- Zurich NA (St. Paul, MN)
- …+ Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years ... underwriting, and policy language. + Escalate complex issues to senior colleagues when appropriate, promoting quality outcomes...and/ or Litigation Management area.OR + Completion of Zurich Claims Training Program and 6 or more… more
- Molina Healthcare (AZ)
- …knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream ... and measurable success criteria (eg, first-pass resolution, auto-adjudication rate, claims cycle time, audit findings, cost-to-serve). + Process Optimization: Lead… more
- Zurich NA (Concord, NH)
- Marine Claims Senior Claims Specialist...and/ or Litigation Management area.OR + Completion of Zurich Claims Training Program and 6 or more ... 126574 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role...+ Ability to leverage trend and relationships to provide high- quality customer service + Well-versed in identifying, understanding and… more
- UPMC (Pittsburgh, PA)
- UPMC is hiring a Systems Analyst- Senior (Epic PB Claims and Remittance) who has healthcare experience. If you are looking to join a highly accomplished team with ... Under the general direction of the management team and senior staff, the Systems Analyst - Senior ...meet client IT and business needs. Responsibilities: + PB claims IT analyst. Ability to quickly diagnose claims… more
- MVP Health Care (Rochester, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Senior Medical Claims Examiner** . If you are a team player with ... outbound calls/faxes to provider offices for our member submitted claims . + Reviews quality control on ...not limited to geographic location; relevant experience, education, and training ; and the nature of and demand for the… more
- USAA (Colorado Springs, CO)
- …special and impactful. **The Opportunity** As a dedicated **Strategic Account Relationship Manager Senior for Claims Optimization** , you will be responsible for ... Strong relationship management skills and demonstrated ability to influence decisions at senior leadership levels. + Strong issue resolution and follow-up skills. +… more
- Commonwealth Care Alliance (Boston, MA)
- …at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr . Analyst plays a critical role ... Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role...reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr . Analyst serves as a subject… more
- Zurich NA (Sacramento, CA)
- …experience in the Claims and/ or Litigation Management area.OR + Completion of Zurich Claims Training Program and 6 or more years of experience in the ... Specialist, Workers Compensation 128250 Zurich is seeking an experienced Workman's Compensation Sr . Claims Specialist to join our team! We are specifically… more
- HCA Healthcare (Nashville, TN)
- …representative in mediations and trials whenever requested. + Supervise the Division Claims Coordinator; conduct orientation and training , assign his/her work ... duties, and evaluate performance. + Coordinate with the PSO and senior leadership regarding potential claims issues that could significantly affect the hospital… more
- The Cigna Group (Franklin, TN)
- …the day-to-day operations with ultimate responsibility for the successful completion and quality of claims systems deliverables. This position will perform ... and act under the supervision of and assist the Sr Manager of Claims Systems, as needed....final approval of department work instructions, policies, workflows and training , as well as ensure audits are performed to… more