- Novant Health (Winston Salem, NC)
- Job Summary The Claims Manager is responsible for analyzing, negotiating and resolving claims , including professional and general liability, for all Novant ... ten years health care experience with five years of professional liability claims experience, required. Medical malpractice claims experience, required. +… more
- Alight (MN)
- …Learn more at careers.alight.com (https://careers.alight.com/us/en) . **About the Role** As the STD Claims Case Manager II , you will administer and manage ... and initial claim decision + Prioritizing and review new claims to adhere to established departmental turn around times...work status + Partnering with Short Term Disability Case Manager III for ongoing claim management **Requirements** + Possess… more
- Centene Corporation (Cheyenne, WY)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose: This Program Manager II will support AZ Complete Health** as they will plan, ... and strategic objectives. The ideal candidate for this Program Manager II role will have a strong...project management, data analysis, and healthcare operations (emphasis on claims and configuration), with expertise in Medicare and Marketplace… more
- System One (Dayton, OH)
- …have a strong domain expertise in Claims and Facets experience. The Project Manager II is responsible for managing low to medium complexity projects within ... Title: Project Manager ALTA is supporting a 6-month contract opportunity...all levels + Escalate issues to Business Owner, Program Manager , and IMO Leadership as applicable + Drive cross-functional… more
- Metropolitan Council (St. Paul, MN)
- Claims Rep. II (Liability) Print (https://www.governmentjobs.com/careers/metrocouncil/jobs/newprint/4922693) Apply Claims Rep. II (Liability) Salary ... to our organization and the Twin Cities region: The Claims Representative II , (Liability), will effectively handle...for information, and other tasks as requested by the manager . + Provides work directions to the administrative support… more
- AIG (Lenexa, KS)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner II , Accident & Health to play your part in that transformation. It's ... + Increased responsibility with an expectation of managing higher claims volumes and assist manager with customer escalations and file audits as needed. +… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The primary purpose of this position is to examine & process claims from the UB04 & CMS-1500 claim forms into the claims adjudication system for all ... responsible for the accurate review, input & adjudication of claims using payment policies & methodologies that are consistent...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- Mass Markets (Dallas, TX)
- POSITION OVERVIEW MCI is seeking an experienced Insurance Call Center Claims Manager experienced in Property and Casualty and Life insurance to support complex ... monitor, and manage production supervisors and agents to ensure accurate and timely claims processing . Experience in BPO insurance contracts, claims , call… more
- City of New York (New York, NY)
- … who will: - Directly and indirectly supervise staff (PAAII, PAAI, Eligibility Specialist II ) involved in Claims processing. - Monitor and distribute cases in ... Within AO, exists Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP guidelines to recover inaccurate… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH PROGRAM MANAGER II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4488486) Apply HEALTH PROGRAM MANAGER II Salary ... public health program. Factors affecting allocation to Health Program Manager II typically include the size and...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more