• Sr. Workers Comp Claims Specialist

    BJs Wholesale Club (Marlborough, MA)
    …counsel and TPA. + Identifies claim trends and provides recommendations to the Claims Manager and Director , Risk Management, and Insurance for decreasing the ... of related disciplines + Preferred: knowledge of Texas non-subscriber claims handling + Solves complex problems; takes a new perspective on existing solutions +… more
    BJs Wholesale Club (07/31/25)
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  • Managed Care Claims Validator / Biller

    CommuniCare Health Services Corporate (Charleston, WV)
    …leader in post-acute care for those that are chronically ill or have complex conditions. Our more than 150 skilled nursing, assisted living, independent living, ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...team, CBO cash posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management, and others. The… more
    CommuniCare Health Services Corporate (07/31/25)
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  • Professional Liability Claims Manager…

    AdventHealth (Altamonte Springs, FL)
    …as assigned. + **The value you'll bring to the team:** + Manages complex professional and general liability claims in multiple jurisdictions which could ... position is responsible for the management of assigned potential compensable claims , asserted claims and suits. Management encompasses investigation, evaluation,… more
    AdventHealth (07/16/25)
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  • Assistant Attorney General - Construction…

    State of Colorado (Denver, CO)
    …DO As an Assistant Attorney General in our Transportation Unit, you'll engage in complex construction claims and contract litigation. You'll handle a wide range ... Assistant Attorney General - Construction Claims & Contract Dispute Litigation Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5021234)… more
    State of Colorado (07/25/25)
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  • Work Comp Complex Claim Director

    AIG (Atlanta, GA)
    Make your mark in Complex Claims . The AIG Workers' Compensation (WC) Major Case Unit (MCU) is a group of well trained and highly dedicated claim professionals ... the Workers Compensation Major Case Unit, which handle high valued and complex claims . + Manage and drive team's overall results to ensure compliance through… more
    AIG (06/06/25)
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  • Senior Forensic Claims Analyst

    Fluor (Fresno, CA)
    …Central Valley. Under the general direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing ... written communication skills. * Required Knowledge of; analysis methodologies for complex construction projects'; claims management and support; construction… more
    Fluor (07/08/25)
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  • Sr. Analyst , Pharmacy Claims Adjudication

    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...reports + Ability to communicate and influence mid-level managers ( Director and above), as demonstrated by 2+ years of… more
    CVS Health (07/16/25)
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  • CBO Trainer - Claims Trainer (on-site)

    Select Medical (Camp Hill, PA)
    …This position will also be involved in special projects as assigned by the Director of CBO or VP Patient Accounting. **Responsibilities** + Trains new IP CBO team ... Leadership and all IP team members. + Any additional projects as assigned by the Director of CBO or VP Patient Accounting + Training on various **OnBase, and old… more
    Select Medical (07/01/25)
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  • Business Valuations/ Complex Financial…

    Grant Thornton (Melville, NY)
    As a Business Valuations/ Complex Financial Instruments Managing Director , you'll perform professional business and complex instrument valuations such as ... equity derivatives, fixed income derivative models, equity instruments in complex capital structures, and contingent claims , utilizing advanced statistical and… more
    Grant Thornton (07/11/25)
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  • Fraud & Claim Operations Director

    Wells Fargo (Charlotte, NC)
    **About this role:** Wells Fargo is seeking a Fraud & Claims Operations Director to report to the Head of Claims and Recovery. This group is responsible for ... or leadership experience **Desired Qualifications:** + 8+ years fraud and or claims operational management experience supporting large complex organization(s). +… more
    Wells Fargo (07/29/25)
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