- Marriott (Bethesda, MD)
- …Practices Liability (EPL) and Fidelity insurance lines. The Senior Manager, Specialty Claims provides assistance to the Director of Specialty Claims ... Legal and Internal Audit, in the resolution of EPLI and Fidelity claims . + Advise the Director of Specialty Claims of any high exposure claims… more
- Commonwealth Care Alliance (Boston, MA)
- …states will not be considered at this time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. ... of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the… more
- BJs Wholesale Club (Marlborough, MA)
- …counsel and TPA. + Identifies claim trends and provides recommendations to the Claims Manager and Director , Risk Management, and Insurance for decreasing the ... members receive the best possible care, provides oversight of third party claims administrator (TPA) to achieve optimal financial results; partnering with clubs/DC's… more
- Wells Fargo (Charlotte, NC)
- **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Director to report to the Head of Claims and Recovery. This group is responsible for ... end-to-end claims processing for all dispute types. This individual will...types. This individual will lead the ATM, Debit Card Claims (ADCC) team of approximately 2,000 employees, located in… more
- Billings Clinic (Billings, MT)
- …regional affiliate locations to support risk functions as indicated by Risk Management Director . The Risk and Claims Specialist assists in coordination of the ... malpractice claims at the direction of the Risk Management Director and/or the Risk and Claims Coordinator and Risk and Claims Analyst. Works closely… more
- MTA (Brooklyn, NY)
- …TA/OA Department: Law Division/Unit: Torts Reports to: Assistant General Counsel / Director of Claims Work Location: 130 Livingston Street, Brooklyn Hours ... Claims Manager Job ID: 11803 Business Unit: MABSTOA...Date Posted: May 21, 2025 Description Job Information Title: Claims Manager Last Date of Posting: Open Until Filled… more
- Humana (Providence, RI)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Salem, OR)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... requires an in-depth evaluation of variable factors. **Description** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Bismarck, ND)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- NTT DATA North America (Decatur, IL)
- …Rate $22-$23/hr **Position Summary:** The Utilization Management Coordinator reports to the Director of Claims . This position is responsible for coordinating the ... including pre-determinations and retrospective reviews. + Review submissions by the Claims Department to determine appropriateness of services through established UM… more