- Humana (Denver, CO)
- …Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- City of New York (New York, NY)
- …is recruiting for (1) Admin Staff Analyst NM III to function as a(n) Executive Director , Financial Review & Claims Processing who will: - Manage, plan and ... (OAS), Investigation, Revenue and Enforcement Administration (IREA), Office of Data Security Management (ODSM) and the Vendor Monitoring Office (VMO). The Office of… more
- Commonwealth Care Alliance (Boston, MA)
- …considered at this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical ... Payment Integrity and Analytics + Direct and relevant experience with HCFA/UB-04 claims management , coding rules and guidelines, and evaluating/analyzing claim… more
- AdventHealth (Orlando, FL)
- …well as Risk Management Program Surveys + Investigates and reports to the Risk Management Director and to claims management any occurrence which has ... CRM identifies potential compensatory events and works collaboratively with claims management coordinators to mitigate litigation. The...and reports aggregated event report data to the Risk Management Director and hospital leaders, with a… more
- Marriott (Bethesda, MD)
- …Service Call Program. The Senior Director follows and upholds the applicable claims sections of Marriott's Risk Management policies and procedures and leads ... **Bonus Eligible:** Y **Stock Package:** Y **JOB SUMMARY** The Senior Director has overall management responsibility - both administrative and technical… more
- AIG (Atlanta, GA)
- …knowledge, specialized risk management and loss control benefits, and dedicated claims handling services. The Complex Director within the Lexington and AIG ... Complex Claims Director - AL/GL Field Claims -Lexington and AIG Programs Join us as a Claims Complex Director to take on key responsibilities within a… more
- AON (Chicago, IL)
- Claims Director - Construction & Infrastructure - Chicago, IL Join Aon's Construction & Infrastructure claims team as a Liability Claims Advocate based ... with others. + Experience in resource deployment and utilization management . + Strong interpersonal skills, with the ability to...responsibilities to this job at any time. #LI-JG1 2565854 Claims Director - Construction & Infrastructure -… more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director , TPA Oversight to play your part in that transformation. It's an ... efficiency. How you will create an impact As Complex Claims Director - TPA Oversight, you will...negotiation skills. + Advanced experience and capabilities in litigation claims management , including ADR and mediation processes,… more
- ICW Group (Sacramento, CA)
- …reputation in the marketplace as a trusted, high-performing carrier. **RESPONSIBILITIES** **Strategic Claims Management ** + Leads branch managers to ensure fair, ... Learn more about why you want to be here! **JOB** **SUMMARY** The Director , Workers' Compensation Claims , leads assigned branches, overseeing claims … more
- AIG (Atlanta, GA)
- …are reimagining the way we help customers to manage risk. Join us as a Complex Claims Director - Aviation to play your part in that transformation. It's an ... This position requires the adjustment of complex aircraft damage claims . The Complex Director will function as...centric NA Aerospace claim proposition. + Proactive and efficient management and adjusting of aerospace claims across… more
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