- The Hartford (Alpharetta, GA)
- …The Hartford is hiring an AVP leading Generative and Agentic AI solutions for the Claims and Operations organizations. This leader will play a pivotal role in ... AI capabilities to enhance outcomes, process and experience. The Claims & Operations Emerging AI team builds...and maintain robust Generative and Agentic AI solutions across claim and customer service operations . + Collaborate… more
- EquipmentShare (St. Louis, MO)
- …insurance claims from initiation to resolution. This includes verifying claim information, assessing damages, and determining claim validity. + Customer ... and knowledgeable support to customers filing claims . Guide them through the claims process, keeping them informed of their claim status and next steps.… more
- UNUM (Columbia, SC)
- …will be accountable for overall claim adjudication, quality, and delivery on claim performance for Voluntary Benefits (VB) claims across both the Unum and ... + Responsible for delivery of best-in-class customer experience in claims areas ensuring thorough fair and objective claim...looking for opportunities to optimize the total cost of operations , while not compromising on claim decisioning… more
- HCA Healthcare (Nashville, TN)
- …philosophy of proactive, efficient and effective claims management. + Manage local claims workflow/processes from the time a probable claim is filed through ... , including in-depth analysis, setting reserves, deciding if a claim should be settled or defended and ultimately bringing...JD) is preferred + 5+ years of experience in claims management, hospital operations , or risk management… more
- Wells Fargo (Chandler, AZ)
- **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Manager. You will lead a team of analysts responsible for reviewing and resolving ... 2+ years Leadership experience **Desired Qualifications:** + 4+ years of experience in operations , fraud, claims , or complaint resolution + 2+ years of… more
- CTG (CA)
- …on Behavioral Health and Ambulatory services. + Design, build, and maintain Epic HB Claims configuration, including claim edit rules, claim definition rules, ... **CTG is seeking to fill an Epic Hospital Billing Claims Analyst opening for our client in California.** **Location:** Remote **Duration:** 18 months **Duties:** +… more
- AIG (Atlanta, GA)
- … claims performance against standards and goals. + In depth knowledge of claim handling procedures, claims performance strategies, and claim best ... Complex Claims Director- AL/GL Field Claims -Lexington and...follow up to complete timely and accurate reserves and claim resolution. + Analyze coverage; evaluating liability and damages,… more
- AIG (Atlanta, GA)
- …TPA or TPA to AIG). + Communicate and/or educate TPAs regarding applicable AIG claims procedures, protocols and claim handling expectations. + Evaluation of TPA ... manage risk. Join us as a NAM (North America) Claims TPA Manager to play your part in that...identify and mitigate AIG's risk related to third party claim administrators by ensuring effective control and oversight strategies… more
- AIG (Atlanta, GA)
- …reimagining the way we help customers to manage risk. Join us as a Complex Claims Director - Aviation to play your part in that transformation. It's an opportunity ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...serves as a technical referral point for NA Aerospace claim team members and will collaborate with NA Aerospace… more
- The Hartford (Hartford, CT)
- …Qualifications: + 5+ years of experience in an analytic function (in Finance, Operations , Claims , Actuarial, or Sales) within the insurance industry; experience ... shape the future. The Workers' Compensation and Employee Benefits Claims Performance Analytics group is seeking a Director to...Performance Analytics group is seeking a Director to drive claim insights and strategy with a focus on Short… more