JOB DESCRIPTION The Brandywine Claim Director is responsible for all aspects of claim handling on a book of complex..., remediation experts, counsel and others to gather all claim facts. Negotiate cost sharing agreements with carriers/policyholders...
Job Category: Claims Adjusting Job Description: The Brandywine Claim Director is responsible for all aspects... of claim handling on a book of complex asbestos, long term exposure and environmental claims from first notice through...
communities and residents and to support the safety net required to achieve that purpose. Job Summary The Director, Claims... Director has ownership of claims regulatory compliance and audit readiness. This position oversees daily production, inventory...
Director for our West Region. The successful applicant will be managing high complexity California claims, ensuring all aspects... working from the Los Angeles Office. Duties & Responsibilities: Display advanced claim handling skills on claim...
to less experienced Claim Professionals. May perform additional duties as assigned. Reporting Relationship Director.... We currently have an opening for a Complex Claims Consulting Director focused on Healthcare Professional Liability for CNA...
JOB DESCRIPTION The Brandywine Claim Director is responsible for all aspects of claim handling on a book of complex..., remediation experts, counsel and others to gather all claim facts. Negotiate cost sharing agreements with carriers/policyholders...
Job Category: Claims Adjusting Job Description: The Brandywine Claim Director is responsible for all aspects... of claim handling on a book of complex asbestos, long term exposure and environmental claims from first notice through...
patterns, and upstream causes. Shares responsibility with the Director, EDI for operational oversight of EOB generation..., validation, and data flow. Ensures EOB output files reflect accurate benefit application, share of cost, accumulation, claim...
and within established authority. The position will report to assigned Manager, Director or Vice President, as determined by business needs... candidate. What you will do for C&F: Receive claim assignments, verify and determine applicability of coverage. Ability...
and within established authority. The position will report to assigned Manager, Director or Vice President, as determined by business needs... candidate. What you will do for C&F: Receive claim assignments, verify and determine applicability of coverage. Ability...
City, Omaha, Richmond (VA), Rockwood (PA), or Springfield (MO). This individual will report to the Director of General... and improved claim management Identifying, assigning, and coordinating the assignment and coordination of expertise resources...
communities and residents and to support the safety net required to achieve that purpose. Job Summary The Director, Payment... inappropriate spend, and strengthens preventive and detective controls across all lines of business. The Director oversees clinical...
Optum is seeking a Medical Director for utilization management review to join our team. Optum is a clinician-led care... with medical director teams focusing on outpatient and inpatient care management, clinical coverage review, member appeals clinical...
Optum is seeking a Medical Director for utilization management review to join our team. Optum is a clinician-led care... quality and promote evidence-based medicine through outpatient utilization management review Work with medical director teams...
. We are currently seeking a Utilization Management Medical Director to join our Clinical Performance team. This team is responsible... is provided at the right time for each member Work with medical director teams focusing on inpatient care management, clinical...
. We are currently seeking a Utilization Management Medical Director to join our Clinical Performance team. This team is responsible... is provided at the right time for each member Work with medical director teams focusing on inpatient care management, clinical...
A large and prestigious business management firm seeks a Music Audit Director to join their dynamic team.... This is an excellent opportunity for an audit professional with music industry experience. Responsibilities: The Audit Director...
and regulations. Informs appropriate Manager(s), Director(s), VP(s) or Corporate when obvious inappropriate business practices... of edit, claim, provider, and system issues. Analyzes system data and reports to make recommendations to improve system...
of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue cycle support services...-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. This position is 100% remote. Responsible...
sales plans and frequently partner with your Managing Director (MD) to develop region/group sales plans. May assist in the... of underwriting, claim, operations, risk assessment, actuarial, sales, product, or finance experience. What Is in It...