- Axis (New York, NY)
- …request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims Specialist to join ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...practices measured by monthly Quality Assurance and Management Initiated Audit scores as well as the implementation of Management… more
- Sedgwick (Long Beach, CA)
- …management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Supervisor | Long Beach, CA (Hybrid) | SIP Required Are you looking… more
- Robert Half Management Resources (Phoenix, AZ)
- Description Robert Half Management Resources is seeking an experienced Audit Manager to support one of our healthcare clients for an interim part-time project. This ... ideal candidate will leverage specialized tools and methodologies to assess claims and support actionable outcomes. Responsibilities: * Conduct investigations into… more
- Robert Half Accountemps (Minneapolis, MN)
- …exceptional service. Responsibilities: * Review and analyze medical, surgical, and behavioral health claims to ensure compliance with policies and regulations. * ... and adjustments in alignment with established procedures and guidelines. * Audit claims for accuracy and adherence to organizational standards. * Coordinate with… more
- Zelis (TX)
- …This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, ... We are seeking a detail-oriented and technically skilled analyst to support healthcare claims repricing and data validation efforts. In this role, you will be… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... general supervision. PRIMARY RESPONSIBILITIES: + Conducts monthly audits of CPHL claims utilizing CPHL guidelines, policies and procedures or any other regulatory… more
- CRC Insurance Services, Inc. (Flower Mound, TX)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs and monthly bordereau.… more
- CRC Insurance Services, Inc. (GA)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs and monthly bordereau.… more
- Sedgwick (Baltimore, MD)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Manager | Dedicated Client | MD, VA & DC Jurisdictional Knowledge **PRIMARY ... Establishes policy and procedure to ensure compliance to best practices, claims management services standards, state regulations and client service requirements;… more
- Trustmark (Harrisburg, PA)
- …communities. **About the role** This role is a dedicated training position for Claims that resides in the Knowledge Management & Customer Experience group. The ... primary function of this role is to train and audit new and existing staff in all products including...claim handling process and procedures and experience in handling claims appropriately in accordance with the corporate claim philosophy,… more