- Molina Healthcare (Mid Florida, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage ... amount and benefit interpretation. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in a timely fashion and in accordance… more
- Sedgwick (Shreveport, LA)
- …Forbes Best-in-State Employer Claims Team Lead Assistant - Workers Compensation ( MUST RESIDE IN LOUISIANA) **PRIMARY PURPOSE:** To analyze complex or ... technically difficult workers' compensation claims to determine benefits due; to work with high...of adjusters, clerical staff and provides feedback to hiring manager . + Provides limited assistance/support to Team Lead with… more
- Providence (WA)
- … 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 ...department **_Providence welcomes 100% remote work for applicants who reside in the United States._** **_**Note: Providence is not… more
- Zurich NA (Columbus, OH)
- …fully remote role and can reside anywhere in the United States. The Claims Fraud and Investigations Manager is responsible for managing the daily activities ... Claims Fraud and Investigations Manager 117871...insurance.AND + Leadership experience. + Project management experience + Must obtain and retain anti-fraud certification + Knowledge of… more
- Providence (NM)
- …must empower them._** **Providence Health Plan is calling a General Liability Claims Manager , Healthcare who will:** + Be responsible for day-to-day oversight ... of general and professional liability claims in accordance with the System's claims ...with the discovery process and communicate with facility risk manager regarding evaluation and investigation + In collaboration with… more
- Walmart (Bentonville, AR)
- Position Summary What you'll do **Applicants must reside within commuting distance of the primary job location** + Leads claim investigations by conducting ... in the claim/image management system. + Handles monetary aspects of assigned claims by establishing reserves within approval level; notifying store managers of… more
- Houston Methodist (Houston, TX)
- …+ Collaborates with management on coding and diagnosis issues to reduce claims denials by providing verbal and written communication. + Assists with knowledge ... support to other team members as advised by the manager and/or supervisor. **SERVICE ESSENTIAL FUNCTIONS** + Responds to...and procedures for charge review, claim edit(s) and/or denied claims and submits clinical appeal or corrected claim. +… more
- Zurich NA (Olympia, WA)
- RCIS Crop Claims Handling Supervisor I 118183 Zurich is currently looking for an RCIS Crop Area Claims Handling Supervisor to join our Rural Community Insurance ... will lead and direct a team of Crop Area Claims Managers and the respective crop adjusting staff to...guidance and ensure compliance with regulatory policies. As a manager , they will coordinate the work activities of the… more
- ManpowerGroup (CA)
- **Job Title:** Claims Adjuster- Workers Compensation **Location:** Remote ( Must reside in California) **Duration:** 14-Oct-2024 - 11-Jan-2025 (Potential to ... extension) **Pay Rate:** $49 ** Manager 's note:** + **Workers Compensation Claims Adjuster...WC experience)** + **Work location: Remote in CA.** + ** Must have SIP Certification** **Primary Purpose** To analyze complex… more
- Elevance Health (Rancho Cordova, CA)
- ** Claims Examiner I** UNION POSITION **Location :** This...be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour ... position. During the time spent in this position the Claims Examiner will develop claims knowledge in...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Rancho Cordova, CA)
- ** Claims Examiner II** UNION POSITION **Location :** This...be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour ... position. During the time spent in this position the Claims Examiner will develop claims knowledge in...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- American Family Insurance - Corporate (San Francisco, CA)
- …time radius. A company fleet vehicle is provided with the position. Candidates must reside within the desired location. Relocation offered for eligible ... At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a...claims . You will report directly to the Claim Manager . You will work from home, with local travel… more
- Elevance Health (West Des Moines, IA)
- ** Claims Representative III (Health & Dental)** ** Must...be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour ... Tampa, FL, Des Moines, IA or Mason, OH.** The ** Claims Representative III (Health & Dental)** is responsible for...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Grand Prairie, TX)
- …and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant ... Title: Claims Representative I/II/III **Location:** This position will work...help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery. **How you… more
- Elevance Health (East Syracuse, NY)
- …and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant ... **SCA Claims Processor I** **Location(s):** **_This is a virtual...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Richmond, VA)
- …and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant ... ** Claims Representative I (Health & Dental)** **Location:** Must live within 50 miles of the Mason, OH,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Columbus, OH)
- …and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant ... **Pharmacy Data Claims Analyst & Insights (Business Analyst II)** _Location:...Experience working in a health plan and/or pharmacy benefit manager (PBM) strongly preferred. + Strong proficiency in SQL,… more
- Elevance Health (Roanoke, VA)
- **Title: Claims Representative I (Health & Dental) - FHPS**...be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour ... to be in the** **Roanoke, VA** **office.** **Hours:** **8:00 am-4:30 pm EST, M-F** ** Must have 100% attendance during the first 12 weeks of training. Start date:… more
- UT Health (Houston, TX)
- …subject to the provisions of Texas Education Code | 51.215 Residency Requirement: Employees must permanently reside and work in the State of Texas. If you ... Project Specialist - Texas All-Payor Claims Database - Hybrid **Location:** Texas Medical Center-Houston,...In this position, you will support the Data Operations Manager in preparing professional and concise public-facing material for… more
- Elevance Health (Denver, CO)
- …and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant ... **Business Change Director- Claims /Payment Integrity Use-Case Lead** **Location:** This position will...work a hybrid model (remote and office). Ideal candidates must live within 50 miles of a PulsePoint location.… more