- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Manager , Medicare Claims , oversees end-to-end claims services for provider segments, meeting business goals. This role sets ... performance targets, manages claims processing and financials, handles submissions, refunds, and recoveries,... Operations on monthly CMS calls with CMS Account manager answering questions, providing status updates and expertise routinely… more
- Novant Health (Winston Salem, NC)
- What We Offer The Claims Manager is responsible for analyzing, negotiating and resolving claims , including professional and general liability, for all Novant ... facilities and physician practices. This is a Medical Malpractice Claims Manager Position. Considering candidates in NC or SC, or willing to relocate. This… more
- Cognizant (Charlotte, NC)
- **About the role** **As a Program Manager - Commercial Underwriting & Claims ,** you will make an impact by leading strategic program delivery and transformation ... initiatives across commercial underwriting and claims functions. You will be a valued member of...* Lead planning and execution of commercial underwriting and claims programs. * Manage communication and expectations of C-level… more
- Ryder System (Raleigh, NC)
- …position leads an internal staff of approximately 40; this consists of professional Claims Managers, Supervisors, Senior Office Manager , Claims Analysts, and ... Director assisting with all aspects of the operations + Leads and directs claims managers, office manager , and supervisors as well as a team of 40+ claims … more
- UNC Health Care (Chapel Hill, NC)
- …serve. **Summary** : Reporting to the Director of Claims & Litigation, the Claims and Litigation Manager is responsible for the investigation of reported ... claims and the monitoring of incidents that develop into claims against healthcare providers and staff of UNC Health Care System insured by its commercial and… more
- C&S Wholesale Grocers, Inc. (Lumberton, NC)
- …**Job Description** **Description** + This position will report directly to the Claims Manager and conduct detailed investigations by recovering all ... documentation regarding Customer shortage requests ensuring that all pending claims are researched and processed within the agreed upon time frames. Research will… more
- CVS Health (NC)
- …every day. **Position Summary** Join Meritain, a subsidiary of CVS Health as the Manager of Stop Loss/Reinsurance Operations. In this high impact role, you will lead ... who are responsible for the filing of Stop Loss claims to partner Managing General Underwriter (MGU) and Stop...up, reconciliation and posting of Stop Loss reimbursements. As Manager , you will lead day to day colleague management,… more
- Zurich NA (Raleigh, NC)
- …organizations. **This role will be filled at either the** **Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate ... Senior Professional Liability Claims (Attorney), Claims Construction 129572 **Zurich North America is expanding its nationwide Construction Professional… more
- CDM Smith (Hickory, NC)
- …to those requirements. Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS ... **Requisition ID:** 42230BR **Business Unit:** CCI **Job Description:** The Commercial Manager - Pacific will be responsible supporting the project management teams… more
- Humana (Raleigh, NC)
- …of our caring community and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior ... Product Manager work assignments involve moderately complex to complex issues...Responsibilities:** + Lead large-scale product efforts focused on improving claims processing and related systems, ensuring these efforts support… more