- CVS Health (Woonsocket, RI)
- …and key performance metrics for reconciliation, revenue cycle, and adjudication/ claims processes analysis. Facilitate effective solutions related to adjudication and ... processing of pharmacy and vaccine/medical claims , maintaining current services, support optimalization of existing vendor product portfolio, provide continual… more
- Axis (Red Bank, NJ)
- …this role contribute to our collective success?** We are seeking a seasoned Senior Project Manager with deep experience in Agile methodologies and Scrum Master ... responsibilities to support strategic initiatives within our Claims function. This role is ideal for a professional who can flex between traditional project… more
- Aflac (ME)
- Mgr, Claims Operations - Maine Paid Leave The Company: Aflac Columbus The Location: ME, US The Division: PLADS Job Id: 7828 Salary Range: $80,000 - $110,000 Job ... management concepts, operating principles, and operational management methodology applicable to claims processing; a high degree of skill in applying this knowledge… more
- AIG (Atlanta, GA)
- …Programs. About the role What you need to know: The Complex Director is Senior Adjuster role in Primary Claims responsible for investigating, evaluating, and ... negotiating General and Auto Liability claims nationwide which may have unique coverages and exposures...experience. + Experience resolving moderate to high severity injury claims . + Experience evaluating coverage and risk transfer. +… more
- MTA (Brooklyn, NY)
- Claims Mgr Court Prep Torts Job ID: 11683 Business Unit: New York City Transit Location: Brooklyn, NY, United States Regular/Temporary: Regular Department: MATRIX ... LAW Date Posted: May 6, 2025 Description Claims Manager Court Prep Open Date: 5/6/2025 Close Date:...counsel; preparing court calendars; reviewing and drafting reports for senior management. Responsibilities: * Train, develop and manage personnel… more
- CenterWell (Topeka, KS)
- …community and help us put health first** As an **RCM Healthcare Claims Denials Specialist/Accounts Receivable Specialist** , you will: + Ensure the coordination ... timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily....at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- Healthfirst (NY)
- …+ Assists in the development of strategic plans to ensure modern and efficient claims processing across the entire lifecycle with a focus on a unified, streamlined ... leadership to support the evolution and operation of a variety of digital claims capabilities on our modernization roadmap + Analyzes project needs and determines… more
- MVP Health Care (Schenectady, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a Leader, Claims Support to join #TeamMVP. If you have a passion for Operational Excellence, ... + Requires at least 3 years of health insurance claims experience. 1 year of supervisory experience or 2...supervisory experience or 2 years' experience as a team lead/ senior . Knowledge of ICD-10, CPT-4, and HCPCS coding preferred.… more
- The Hartford (Penn, PA)
- Claims Consultant FL - CV07GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... we help shape the future. The Hartford Financial Lines Errors & Omissions E&O Claims Group has an open Claim Consultant position handling a caseload of third-party… more
- WestRock Company (Cottonton, AL)
- Job Description: Claims Coordinator Location: Smurfit Westrock, Mahrt Mill How you will impact Smurfit Westrock: The Quality and Technical area within Smurfit ... Westrock Mill Division has an opportunity for a Claims Coordinator who is the first point of contact...with the ability to interact with all levels, including senior management. * Excellent organizational skills and attention to… more