insurance, reinsurance and life insurance to a diverse group of clients. The Claim Director, under minimal direction from the... service and claim file quality. Identifying and evaluating coverage issues, preparing comprehensive coverage letters...
accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. The Claim Director... level of customer service and claim file quality. Identifying and evaluating coverage issues, preparing comprehensive...
Job Category: Claims Adjusting Job Description: This is a role focused on technical claim handling for Chubb... and implement effective defense, resolution and claim strategies. Provide superior customer service to insureds, agents...
, and a sense of urgency Job Description Position Summary: The EHS Culture starts with you. As our Business Unit EHS Director.... Overview: The Business Unit EHS Director provides leadership within the Central Business Unit locations and its functional...
, and a sense of urgency Job Description Position Summary: The EHS Culture starts with you. As our Business Unit EHS Director.... Overview: The Business Unit EHS Director provides leadership within the Central Business Unit locations and its functional...
Job Overview/Description The Director of Nursing (DON)/Supervising Nurse, appointed by the Administrator... on Pre claim review (PCR) performed and Axxess Care. RCD documentation and uploads (making sure all paperwork...
Description : Position Summary: We are seeking a strategic and accomplished Director of Customer Experience to lead... lifecycle, including claim validation, RMA processing, and root cause analysis. Collaborate with Engineering, Quality...
to academic freedom and open inquiry. About the Position: This role is an on-campus, in-person position. The Director... of Risk Management and Insurance leads the implementation of risk financing, insurance, and claim strategies in alignment...
Scott & White Health (BSWH). The Director-Assistant General Counsel (Dir-AGC) will represent BSWH system in legal...-litigation claim matters and other risk management issues. It is important for the Dir-AGC to be a credible and effective leader...
in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments... determinations and continue to next step in the claim’s lifecycle. Research new healthcare related questions as necessary to aid...
controls. Process and manage unemployment and worker's compensation claims and update claim activity as necessary.... Assist the Executive Director (ED) in completing the annual community budget. Understand and manage the department budget...
Indicators (KPIs) (including leading and lagging indicators) to ensure program objectives, tied to claim initiatives... with and supports the Director, EHS and VP, Environment Health Safety and Quality and Corporate Worker Compensation Manager refining...
, and audit responses. Manage resolution of data discrepancies and claim loading issues in partnership with internal teams... or risks to compliance and escalate appropriately to the Director when required or necessary. Maintain detailed documentation...
, and audit responses. Manage resolution of data discrepancies and claim loading issues in partnership with internal teams... or risks to compliance and escalate appropriately to the Director when required or necessary. Maintain detailed documentation...
, and audit responses. Manage resolution of data discrepancies and claim loading issues in partnership with internal teams... or risks to compliance and escalate appropriately to the Director when required or necessary. Maintain detailed documentation...
directly with business partners (complex claim reconsiderations, notifications, appeal considerations) Adjudicates complex... including, Medical Director, CM / DM Nurses in resolving member concerns and engaging appropriate clinical programs...
: Staff Training Coordinator/Secretary Reports To: Executive Director Classification: Full-Time FLSA Status: Non-Exempt... Administrative Office and assists the Executive Director and/or Administrative Assistant in administering the Human Resource...
: Staff Training Coordinator/Secretary Reports To: Executive Director Classification: Full-Time FLSA Status: Non-Exempt... Administrative Office and assists the Executive Director and/or Administrative Assistant in administering the Human Resource...
posting Communicate claim rejection patterns to Director of Revenue Cycle Management Exhibit analytical, critical-thinking... when claim rejections occur and to manage payor setup, payor contracts, and payor rates Maintain a deep understanding...
Operations team reporting to the Sr Director of PBM Operations. This role works regularly with members and providers to resolve... inquiries related to benefits, claim adjudication and utilization management. WHAT YOU'LL DO: Handles calls...