- 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
- Walmart (Bentonville, AR)
- …with senior leadership to define key performance indicators (KPIs) and align claims operations with company goals. **Performance Management ** - Monitor claim ... ** **Position Summary:** The Senior Manager of Workers' Compensation or General Liability claims is responsible for overseeing multiple claims manager teams and… more
- Axis (Los Angeles, CA)
- …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
- 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
- Sedgwick (Bartlesville, OK)
- …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
- 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
- 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
- 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