- USAA (Phoenix, AZ)
- …what truly makes us special and impactful. The Opportunity As a dedicated Manager, Claims Operations you will lead and be accountable for auto, and other claims ... employees understand how their work and contributions support the overall claims and Enterprise strategies. Proactively identify opportunities to improve operational… more
- USAA (San Antonio, TX)
- …what truly makes us special and impactful. The Opportunity As a dedicated Claims Litigation Manager- Auto , you will be responsible for managing moderately complex ... liability and questionable coverage issues. Applies intermediate knowledge of claims litigation processes. Proactively manages litigation and acts as liaison… more
- USAA (Phoenix, AZ)
- …operational areas. Sets operational goals and measures to achieve overall claims litigation targets. Designs and implements claim's strategies supporting enterprise ... strategy development, and financial and operational planning. Leads broad functional Litigation, Claims and P&C projects and may serve as an executive sponsor for… more
- USAA (Phoenix, AZ)
- …and impactful. The Opportunity It is all about learning and growing. Our Customer Service Claims Representative role may be a new career for you. There's a lot to ... Phoenix office (1 Norterra Drive, Phoenix, AZ 85085) as a Customer Service Claims Representative. You will be part of an outstanding contact service center, where… more
- USAA (Phoenix, AZ)
- …special and impactful. The Opportunity Accountable for auto, property and/or other claims teams to deliver operational business results at scale. Responsible for ... operational areas. Sets operational goals and measures to achieve overall claims targets. Designs and implements claim's strategies supporting enterprise objectives.… more
- Kaiva Tech (Washington, DC)
- Kaiva Tech, LLC is seeking Licensed Attorney - Claims Reviewer Location: Washington, DC Clearance: 5C Public Trust Position Type: Full-Time, Hybrid/Remote Position ... to support our federal government customer in reviewing and adjudicating claims submitted under an agency-managed program. This role involves evaluating claim… more
- Eisai, Inc (Nutley, NJ)
- …time management skillsExperience in the design and programming of claims analysis and observational studies is desirableEffective interpersonal skills; projection ... of professional image and credibility; teamwork oriented and inclusiveRecord of peer-reviewed publication of original work in HEOR is desirableEisai Salary… more
- Eisai, Inc (Cincinnati, OH)
- …(eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state ... transparency and disclosure laws) preferred.Demonstrated skills at building and maintaining professional relationships with key customers and others in the customer… more
- USAA (Phoenix, AZ)
- …coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable ... for business activities. Adjusts attorney-involved moderately complex bodily injury claims with demonstrable injuries (eg torn meniscus, broken bones, disc… more
- USAA (Colorado Springs, CO)
- …and impactful. The Opportunity It is all about learning and growing. Our Entry Level Auto Claims Adjuster role may be a new career for you. There's a lot to learn, ... Colorado Springs, CO 80920) as a Entry Level Auto Claims Adjuster. Your work will focus on adjusting non-injury...path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits,… more
- USAA (Phoenix, AZ)
- …Auto Adjuster you will proactively handle the complete end to end claims process. Taking statements, policy and coverages, determination of liability and complete ... defined guidelines and framework, responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to-end … more
- USAA (Colorado Springs, CO)
- …assistance is not available for this position. These positions will support Claims Litigations. What you'll do: Develop and implement strategic customer specific ... systems to collect and analyze data. What sets you apart: P&C Litigation Claims Operations and/or Optimization experience. 2+ years Manager, Claims Operations… more
- PedIM Healthcare (Crystal River, FL)
- …1 year of service. Paid time off. Opportunities for ongoing professional development and training. Supportive and collaborative work environment. Responsibilities: ... Review and process medical claims for accuracy and completeness. Verify patient billing data...data and resolve any discrepancies. Generate and submit insurance claims to payers promptly. Follow up on unpaid or… more
- Sul Lee Law Firm, PLLC (Dallas, TX)
- …Responsibilities: Lead litigation strategy for partnership/shareholder disputes, derivative claims , fiduciary duty litigation, and business divorce cases. Handle ... growth, manage risk, and achieve success, while cultivating a workplace that values professional excellence, diversity, and personal growth. Why Join Us? At Sul Lee… more
- Metrolink (CA)
- PURPOSE OF POSITION The Legal Administrative Analyst I will perform professional level administrative staff work and support in a fast-paced legal department. This ... and SCRRA books, and internal processes pertaining to legal matters and claims . Update and maintain all department databases. Provide administrative support to the… more
- Alameda Health System (Oakland, CA)
- …Their responsibilities span from managing admissions to ensuring clean claims , identifying trends, and optimizing resource utilization. This role supports ... and external partners; networks with other hospitals, nursing organizations, and professional organizations to keep abreast of changes within the profession. MINIMUM… more
- Zoltek-Toray Group (St. Louis, MO)
- …Responsibilities and Duties: Manage full-cycle recruitment and selection for professional -level positions across all US sites, including workforce planning, vacancy ... branding. Cultivate strategic partnerships with universities, community organizations, and professional networks to support talent pipeline development; manage the… more
- University Health (San Antonio, TX)
- …university strongly preferred. Certification from AAPC or AHIMA as a Certified Professional Coder (CPC) and Certified Professional Medical Record Auditor (CMPA), ... is strongly preferred. Minimum three years' experience in clinical auditing and claims validation reviews within a hospital or Ambulatory Surgery Center (ASC)… more
- BJC (St. Louis, MO)
- …Generous student loan repayment assistance Fellowship training stipend available Claims made malpractice insurance with tail coverage provided Hospital Affiliation: ... Art Museum, Peabody Opera house, Fox Theatre, Union Station, and more! Professional sports include the Stanley Cup winning Blues, World Series winning Cardinals… more
- Buckeye Community Health Plan (Thornville, OH)
- …one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national ... to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or unusual or new services in order to… more
