, and delivery of other… more
    Guardian Life (10/17/24)
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  • Claims Developer

    Public Consulting Group (Clarkston, WA)
    …Consultative Exams (CE). **Social Security Advocacy Management Services Overview:** Within the organization PCG has a project team dedicated to providing ... include the identification, development, application and representation of and post entitlement claims at all levels of the adjudication process including… more
    Public Consulting Group (10/17/24)
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  • Manager - Insurance and Claims

    Cleco (Pineville, LA)
    …to promote risk control management, periodically - Manage and coordinate Insurance and Claims process improvements and system solutions with emphasis on improved ... process to fair value or benchmark policies and claims - Design strategies aligned with existing and evolving...experience in years of experience working in an insurance organization with involvement in claims and litigation… more
    Cleco (10/23/24)
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  • Director, Claims (Remote)

    Trustmark (Columbus, OH)
    claims . + Fosters a culture of continuous improvement and innovation within the claims organization . + Works with Claims Compliance Liaison to ensure ... bring the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization . Ensures claims are processed in a… more
    Trustmark (11/05/24)
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  • Lead Developer - Duck Creek Claims

    Axis (Alpharetta, GA)
    …law. Accommodation is available upon request for candidates taking part in the selection process . Technical Delivery Lead - Duck Creek Claims How does this role ... collective success? The Technical Delivery Lead for Duck Creek Claims is the senior most member of the development...code review. + Partners with the development lead and project manager in a project /initiative to structure… more
    Axis (10/24/24)
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  • Sr. Claims Advocate

    HUB International (Spokane, WA)
    …empowers our people to make the best decisions for our customers and organization , focusing on expanding the industry knowledge of our insurance professionals to ... seeking a progressive work environment at a rapidly growing organization + have a desire to help others protect...you come in:** We are currently seeking a Senior Claims Advocate, specializing in Commercial Construction, to join our… more
    HUB International (10/31/24)
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  • Manager - Dental Claims

    MetLife (Oriskany, NY)
    …for any/all dental claim project initiatives. We are part of the dental claims organization and work closely with Dental Product, Compliance, Dental ART and ... all-inclusive and collaborative team environment * Oversee all dental claims project initiatives. * Manage the ...claims process and systems. * Target Process for project monitoring. * Open mindset… more
    MetLife (08/31/24)
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  • Senior Claims Examiner

    ICW Group (Woodland Hills, CA)
    …customer service. + Effectively collaborates with team members from various departments for project and process discussions. + Acts as a Subject Matter Expert ... develop, and belong. **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims ...and procedures. + Directs defense counsel throughout the litigation process in line with ICW litigation guidelines while monitoring… more
    ICW Group (11/06/24)
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  • Claims Litigation Manager Senior…

    USAA (San Antonio, TX)
    …part of what makes us so special! **The Opportunity** We are seeking a dedicated Claims Litigation Case Manager Senior. This position is a hybrid work type and can ... resource for colleagues with less experience. + Applies advanced knowledge of claims litigation processes. + Proactively manages litigation and acts as liaison with… more
    USAA (10/17/24)
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  • Sr. Mgr., Claims Modernization, Operational…

    Healthfirst (NY)
    In partnership with Claims Modernization leadership and key stakeholders achieve the following objectives + Develop and implement an Operational Excellence strategy ... for the entire Claims & Provider Payment Modernization effort, ensuring its long-term...Areas, Processes, and Technologies impacted + Establish Capability, People, Process , and Technology frameworks using the latest Operational Excellence… more
    Healthfirst (10/29/24)
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  • Business Change Director- Claims /Payment…

    Elevance Health (Denver, CO)
    …**How you will make an impact:** * May specialize in one area of organization effectiveness ( Claims /Payment Integrity) or be assigned to directly support a ... **Business Change Director- Claims /Payment Integrity Use-Case Lead** **Location:** This position will...support for business change throughout the business unit. Provides process , project , and change management methodology coaching/consulting… more
    Elevance Health (11/02/24)
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  • Lead Insurance Specialist (Live Claims )

    Veterans Benefits Administration (Philadelphia, PA)
    …activities among team members Maintain program and administrative reference materials, project files and relevant background documents and make available policies, ... of documents necessary to facilitate timely processing of applications or claims . Assists veterans in completing applications for benefits. Approves and processes… more
    Veterans Benefits Administration (11/06/24)
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  • Claims Analyst Level II

    Mill Creek Residential (Dallas, TX)
    …grow and bring their whole selves to work. This starts with our recruiting and hiring process ._** **_We want you to know that we encourage you to apply if this job ... role and make your mark at Mill Creek._** The Claims Analyst II is responsible for assisting with the...representatives to ensure proper placement and coordination of any project specific insurance claim. + Audit compliance with risk… more
    Mill Creek Residential (11/02/24)
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  • Director, Claims Operations

    Premera Blue Cross (Mountlake Terrace, WA)
    …** Claims Operations Director** to join our team and oversee our claims management organization . This position offers an exceptional opportunity to contribute ... to a forward-thinking health insurance organization , where your expertise will play a crucial role...role in enhancing the quality and efficiency of our claims processes. In this capacity, you will lead a… more
    Premera Blue Cross (10/31/24)
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  • College Intern Claims COB - Healthcare…

    Henry Ford Health System (Troy, MI)
    …+ Problem solving abilities. + Group collaboration. Additional Information + Organization : HAP (Health Alliance Plan) + Department: CLAIMS ADMINISTRATION ... you will get exposure to various aspects of our organization and work closely with industry professionals, enabling you...interns towards a common goal of completing a Capstone Project to present to HAP leadership and employees and… more
    Henry Ford Health System (10/02/24)
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