- Apex Health Solutions (Houston, TX)
- Job Title: Claims Processor Department: Operations Supervisor: Manager, Claims Operations Summary: Position is responsible for the timely and accurate ... claims adjudication and regulatory reporting functions including associated processes...final payment determination Works closely with stakeholders including clinical, operations and finance teams during the development of key… more
- Commonwealth Care Alliance (Boston, MA)
- …will not be considered at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst ... and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the end-to-end… more
- Zurich NA (Addison, TX)
- …. + Expertise in construction-related claims . + Leadership experience in claims or operations . + Strong negotiation and analytical skills. At Zurich, ... Claims Team Manager, General Liability (Construction) 127498 **Join...fostering a collaborative and supportive workplace culture. + Optimize Operations : Monitor team resources, allocations, and expenditures to manage… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …role does not manage people + This role reports to this job: SUPERVISOR, CLAIMS OPERATIONS + Necessary Contacts: In order to effectively fulfill this position, ... is preferred for all positions. **POSITION PURPOSE** Researches and verifies complex claims information to ensure the accurate and timely processing of claims… more
- Integra Partners (Troy, MI)
- …with cross-functional teams to ensure timely, accurate, and compliant claims operations while driving strategic enhancements. SALARY: $95,000.00/Annually ... The Project Manager - Healthcare Claims Management (Subject Matter Expert) is responsible for...Medicaid, and other applicable regulations. + Partner with IT, operations , and vendor teams to resolve system defects, improve… 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 ... minimum of at least 5-7 years in a Management role for Claims Operations , servicing health insurance policies or benefits. * Strong organizational, interpersonal… more
- Zurich NA (Atlanta, GA)
- …a Insurance Carrier + 8+ years of direct people management and performance experience + Claims operations experience + Knowledge and skill in claims handling ... Claims Manager, General Liability 126578 Zurich North America...moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims .… more
- Cognizant (Winston Salem, NC)
- …and insights. + Contribute to the development of process improvements to streamline claims operations . + Maintain accurate records and documentation for all ... ** Claims Adjudicator (Hybrid) - Winston Salem, NC** _Training...be fully remote_ . **Overview:** We are seeking a Claims Adjudicator in Winston Salem, North Carolina with 1… more
- Citigroup (San Antonio, TX)
- …Sup Analyst is an entry level position responsible for providing operations support services, including but not limited to; record/documentation maintenance, storage ... and the opening of accounts in coordination with the Operations - Core Team. Additionally, the Assoc Ops Sup...Assoc Ops Sup Analyst serves as the liaison between operations staff, relationship managers, project managers, custodians and clients.… more
- DoorDash (Tempe, AZ)
- …the company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations , and Risk Management & Mitigation. We are looking for ... DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's...will work with our insurance carrier partners and third-party claims administrators with a focus on auto insurance … more