- Boston Mutual Life Insurance (Canton, MA)
- …and Accident Claims . This includes setting strategic direction, managing claims operations and ensuring regulatory compliance and an exceptional customer ... Customer Experience. This role will also manage our external claims partners. **Claim Processing** : + Directs and oversees...+ Directs and oversees the handling of all insurance claims . + Ensure timely and accurate claim processing. +… more
- Martin's Point Health Care (Portland, ME)
- …years management and/or leadership experience, with a focus on Payment Integrity, claims operations , healthcare auditing, or related roles. + Experience managing ... waste, and abuse investigatory techniques and strategies + Solid understanding of standard claims processing systems, operations , and claims data analysis +… more
- CDPHP (Latham, NY)
- …The Document Service Representative will work closely with Member Services, Provider Services, Claims Operations , and Medical Affairs to resolve claims ... mail sort, batch preparation, and scanning of all incoming claims and correspondence to facilitate and ensure compliance with...service levels. Ownership is assumed for all aspects of claims examining and data entry on the FormWorks system,… more
- Walmart (Danville, KY)
- …versustraining Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and ... and collaborating with all levels of associates regarding store operations utilizing technology business initiativesmerchandising and company direction introducing… more
- Walmart (Grapevine, TX)
- …training. Determines training needs. Develops and delivers training as needed. Manages claims and receiving operations by ensuring proper policies and procedures ... and collaborating with all levels of associates regarding store operations , utilizing technology, business initiatives, merchandising, and company direction;… more
- Walmart (St. Helens, OR)
- …training needs and developing and delivering the training where needed Manages claims and receiving operations by ensuring proper policies and procedures ... and other alleged illegal activities conducting investigations relating to the operations and policies of the company obtaining evidence taking statements writing… more
- Santander US (Quincy, MA)
- …**We Want to Talk to You!** **The Difference You Make** : The Specialist, Claims & Fraud Operations performs routine, analytical review of data and/or ... Specialist, Fraud Operations Country: United States of America **Your Journey...fraud/risk activities. Will play a crucial role in our operations . Your fraud analyst skills will be use as… more
- Commonwealth Care Alliance (Boston, MA)
- …systems (eg, Salesforce) and provider relationship management tools. * Understanding of claims operations , utilization management, and quality programs as they ... medical management, and analytics teams to advance provider network operations , education, and performance improvement. The Provider Relations Director reports… more
- Huron Consulting Group (Chicago, IL)
- …+ Experience collaborating across cross-functional teams, including Actuary, Compliance, and Claims Operations . + Analytical mindset, attention to detail, and ... the rapidly changing healthcare environment and optimize existing business operations , improve clinical outcomes, create a more consumer-centric healthcare… more
- Ryder System (Cheyenne, WY)
- …+ Primary backup for the Senior Director assisting with all aspects of the operations + Leads and directs claims managers, office manager, and supervisors as ... here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and Auto Liability… more