- AIG (Atlanta, GA)
- …we help customers to manage risk. Join us as a Complex Federal Work Comp Claims Director to play your part in that transformation. It's an opportunity ... impact + Provide technical expertise in directing and resolving Federal Workers' Compensation claims in accordance with best claim practice guidelines. + Utilize… more
- AIG (Atlanta, GA)
- …How you will create an impact + This position is responsible for leading a team of Complex Claims Examiners on the Federal WC Claims team and for ... Make your mark in Federal Work Comp Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence… more
- Banner Health (Phoenix, AZ)
- …effectiveness of risk mitigation strategies. 9. Oversight for investigation and evaluation of complex claims and manages such claims through mediation and/or ... Claims Mgmt **Work Shift:** Day **Job Category:** Legal The **Executive Director , Claims & Litigation Counsel** will provide strategic and operational… more
- Trustmark (Columbus, OH)
- …and/or negotiate with claimants and legal representatives. Provides sign-off approval of highly complex or high-dollar claims . + Fosters a culture of continuous ... Compliance Liaison to ensure correct interpretation of new statutory and federal regulations are properly inserted into claims workflow.Reviews audits reports… more
- Humana (Columbus, OH)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Whitney Young Health Center (Watervliet, NY)
- …for reviewing medical claims prior to submission and following up on more complex or problem claims or insurance types as designated by the Director ... Claims Coding Specialist (Req 100825) Watervliet, NY (http://maps.google.com/maps?q=1601+Broadway+Watervliet+NY+USA+12189) Apply Description GENERAL… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …(TPA) desk examiners and claim adjusters in responding to insured commercial property claims * Review and determination of complex coverage issues * Maintains ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4717187) Apply Property Claims Manager… more
- The Cigna Group (Bloomfield, CT)
- The Claims Strategy and Payment Integrity Senior Manager will play an important role in our Affordability strategy by providing claim payment oversight for the ... small team and report directly to the IFP Senior Director of Operations. The role is designed for an...claim administration. + Evolve SLAs and oversees business partner claims processing and auditing to ensure SLAs are met,… more
- Topgolf (Dallas, TX)
- **Job Responsibilities** + Manages workers' compensation and general liability (guest) claims from inception to resolution; indirectly supervising the assigned 3rd ... party administrator, partnering with the broker claims consultant, and oversight of outside counsel. Manages large...material exposures or recoveries are properly accounted for. Supports Director of Risk Management with reporting and analysis for… more
- GAF (Parsippany, NJ)
- …of the Sr Director , Contractor & Technical Services, the Manager, Commercial Claims will be responsible to lead the day to day management of our commercial ... claims team and processes. This position is based in...own job discipline or field. + Ability to solve complex problems and help lead other less experienced team… more
- Department of Energy (Washington, DC)
- …acumen, and negotiation skills to lead teams monitoring large, complex federal loans. Responsibilities The Deputy Director , PMD, serves as the Department's ... management of all closed LPO loan guarantees. The Deputy Director , PMD, exercises leadership and possesses a high degree...Receivables, Federal Credit Reform Act, Davis-Bacon Act, Federal Claims Collection Standards and Debt Collection… more
- HUB International (Brentwood, TN)
- The Director of Collections is responsible for the strategic and operational oversight of the Collections process for the multiple entities under the SPG portfolio ... onshore resources and a 3rd party outsourced team. The Director of Collections will play a key role in...and forecasting of future support needs. + **Premium and Claims Collections** : Ensure timely collection of premium payments,… more
- Offices, Boards and Divisions (Washington, DC)
- …individual to serve as Senior Executive Director in its Torts Branch - Federal Tort Claims Act (FTCA) Section. Responsibilities The Director supervises ... MTQ1. Demonstrated significant legal experience and expertise in Federal Tort Claims Act (FTCA) litigation particularly in handling complex , high-profile and… more
- Primary Health Care (Des Moines, IA)
- As a Revenue Cycle Director , you will serve as the primary lead for PHC's billing and collections processes to increase cash flow and reduce patient accounts ... receivable. The Revenue Cycle Director works collaboratively with the Patient Services ...to ensure compliance with payer, accreditation, regulatory, state and federal rules and regulations as well as organizational policies… more
- City of New York (New York, NY)
- …projects using complex SQL algorithms and EDW data, analyzing data to identify claims that can be reclaimed for higher federal and state reimbursement rates, ... three analytical staff that are responsible for submitting over $50 million in claims for federal and state reimbursement. Ensure all participant and invoice… more
- Prime Healthcare (Farmers Branch, TX)
- …trends and identify opportunities for process improvement and reimbursement optimization. + Complex Claims Management: identifies, trends, and owns portfolios of ... genetic information or any other basis protected by applicable federal , state, or local laws. The Company also prohibits... complex claims , including Third party claims , TDRG, Zero… more
- Community Hospital Corporation (Gainesville, TX)
- The Human Resources Director reports to the CEO for the direction, coordination and overall management of the Human Resource function. The Human Resources ... Director is responsible for the overall planning, organizing, implementing,...and communications. This responsibility includes ensuring compliance with all federal , state and local government regulations as they relate… more
- AECOM (Columbus, OH)
- …infrastructure consulting firm, partnering with clients to solve the world's most complex challenges and build legacies for future generations. There has never been ... world. Join us. **Job Description** AECOM is seeking an experienced **Regional Director of Alternative Delivery** for this exciting opportunity to oversee the… more
- State of Massachusetts (Boston, MA)
- …is seeking dynamic and solution-oriented applicants for the position of*Deputy Director of Accounting*. This role is responsible for overseeing the collection ... of verified client overpayments, associated state and federal financial reporting functions, and a variety of other...practice policies and procedures. This role reports to the Director of Accounting, directly supervises three (3) staff, and… more
- Snapsheet (IL)
- Job Title: Director of Pre-Sales Company: Snapsheet Job Location: Remote Job Type: Full Time About Snapsheet: Snapsheet exists to simplify claims . We leverage ... our expertise in virtual estimating and innovative claims management technology, transforming the end-to-end claims ...Role: As we expand, we are seeking a talented Director of Pre-sales to lead our pre-sales team in… more