- Sedgwick (Baltimore, MD)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Manager | Dedicated Client | MD, VA & DC Jurisdictional Knowledge ... Establishes policy and procedure to ensure compliance to best practices, claims management services standards, state regulations and client service requirements;… more
- Elevance Health (Mason, OH)
- **Title: Claims Representative I ( Health & Dental) - FEP** **Mason, OH** **Location:** This role enables associates to work virtually full-time, with the ... Friday during training; 9 AM - 5:30 PM EST after training.** The ** Claims Representative I** will be responsible for successfully completing the required basic… more
- Elevance Health (Latham, NY)
- **Title: Claims Representative I ( Health & Dental) - FEP** **Latham, NY** **Location:** This role enables associates to work virtually full-time, with the ... AM - 4:30 PM EST, Monday - Friday.** The ** Claims Representative I** will be responsible for successfully completing...Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- AIG (Lenexa, KS)
- …skills and experience as a valued member of the team. Make your mark in Accident and Health Claims Our Claims teams are the proven problem solvers of choice ... to external and internal customers. + Handle Accident & Health claims as part of the A&H...+ Increased responsibility with an expectation of managing higher claims volumes and assist manager with customer… more
- LA Care Health Plan (Los Angeles, CA)
- …is responsible for various tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health plans contracted with LA ... Manager of Financial Compliance. These assignments may include claims data reporting in the Online Monitor Tool (OMT),...and findings that would affect the audit results. Perform claims audits for all medical groups and health… more
- Fallon Health (Worcester, MA)
- …+ Seeks intermittent assistance from Team Subject Matter Experts (SMEs), the Trainer and Claims Manager to ensure accuracy of adjudicating claims and to ... **Overview** **The Claims Examiner position is a hybrid role working...and 2 days working at home.** **About us:** Fallon Health is a company that cares. We prioritize our… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …Indiana, Maryland, Virginia, West Virginia, Pennsylvania). Due to continued growth, CommuniCare Health Services is currently recruiting for a Claims Validator / ... more than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated and transformative care to… more
- CVS Health (Cumberland, RI)
- …estoppel requests. + In the event of catastrophic loss, collaborate with the property claims manager to investigate and assess the extent of losses and expenses ... Team and CVS businesses to identify opportunities for property claims recovery when damage occurs to CVS Health... claims recovery when damage occurs to CVS Health property or property under CVS control. + Investigate… more
- AON (LA)
- … Claims Administrator works under the direction of Bechtel and AON Claims Manager , acting independently to manage routinematters while keeping Bechtel Risk ... Claims Administrator works under the direction of Bechtel and AON Claims Manager , acting independently to manage routinematters while keeping Bechtel Risk… more
- Humana (Helena, MT)
- **Become a part of our caring community and help us put health first** Job Description Summary The Pharmacy Claims Representative assists local pharmacies with ... Pharmacy Claims Team Leaders & the Pharmacy Claims (Support Services) Manager * Assist pharmacies...Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and… more