- Humana (Columbus, OH)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- AON (Chicago, IL)
- Worker's Compensation Claims Director - Construction & Infrastructure This is a hybrid role with the flexibility to work both virtually and from our Chicago ... conditions of the applicable incentive plan. #LI-AR1 #LI-HYBRID 2552338 Worker's Compensation Claims Director - Construction & Infrastructure This is a hybrid… more
- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional... portfolio of the most complex and high exposure medical malpractice (and some GL) claims at ... Liability (HPL) Join us as a Claims Complex Director to take on key...+ Keeps abreast of significant changes in the law, claims and industry trends (not limited to medical… more
- AON (Chicago, IL)
- Aon is looking for an Associate Director , Claims Advocate in Reinsurance! Workstyle: Hybrid in our Chicago, IL location! + 5+ years of reinsurance experience ... documents and policies. #LI-RW1 #LI-HYBRID 2548521 Aon is looking for an Associate Director , Claims Advocate in Reinsurance! Workstyle: Hybrid in our Chicago, IL… more
- Banner Health (Phoenix, AZ)
- …and a minimum of five to seven years medical professional liability management experience, either as in-house claims professional or outside counsel. Must ... Mgmt **Work Shift:** Day **Job Category:** Legal The **Executive Director , Claims & Litigation Counsel** will provide...leadership experience with healthcare risk management , quality management , in house liability claims management… more
- AIG (Atlanta, GA)
- … and legal aspects of assigned claims using available resources which include medical management services to manage medical treatment and coordinate use ... 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 to grow your… more
- Elevance Health (Atlanta, GA)
- **Business Change Director - Claims /Payment Integrity Use-Case Lead** **Location:** This position will work a hybrid model (remote and office). Ideal candidates ... 50 miles of a PulsePoint location. The **Business Change Director - Claims /Payment Integrity Use-Case Lead** is responsible for...continue to improve on the process. The Business Change Director is responsible for working with management … more
- Premera Blue Cross (Mountlake Terrace, WA)
- … Operations Director ** to join our team and oversee our claims management organization. This position offers an exceptional opportunity to contribute ... expertise will play a crucial role in enhancing the quality and efficiency of our claims processes. In this capacity, you will lead a strong claims team, drive… more
- Providence (Renton, WA)
- …Federal, State, health plan and contractual regulations and guidelines. The Executive Director Claims Operations interfaces with internal and external resources ... **Description** **THE ROLE** The Executive Director directs, manages and oversees the activities of...for success in this position + Expertise includes delegated medical group functions, management and analysis +… more
- Marriott (Plano, TX)
- …**Schedule** Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** A Claims Unit Manager ... dependability. **Education or Certification** * Bachelor's Degree. * Certification from various Claims seminars. * Associate in Risk Management or Associate in… more
- Whitney Young Health Center (Watervliet, NY)
- …Apply Description GENERAL RESPONSIBILITIES: Responsible for reviewing medical claims prior to submission and ... complex or problem claims or insurance types as designated by the Director . Reviews payer coding policies and procedures to ensure that the department remains in… more
- AON (Chicago, IL)
- …analytical, excellent communication, interpersonal and organization skills. + Proficiency with claims management systems and reporting tools. + Understanding of ... analytical, excellent communication, interpersonal and organization skills. + Proficiency with claims management systems and reporting tools. + Understanding of… more
- AON (Fort Wayne, IN)
- …look like As a Claims Litigation Analyst, you will report directly to the Claims Manager and/or Claims Director working in the challenging and rewarding ... Fair Chance ordinances. Nothing in this job description restricts management 's right to assign or reassign duties and responsibilities... Litigation Analyst, you will report directly to the Claims Manager and/or Claims Director … more
- HUB International (Columbus, OH)
- **POSITION SUMMARY:** Overmyer Hall Associates is seeking to add a Claims Leader to their Property & Casualty Service team! The Claims Leader will oversee and ... manage the claims process and claims service team for the region, who are primarily...in our Columbus office, and will report to the Director of Property & Casualty Operations. **ABOUT HUB INTERNATIONAL:**… more
- CommuniCare Health Services Corporate (Akron, OH)
- …posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management , and others. The CBO claims validation staff will strive to always ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...of benefit options from life and disability plans to medical , dental, and vision coverage from quality benefit carriers.… more
- Martin's Point Health Care (Portland, ME)
- …of education and relevant experience. + 5 or more years of related medical claims auditing experience or equivalent experience. + Detailed knowledge of ... Job Description Position Summary: Under the supervision of the Director of Health Plan Operations, the Claims ...or other inquiries. + Prepare reports and communications for management relating to claims overpayment and … more
- 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
- The Cigna Group (Bloomfield, CT)
- …+ 7+ years management and leadership experience + Experience building a claims team from the ground up is strongly preferred + Ability to communicate clearly ... The Claims Strategy and Payment Integrity Senior Manager will...who can work closely with Claim Operations, Claim Utilization Management , Provider Operations, Product, IFP's Total Cost of Care… more
- CenterLight Health System (NY)
- …Manager, Claims Payment Integrity supports the Senior Vice President and the Director in the day-to-day operations of the Claims Operations Department. The ... RBRVS, and revenue coding. + Working knowledge of contract interpretation and contract management . + Knowledge and understanding of claims modifiers and their… more
- GAF (Parsippany, NJ)
- …leadership of the Sr Director , Contractor & Technical Services, the Manager, Commercial Claims will be responsible to lead the day to day management of our ... to: + Provide day to day oversight and performance management of the commercial claims team, consisting...a wide range of health insurance options that include medical , dental, and vision for you and your family.… more