- Centene Corporation (Richmond, VA)
- …enhancing data accuracy, and driving efficiency to support timely and compliant claims outcomes. + Leads utilization management team on performance, improvement, ... change within scope of responsibility + Partner closely with claims and clinical and non-clinical Utilization Management ...with claims and clinical and non-clinical Utilization Management (UM) team members to align processes and improve… more
- HCA Healthcare (Nashville, TN)
- …overseeing the daily operations of the Data management team. The Data Management team is responsible for ensuring that claims processing platform is ... procedures which support application system setup functions and work/audit processes within claims processing platform. + Provider data management : Oversees the… more
- Axis (Princeton, NJ)
- …for handling such claims as well as ensuring accurate and consistent claims management across impacted underwriting segments and lines of business. + Other ... interpersonal skills. **KEY SKILLS & ABILITIES:** Minimum of 5-7 years of Management Liability claims management experience. as well as: + Possess required… more
- CHS (Clearwater, FL)
- …culture of transparency and member-focused service. With at least 5-7 years of claims operations management experience and strong leadership skills, you'll shape ... quality improvement. * Coordination of all activities of the Claims Department Management Team. This includes Supervisors and/or Team Leaders assigned to… more
- Sedgwick (Miami, FL)
- … Management (CPHRM) preferred. **Experience** Ten (10) years of complex claims management experience or equivalent combination of education and experience ... claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within company standards, industry best… more
- Sedgwick (Helena, MT)
- …to promote maximum performance. **SUPERVISORY RESPONSIBILITIES** + Thorough knowledge of claims management processes and procedures for multiple product lines ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and analyzes management reports and… more
- CVS Health (Annapolis, MD)
- …it all with heart, each and every day. **Position Summary** The Manager of Claims Management is responsible for overseeing Medicaid claims operations, ... Relations, Configuration, Compliance, Finance, Appeals and Grievance. and Medical Management . **Key Responsibilities** + Manage dailyMarylandMedicaid claims … more
- Axis (New York, NY)
- …reporting to the Manager of Casualty Claims . This position requires senior claims management and handling expertise for both the oversight and management ... We Work efforts by providing constructive feedback and volunteering for initiatives. + Claims Management & Analytics - Enhance utilization of analytics tools… more
- Panasonic North America (De Soto, KS)
- …with policy and regulatory standards + Maintain and update claim files in the Claims Management System (CMS) with documentation, notes, and supporting evidence + ... world? Do you have a strong background as a Claims Analyst? Then we're looking for you! Check out...management review + Assist with OCIP enrollments and claims tracking related to contractor claims as… more
- BrightView (Blue Bell, PA)
- …optimization. The role requires proven expertise in large deductible programs, high-volume claims management , complex and litigated claims , and workers' ... or related field; Juris Doctor preferred. + Minimum 5 years of claims management experience, including Auto, GL, and Workers' Compensation + Prior Management… more
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