- Sedgwick (Brea, CA)
- … claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex or high-exposure ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead (Supervisor) - Workers Compensation | Hybrid - Brea, CA Are you… more
- Centene Corporation (Richmond, VA)
- …processes to help support best member outcomes. Oversees and manages Utilization Operations specific to the daily operations of Utilization Management including ... Oversees the end-to-end management of authorization reconciliation and post claim authorization functions, ensuring seamless coordination between authorization processes,… more
- TEKsystems (Santa Barbara, CA)
- …documentation for medical procedures, CPT, and HCFA codes. + Review, price, and release claims for assigned claim types (paper and electronic). + Analyze Manual ... processing. + Perform additional duties and special projects as assigned. Skills + Claims Processing + Project Management + Healthcare Operations + Workflow… more
- Elevance Health (Atlanta, GA)
- **Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... within a commutable distance from an office._ The **Director II, Digital Claims Operations ** oversees a combined digital and operations unit(s); executes… more
- Insight Global (Norcross, GA)
- …claims . The Claims adjuster will report to the Senior Director of Claims Operations and Field Support and functions as a customer service representative ... the auto industry. Our customer is looking for Powertrain Claims Adjusters to join their team.. As an adjuster...by explaining contract coverage and claim decisions to contract holders. To perform his job… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …description:** Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES ... change from time to time. 1. Manage the supervision and coordination of the claims department and staff. 2. Organize and disseminate information that affects the … more
- Mass Markets (Killeen, TX)
- …companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business ... hear from you. This role involves handling inbound communications, evaluating warranty claims , and working closely with customers and service partners to ensure… more
- PulteGroup (Coppell, TX)
- …recommend and implement mitigation strategies. + Collaborate cross-functionally with Legal, Claims , and Operations to ensure cohesive compliance practices. + ... decision-making and regulatory filings. + Proven ability to collaborate with Legal, Claims , Operations , IT, and other departments to ensure cohesive compliance… more
- Molina Healthcare (Albany, NY)
- …analysis of claims research findings and results to leadership and respective operations teams. * Manages and leads major claims projects of considerable ... and efficiency of claims processing. * Fields claims questions from the operations team. *...claims processing experience across multiple states, markets, and claim types. * Knowledge of claims processing… more
- BlueCross BlueShield of North Carolina (NC)
- …and single point of contact for performance monitoring and troubleshooting. + Represent Claims Operations on monthly CMS calls with CMS Account manager answering ... Claims Submission, Documentations, Financial Processing, Health Insurance, Insurance Claim Handling, Insurance Claims Processing, Insurance Industry, Medicare… more