- 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
- BJs Wholesale Club (Marlborough, MA)
- …defense counsel and TPA. + Identifies claim trends and provides recommendations to the Claims Manager and Director , Risk Management , and Insurance for ... ensure carrier/excess carrier reporting, determines compensability, scheduling of IME's, medical case management , surveillance, subrogation and litigation tasks… more
Related Job Searches:
Claims,
Claims Director,
Claims Management,
Director,
Director Claims Management,
Management,
Medical,
Medical Director