• Senior Director , Claims & Provider…

    Martin's Point Health Care (Portland, ME)
    …certified as a "Great Place to Work" since 2015. Position Summary The Senior Director , Claims & Provider Reimbursement, is responsible for oversight of health ... plan claims administration. The position will develop, maintain, and optimize...will develop, maintain, and optimize process flows to maintain claims payment accuracy. Job Description Key Outcomes: + Drives… more
    Martin's Point Health Care (04/11/25)
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  • Project Director - Claims

    Elevance Health (FL)
    **Project Director - Claims and Recovery** **Location:** Alternate locations may be considered. This position will work a hybrid model ( remote and office). ... and together we will drive the future of health care. **The Project Director - Claims and Recovery** is responsible for identifying key people to bring about… more
    Elevance Health (04/29/25)
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  • Fraud & Claims Management Quality Control…

    Wells Fargo (Chandler, AZ)
    **About this role:** Wells Fargo is seeking a Quality Control Director to join the Fraud & Claims Management (FCM) Quality Control team. **Key Responsibilities** ... are met timely and accurately. + Lead the FCM Claims Assurance Quality Control organization including developing and executing...Hybrid role, 3 days in the office, 2 days remote + This position may be located at one… more
    Wells Fargo (04/12/25)
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  • Chief of Risk Management & Claims

    NJ Transit (Newark, NJ)
    Claims Admin + Director Risk Management & Insurance + Director Claims Management Education, Experience and Qualifications: + Bachelor's Degree and ten ... Chief of Risk Management & Claims Finance Job Description: Move forward with us!...up to the amount subject to the Board of Director approval amount, managing all claim reserves and determining… more
    NJ Transit (02/25/25)
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  • CRT Claims Examiner

    Integra Partners (Troy, MI)
    Integra is seeking a results-oriented, dynamic, proven Claims Examiner, with a specific background in the complex rehab technology (CRT) space. This role is ... Responsibilities and Duties + Be prepared to appeal or correct CRT claims in compliance with Medicare, Medicaid, and commercial insurance guidelines. + Ensure… more
    Integra Partners (05/06/25)
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  • Prefill- Claims Adjuster (Powertrain)

    Insight Global (Norcross, GA)
    …repair claims , tire claims and pre-paid maintenance claims . The Claims adjuster will report to the Senior Director of Claims Operations and ... the auto industry. Our customer is looking for Powertrain Claims Adjusters to join their team.. As an adjuster...Tech Savvy / Ability to efficiently work in a remote environment Quiet working environment with no distractions (Area… more
    Insight Global (05/01/25)
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  • Commercial Surety Claims Manager

    Zurich NA (Springfield, IL)
    Commercial Surety Claims Manager 122935 Zurich North America is hiring a Commcial Surety Claims Manager to join our team! We are open to hiring talent in one of ... in the US Remotely. Leads and directs a team of technical commercial surety Claims Professionals to ensure accurate and timely resolutions of claims in highly… more
    Zurich NA (05/03/25)
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  • Healthcare Medical Claims Coding Sr.…

    Commonwealth Care Alliance (Boston, MA)
    011250 CCA- Claims **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims ... Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration… more
    Commonwealth Care Alliance (03/04/25)
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  • Field Reimbursement Director - EAST…

    Danaher Corporation (Atlanta, GA)
    …the Danaher Business System which makes everything possible. The Field Reimbursement Director position is a provider / customer facing role responsible for ... coordinate and engage targeted customers within the US. Reporting to the Senior Director of Market Access Americas, this highly visible role will play a pivotal… more
    Danaher Corporation (04/01/25)
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  • Workers Compensation Claims Adjuster (Must…

    Access Dubuque (Dubuque, IA)
    Workers Compensation Claims Adjuster (Must be located in New York) **Cottingham & Butler/ SISCO** 1 Positions ID: 4642198008 Posted On 04/21/2025 **Job Overview** ... **Workers Compensation Claims Adjuster (Northeast Jurisdictions)** Location: Work from Home Who...True **Job Details** Categories Education Health Care Insurance Location Remote , IA Job Type Employee Full/Part Company ID 943… more
    Access Dubuque (04/22/25)
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