- USAA (Chesapeake, VA)
- …part of what truly makes us special and impactful. **The Opportunity** As a dedicated ** Claims Litigation Manager - Section II ** , you will be responsible for ... to include serious injury or property damage arising from Section II liability, questionable damages, questionable liability and questionable coverage issues. +… more
- Novant Health (Winston Salem, NC)
- Job Summary The Claims Manager is responsible for analyzing, negotiating and resolving claims , including professional and general liability, for all Novant ... and staff. + Coordinates investigation and analysis of incidents and legal claims filed against Novant physicians and entities. Assist and supervises legal… more
- Elevance Health (Woodbridge, NJ)
- ** Manager II Grievance/Appeals** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of the ... an accommodation is granted as required by law._ The ** Manager II Grievance & Appeals** responsible for...as a resource for complex issues and interpretation of claims , provider contracts and data, eligibility, member contracts, benefits,… more
- State of Massachusetts (Boston, MA)
- …deliver program integrity. *What you'd do:* Lead Claims Examiner/Job Service Representative II , who reports to the Senior Manager of Benefit Operations & ... *Lead Claims Examiner/Job Service Representative II | Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative … more
- Elevance Health (Mendota Heights, MN)
- **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...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Centene Corporation (Harrisburg, PA)
- …of New York, Pennsylvania, or New Jersey. Preferred candidatess will have Facets Claims experience.** **Position Purpose:** Serve as the claims payment expert ... the Plan and as a liaison between the plan, claims , and various departments to effectively identify and resolve...any system changes and work notify the Plan CIA Manager to ensure its implementation + Collaborate with the… more
- Catholic Health (Buffalo, NY)
- …and technology method of transformation. Supports the organizations Revenue Cycle claims and remittance process. Identifies and implements EPIC and/or 3rd Party ... the technical mechanics to support the work. A level II Analyst does so at a intermediate complexity and...general, and work is supervised and guided by director, manager or team member. Employee knows and analyzes procedures,… more
- TEKsystems (Columbia, SC)
- …procedures. Performs research as needed to resolve inquiries. Reviews and adjudicates claims and/or non-medical appeals. Determines whether to return, deny or pay ... claims following organizational policies and procedures. *45% Ensures effective...and guidelines and refers these to a lead or manager for resolution. Identifies and reports potential fraud and… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The primary purpose of this position is to examine & process claims from the UB04 & CMS-1500 claim forms into the claims adjudication system for all ... responsible for the accurate review, input & adjudication of claims using payment policies & methodologies that are consistent...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- MyFlorida (Port Charlotte, FL)
- BUSINESS MANAGER II - SES - 50009003 Date: Sep 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 861751 Agency: Veterans Affairs Working Title: BUSINESS MANAGER II - SES - 50009003 Pay...responsible for the timely billing and collection of all claims resulting from the long-term care services provided to… more