- Brighton Health Plan Solutions, LLC (NC)
- About the Role The Claims Supervisor is responsible for supervising a staff of Claim Examiners and Claim Team Leads, 12-20 direct reports. The expectations ... and training while promoting quality and superior customer service. The Claims Supervisor is accountable for identifying opportunities for enhancements… more
- Philadelphia Insurance Companies (Harrisburg, PA)
- …member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Supervisor II - General Liability to join our team! Summary: Supervises claims ... support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking trends and… more
- Philadelphia Insurance Companies (West Linn, OR)
- …as a member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Supervisor II - Commercial Auto - BI to join our team. Summary: + Supervises ... support staff to manage the day-to-day handling and settlement of claims , the processing and tracking of documents, making payments, tracking trends and… more
- Humana (Columbus, OH)
- …or team lead role. **Knowledge & Skills:** + Solid understanding of claims processing , insurance guidelines, and provider data interpretation. + Familiarity ... part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong knowledge of claims… more
- NJM Insurance (Trenton, NJ)
- The Complex Claims Supervisor will utilize their knowledge of Workers' Compensation Claims to guide staff on complex and high severity claims involving ... quality medical care and rehabilitation. This position will supervise claims staff and provide support to ensure achievement of appropriate claim outcomes through… more
- Robert Half Finance & Accounting (Winston Salem, NC)
- Description We are looking for a Medical Claims Supervisor to lead a dynamic team in Winston-Salem, North Carolina. This role requires a skilled leader with a ... enhance efficiency and service quality. * Develop and maintain workflows for processing claims and customer service inquiries. * Train and onboard new hires,… more
- ICW Group (Orlando, FL)
- …insureds and agents with case updates when necessary. Develops and leads a team of claims support staff to collaborate in the processing of claims promptly, ... job is to supervise and provide guidance to the Claims Support staff and to assist in escalated ...Claims Support staff and to assist in escalated Claims matters. This position exists to ensure that Company… more
- Sedgwick (Sacramento, CA)
- …team meetings and assigns accountability for follow-up items. + Gathers important compliance/ claims processing information to be presented at team meetings. + ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Assistant Claims Team Lead - Workers Compensation | Orange, CA **PRIMARY PURPOSE:** To… more
- CHS (Clearwater, FL)
- …and financial accuracy percentages. * Coordinating escalations from other Departments with the Claims Supervisor to ensure that timely and complete actions and ... claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and… more
- LA Care Health Plan (Los Angeles, CA)
- …of the PPGs, capitated hospitals, and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates. Provides timely and ... certain regulatory and contractual requirements. Presents timely reports to supervisor within one week of audit date. Additionally, reports...Experience Required: At least 4 years of experience performing claims audits or claims processing … more
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