• Claims Litigation Manager - section…

    USAA (Chesapeake, VA)
    …part of what truly makes us special and impactful. **The Opportunity** As a dedicated ** Claims Litigation Manager - Section II ** , you will be responsible for ... to include serious injury or property damage arising from Section II liability, questionable damages, questionable liability and questionable coverage issues. +… more
    USAA (10/03/25)
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  • Claims Manager II

    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 ... and staff. + Coordinates investigation and analysis of incidents and legal claims filed against Novant physicians and entities. Assist and supervises legal… more
    Novant Health (09/18/25)
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  • Manager II Grievance & Appeals

    Elevance Health (Columbus, OH)
    ** Manager II Grievance/Appeals** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of the ... an accommodation is granted as required by law._ The ** Manager II Grievance & Appeals** responsible for...as a resource for complex issues and interpretation of claims , provider contracts and data, eligibility, member contracts, benefits,… more
    Elevance Health (10/02/25)
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  • Claims Adjuster - Work Related Injuries

    Baylor Scott & White Health (Dallas, TX)
    …Summary** + Under the Safe Choice Claims Manager , the Safe Choice Claims Specialist II reviews, studies, and processes assigned claims within their ... efficient service while protecting the organization's assets. + The Claims Specialist II 's main duty involves using...and coordinate training with HR team. + Work with Claims Manager for improvements in processes to… more
    Baylor Scott & White Health (08/29/25)
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  • Lead Claims Examiner - Job Service Rep…

    State of Massachusetts (Boston, MA)
    …deliver program integrity. *What you'd do:* Lead Claims Examiner/Job Service Representative II , who reports to the Senior Manager of Benefit Operations & ... *Lead Claims Examiner/Job Service Representative II | Department of Family & Medical Leave* The Program Integrity Claims Examiner/Job Service Representative … more
    State of Massachusetts (08/23/25)
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  • Claims Liaison II

    Centene Corporation (Harrisburg, PA)
    …of New York, Pennsylvania, or New Jersey. Preferred candidatess will have Facets Claims experience.** **Position Purpose:** Serve as the claims payment expert ... the Plan and as a liaison between the plan, claims , and various departments to effectively identify and resolve...any system changes and work notify the Plan CIA Manager to ensure its implementation + Collaborate with the… more
    Centene Corporation (09/05/25)
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  • Epic Claims and Remittance App Programmer…

    Catholic Health (Buffalo, NY)
    …and technology method of transformation. Supports the organizations Revenue Cycle claims and remittance process. Identifies and implements EPIC and/or 3rd Party ... the technical mechanics to support the work. A level II Analyst does so at a intermediate complexity and...general, and work is supervised and guided by director, manager or team member. Employee knows and analyzes procedures,… more
    Catholic Health (09/14/25)
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  • Claims Processor II - CHOC MSO

    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
    Rady Children's Hospital San Diego (08/28/25)
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  • Business Manager II - SES

    MyFlorida (Port Charlotte, FL)
    BUSINESS MANAGER II - SES - 50009003 Date: Sep 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 861751 Agency: Veterans Affairs Working Title: BUSINESS MANAGER II - SES - 50009003 Pay...responsible for the timely billing and collection of all claims resulting from the long-term care services provided to… more
    MyFlorida (09/24/25)
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  • Estate Case Manager I/ II

    Clark County, NV (Las Vegas, NV)
    …to the PGCM supervisor. Estate Case Manager I: $30.38 - $44.84 Hourly Estate Case Manager II : $32.77 - $48.43 Hourly The Estate Case Manager I is a ... successful candidate will be non-competitively promoted to Estate Case Manager II . This examination will establish an...client in legal proceedings. + Arranges for payment of claims against the client or estate. + Conducts interviews… more
    Clark County, NV (10/01/25)
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