- Prime Healthcare (Ontario, CA)
- … and Claims is responsible for the development and execution of Claim Operations strategies, end-to-end Claim process automation, optimization and ... and Operating Models, Long Term Business Objectives, Healthcare Payers, Claim Operations Strategies, Claim Process...(7) to ten (10) years prior work experience in Claims Operations and Health Plan Strategy, in… more
- AIG (Jeffersonville, IN)
- …retention and customer satisfaction, they turn to us. Position Overview: Reporting to a Claims Team Manager, the Claims Operations Lead works directly with ... warranty, consumer electronics, and mobile industries. Your Contribution: The Claims Operations Leads are the ones our...deny a claim . + Adjudicate and settle claim according to fair claims practices. +… more
- Highmark Health (Topeka, KS)
- …to assess the accuracy of client reports submitted to the organization, efficiency of claim operations , and adequacy of systems and procedures. + Approves ... and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs,… more
- AIG (Atlanta, GA)
- …Claim Supplier Management, the role will be responsible for the management of the Claims Law Firm and Claim Vendor function for AIG North America business. ... the team's standard operating process. + Lead discussions with Claim leadership to develop Claims Law Firm...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
- NJM Insurance (NJ)
- …to providing transparent, empathetic support and collaborative engagement during the life of a claim . The WC Claims Department takes pride in being a key ... in the growth and success of our policyholders' business operations . To meet these expectations, WC Claims ...practices and company guidelines, and timely, accurate documentation of claim activity + Provide a high level of customer… more
- Caterpillar, Inc. (Peoria, IL)
- …a **Warranty Analyst ( Claim Review & Validation)** , you'll facilitate the claim review and validation process ensuring that claims adhere to policies. This ... is accomplished through detailed claim review and identification of improvement opportunities. This role...**What You Will Do:** * Perform detailed review of claims and identify errors and corrections * Review data,… more
- Walmart (Bentonville, AR)
- …with senior leadership to define key performance indicators (KPIs) and align claims operations with company goals. **Performance Management** - Monitor ... claim outcomes. **Strategic Planning & Execution** - Implement claims strategies and key initiatives that drive operational excellence,...where appropriate. - Serve as a key liaison between Claims Operations and departments such as HR,… more
- HCA Healthcare (Nashville, TN)
- …with purpose and integrity. We care like family! Jump-start your career as a Claims Operations Lead today with Work from Home. **Benefits** Work from Home ... vary by location._** Come join our team as a Claims Operations Lead. We care for our...ICD-10, CPT, HCPCS, and revenue coding. Ability to analyze claim issues and "trouble shoot" claims problems.… more
- BrightView (Blue Bell, PA)
- …the end-to-end claims process for Auto, Workers' Compensation, and General Liability claims , with a focus on large claim volumes and consistent quality + ... and reporting with excess insurers on significant or catastrophic claims + Analyze claim trends and loss...efficiency, and employee outcomes + Collaborate with legal, brokers, operations , HR, and external vendors to support claim… more
- AIG (Atlanta, GA)
- Join us as a Claims Analyst IV to grow your experience in Claims . Make your mark in AL/GL Claims Our Claims teams are the proven problem solvers of ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more