- Carnival Cruise Line (Miami, FL)
- …cannot. The Love Boat promises something for everyone. We are looking for an amazing Director , Guest Claims Management to fill this role, which is based ... and fosters collaboration with the ships, Safety, Security and Medical to make corrections to the areas giving rise...summary of what Princess is looking for in its Director , Guest Claims Management Is… more
- Humana (Madison, WI)
- …a part of our caring community and help us put health first** The Director , Initial Claims supports providers, members, and collection services in the processing ... adjudicating claims , along with researching and resolving claims inquiries. The Director , Initial Claims...oversight of and drives for continuous improvement in initial claims processing for all medical lines of… more
- USAA (Tampa, FL)
- …. Relocation assistance **is** available for this position. **Architect the Future of Claims with Scalable AI and Advanced Analytics-In Service of Those Who Serve** ... & Casualty is seeking a strategic and technically skilled Director of Data Science to lead innovation for the... of Data Science to lead innovation for the Claims organization. This high-impact role goes beyond analytics-your work… more
- Sedgwick (Fort Worth, TX)
- …fulfill those needs. **QUALIFICATIONS** + Ten (10) years of relationship building in the claims management or risk management area or equivalent combination ... Best Workplaces in Financial Services & Insurance Business Development Director - Casualty Claims (TX & OK)...**Experience:** Ten (10) years of relationship building in the claims management or risk management … more
- Molina Healthcare (Des Moines, IA)
- …including 2 years in a manager role. * Experience reviewing all types of medical claims (eg CMS 1500, Outpatient/Inpatient, Universal Claims , Surgery, ... processed in accordance with local Health Plan requirements * Works with Claims , Configuration, Contracting, Provider Data Management , and other business… more
- USAA (Plano, TX)
- …dedicated Director Business Process Ownership - Advanced Capabilities - Claims Optimization. This role is remote eligible, however, individuals residing within a ... and development of business rules, gathering of requirements, artifacts and process management . Guides team members in the ownership of assigned processed to… more
- USAA (Phoenix, AZ)
- …development and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information ... Management , Information Governance, Information Delivery Analytics & Insights Delivery,...and vision of the assigned sub-functions for the CoSA Claims working with peers to set objectives across the… more
- American Water (Camden, NJ)
- …Manager, Insurance (or Director , Insurance), you will be responsible for overall claims management (including, uninsured claims ) at American Water. You ... and wastewater services to our communities. Effective, efficient, and intelligent insurance claims management , oversight, and forecasting are essential to this… more
- Transdev (Lombard, IL)
- …little guidance and direction. + Demonstrated knowledge and experience in claim adjudication, medical management , and litigation management . + Ability to use ... watch an overview video athttps://youtu.be/ilO5cv0G4mQ About the Role: The Claims Specialist will assist the Director of...play a critical role in ensuring quality claim file management . This will be completed by working with internal… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible ... Medicare and Medicaid + 7+ years progressive experience in medical claims adjudication, clinical coding reviews for...and Analytics + Direct and relevant experience with HCFA/UB-04 claims management , coding rules and guidelines, and… more
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