- Merck & Co. (Rahway, NJ)
- …marketing teams in a business facing and analytics capacity. The ideal candidate will lead a cross functional insights team that spans data science, market ... analyze data leveraging advanced analytical/statistical techniques from disparate databases/sources ( claims data/EMR Data and other sources) to drive optimization… more
- CVS Health (Franklin, TN)
- …day. **Position Summary** The Team Lead for the Medicare Supplement Claims Processing team is responsible for overseeing day-to-day operations to ... insurance claims processing , preferably with Medicare Supplement claims . * Proven ability to lead or mentor others in a team environment. * Strong… more
- AIG (Jersey City, NJ)
- …AIG, technology is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with ... to manage risk. Join us as Assistant Vice President Claims Application Technical Lead , Global Claims...skills and experience as a valued member of the team . Make your make in Claims Technology… more
- State of Minnesota (St. Paul, MN)
- …Supervisor plays a critical role in the Paid Leave Division of overseeing the claims processing team , ensuring efficiency, accuracy, and compliance with ... responsibilities include: + Oversees the quality and timeliness of claims processing . + Assign and monitor staff...the adjudication process. + Ability to coach, mentor, and lead a team . + Ability to communicate… more
- State of Minnesota (St. Paul, MN)
- …minimum qualifications will be considered for this position.** Two (2) years* experience processing claims and/or appeals with one (1) of those years involving ... support work for the Paid Leave division. The Senior Claims Adjudicator involves lead work and handles...Training and mentoring of other staff to enhance their claims processing abilities. + Knowledge of techniques… more
- AON (LA)
- …other issues that may negatively impact projectperformance.* Is responsible for oversight and processing of workers' compensation claims : What the day will look ... other issues that may negatively impact projectperformance.* Is responsible for oversight and processing of workers' compensation claims : What the day will look… more
- ICW Group (San Diego, CA)
- …for designing, overseeing, and directing the company's claims management strategy. Positioned to lead the Claims team , the CCO plays an important role in ... ensuring it aligns with overall business objectives. This includes balancing effective claims processing with risk mitigation. The CCO develops policies,… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal ... Care. This role works closely with the Supervisor and/or Lead Auditor on identification and resolution of issues in...capitated hospitals and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates.… more
- Centers for Independence (Milwaukee, WI)
- …perform these essential functions.) + Oversees daily operations related to claims processing , EVV verification, timesheet correction, payroll batch management, ... supports iLIFE internal staff and ensures that all iLIFE claims and EVV operations team functions are...- Skills - Abilities:** + Ability to supervise and lead a team + A demonstrated sound… more
- CHS (Clearwater, FL)
- … claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and ... client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims...quality improvement. * Coordination of all activities of the Claims Department Management Team . This includes Supervisors… more
