• Medicaid Provider Hospital Reimbursement…

    Humana (Annapolis, MD)
    …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... with Optum WebStrat or PSI applications + Experience reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
    Humana (12/02/25)
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  • Head Pricing Actuary - Management Liability

    AIG (Chicago, IL)
    …for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations , Marketing and Risk Management, among other functions. ... trusted business partner, working closely with the underwriting and claims departments to ensure profitable performance and growth. +...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
    AIG (11/21/25)
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  • Procurement Manager

    Hatch (Pittsburgh, PA)
    …Major Market:Pittsburgh Job Segment: Procurement, Compliance, Contract Manager, Document Management, Claims , Operations , Legal, Technology, Insurance Apply now " ... globe. With expertise insustainable (https://bit.ly/32fZGnV) studies, asset building and operations , and industry-leading efficiencies, our best-in-class team leverages methodologies,… more
    Hatch (11/07/25)
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  • Bill Review Analyst | Professional Liability…

    Sedgwick (Jacksonville, FL)
    …preferred. **Experience** Six (6) years of related experience in legal billing, insurance claims , or law firm operations , or equivalent combination of education ... Review Analyst plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and defensibility. This… more
    Sedgwick (11/18/25)
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  • Data Entry Specialist

    MVP Health Care (Rochester, NY)
    …contact our Talent team at ###@mvphealthcare.com . **Job Details** **Job Family** ** Claims / Operations ** **Pay Type** **Hourly** **Hiring Min Rate** **20 USD** ... virtual, in Schenectady or Rochester, NY + 1-2 years of data entry or claims experience preferred. High accuracy and attention to detail. + Strong data entry skills… more
    MVP Health Care (12/12/25)
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  • AI Prototyping Engineer- Hybrid

    Philadelphia Insurance Companies (Jersey City, NJ)
    …and research while supporting AI initiatives that drive innovation across underwriting, claims , operations , and other business domains. The position requires a ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
    Philadelphia Insurance Companies (12/03/25)
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  • Director, AI Hub Business Relations- Hybrid

    Philadelphia Insurance Companies (Jersey City, NJ)
    …Facilitates cross-functional workshops to identify high-impact AI opportunities in underwriting, claims , operations , and support functions + Shapes, validates, ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
    Philadelphia Insurance Companies (12/03/25)
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  • Sr Certified Medical Coder RN

    Centene Corporation (New York, NY)
    …IT resources to implement system efficiencies and configuration enhancements to improve claims processing operations . + Apply Coding Guidelines as described in ... to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review,...adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. + Provide regular reports… more
    Centene Corporation (11/06/25)
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  • Driver Manager

    JBS Carriers, Inc. (Cactus, TX)
    …functions, including vacation and home time scheduling, employee relations, and claims handling. Operations Management + Coordinate the utilization of ... **Description** Position Title: Driver Manager Department: Short Haul Operations Location: Cactus, TX Reports to: Terminal Manager Position Overview: The Driver… more
    JBS Carriers, Inc. (10/08/25)
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  • AVP- Complex Claim Specialist

    Travelers Insurance Company (Salem, OR)
    …+ 5-10 years experience handling serious injury and complex liability claims preferred (casualty claim operations environment determining coverage, liability, ... reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality… more
    Travelers Insurance Company (11/12/25)
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