Claims Administration Team Lead
3 weeks ago
We are looking for a highly skilled Claims Administration Team Lead to join our team at RG/2 Claims Administration LLC. The successful candidate will be responsible for supervising a wide variety of ongoing projects, directing and instructing administration staff, and planning, scheduling, and staffing engagements.
Key responsibilities include:
- Serves as liaison between the client and professional staff, reporting to the Directors of Claims Administration.
- Maintains contact with clients throughout the year regarding open matters and possesses a thorough knowledge of the client and client activity.
- Demonstrates competency in technical skills, work quality, and application of professional and departmental/firm standards.
The ideal candidate will have 9-12 years of direct experience in a claims administration firm, a Bachelor's degree, and strong computer skills, project management, analytical, interpersonal, and organizational skills.
Estimated Salary: $90,000 - $130,000 per annum
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Claims Administration Project Director
4 weeks ago
Philadelphia, Pennsylvania, United States RG2 Claims Administration LLC Full timeJob OverviewA dynamic opportunity has arisen for a seasoned Claims Administration Project Manager to join RG/2 Claims Administration LLC. As a key member of our team, you will oversee multiple cases and related projects, ensuring timely completion of deliverables while providing exceptional client service.In this role, you will be responsible for managing...
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Class Action Claims Operations Leader
4 weeks ago
Philadelphia, Pennsylvania, United States RG2 Claims Administration LLC Full timeJob SummaryWe are seeking an exceptional Class Action Claims Project Manager to join our team at RG/2 Claims Administration LLC. In this critical role, you will be responsible for overseeing complex claims administration projects, ensuring compliance with regulations, and providing exceptional client service.You will possess a Bachelor's degree, 7-10 years...
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Data Entry and Claims Coordinator
6 days ago
Philadelphia, Pennsylvania, United States RG2 Claims Administration LLC Full timeJob TitleWe are seeking a highly motivated and organized individual to join our team as a Claims Analyst. This is an exciting opportunity to work in a dynamic and fast-paced environment where you will be responsible for handling various aspects of claims administration.Key ResponsibilitiesData entry of claimant information.Claim review and report...
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Specialty Claims Team Lead
3 weeks ago
Philadelphia, Pennsylvania, United States RQIHUS Full timeRQIHUS is hiring a talented claims specialist to lead our specialty claims team.Job RequirementsThis role involves managing a team of claims professionals, leading due diligence efforts, and ensuring accurate reserves are set for potential acquisitions.The ideal candidate will have at least 7 years of experience in handling specialty claims or a combination...
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Senior Litigation Project Coordinator
3 weeks ago
Philadelphia, Pennsylvania, United States RG2 Claims Administration LLC Full timeJob OverviewThis Senior Litigation Project Coordinator role is a great opportunity for a motivated and organized individual to join our team at RG/2 Claims Administration LLC. The successful candidate will assist in managing multiple cases and related projects, ensuring timely completion of all case deliverables, and collaborating with the Directors on key...
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FEP Claims Process Improvement Lead
3 weeks ago
Philadelphia, Pennsylvania, United States Pyramid Consulting Full timeJob Summary:We are seeking a highly skilled FEP Claims Process Improvement Lead to join our team at Pyramid Consulting, Inc. in Philadelphia, PA. As a key member of our operations team, you will be responsible for leading the analysis and improvement of business processes to meet the needs of our clients.Salary: $28-$30/hourKey Responsibilities:Lead...
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Claims Leadership Role
3 weeks ago
Philadelphia, Pennsylvania, United States RQIHUS Full timeJob Title:Claims Leadership Role - Specialty ClaimsJob Description:This is a leadership role that involves overseeing the handling of specialty claims. The successful candidate will have strong technical knowledge and the ability to lead a team of claims professionals. Key responsibilities include developing procedures for proper file setup, reserving, and...
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Director of Specialty Claims Management
3 weeks ago
Philadelphia, Pennsylvania, United States RQIHUS Full timeRQIHUS is seeking a highly skilled and experienced professional to lead our specialty claims team.Job OverviewThis role involves managing a team responsible for handling and overseeing specialty claims. The successful candidate will lead due diligence on potential acquisition targets, ensuring that claims are properly reserved.The ideal candidate will have...
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Claims Management Specialist
21 hours ago
Philadelphia, Pennsylvania, United States Raphael and Associates Full timeCompany OverviewRaphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We tailor our services to meet the unique needs of our clients.We are a mission-driven organization that provides outstanding service, retains top talent, and utilizes the best technology in...
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Benefits and Claims Analyst
3 weeks ago
Philadelphia, Pennsylvania, United States Disability Solutions Full timeJob DescriptionInnova Solutions is seeking a Benefits and Claims Analyst to join our team. As a Benefits and Claims Analyst, you will be responsible for analyzing and resolving benefits and claims issues. This role requires strong analytical and problem-solving skills, as well as excellent communication and interpersonal skills.The ideal candidate will have...
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Director of Specialty Claims Operations
3 weeks ago
Philadelphia, Pennsylvania, United States RQIHUS Full timeJob Title:Director of Specialty Claims OperationsCompany Overview:RQIHUS is a leading insurance provider, and we are seeking an experienced Director of Specialty Claims Operations to join our team. Our company prides itself on providing exceptional service and expertise to our clients.Estimated Salary:$145,000 - $175,000 per year, depending on experienceJob...
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Pharmacy Claims Review Specialist
5 days ago
Philadelphia, Pennsylvania, United States Conduent Payment Integrity Solution Inc. Full timeCompany OverviewConduent Payment Integrity Solutions is a leading provider of mission-critical services and solutions to Fortune 100 companies and governments. Our dedicated associates deliver exceptional outcomes for our clients, who rely on us to create value in their businesses.About the RoleWe are seeking a highly skilled Pharmacy Claims Auditor to join...
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Administrative Support Professional
3 weeks ago
Philadelphia, Pennsylvania, United States VETERANS HEALTH ADMINISTRATION Full timeJob SummaryWe are seeking a skilled Administrative Support Professional to join our team at the VETERANS HEALTH ADMINISTRATION. As a key member of our healthcare staff, you will provide administrative support to healthcare professionals, manage administrative tasks, and ensure the smooth operation of our medical facilities.Salary and BenefitsWe offer a...
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Claims Liaison Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Top Stack Full timeAbout Our CompanyAt Top Stack, we believe that technology should enhance humanity, not replace it. We're dedicated to delivering exceptional results and building strong relationships with our clients.Our company culture values transparency, consistency, and timeliness. We strive to create a positive work environment where our employees feel valued and...
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Medical Claims Specialist
4 days ago
Philadelphia, Pennsylvania, United States Insight Global Full timeJob OverviewInsight Global Health is a leading healthcare organization seeking experienced Utilization Management nurses to join our dynamic team in Philadelphia.This role involves working with commercial and government payer patients, ensuring adherence to state and federal regulatory requirements. Our team conducts in-depth audits of vendors such as...
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Claims Processing Specialist
4 days ago
Philadelphia, Pennsylvania, United States Dale WorkForce Solutions Full timeJob DescriptionWe are seeking a skilled Claims Processing Specialist to join our team at Dale WorkForce Solutions. The successful candidate will be responsible for reviewing and adjudicating electronic medical claims, ensuring timely and accurate handling in accordance with organizational policies and procedures.The ideal candidate will have experience in...
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Medical Claims Examiner
4 days ago
Philadelphia, Pennsylvania, United States Dale WorkForce Solutions Full timeAbout the Job: Claims Process Improvement AnalystWe are looking for a highly motivated and detail-oriented Claims Process Improvement Analyst to join our team at Dale WorkForce Solutions. As a Claims Process Improvement Analyst, you will be responsible for analyzing and improving our claims processing workflows to ensure efficiency and effectiveness. This...
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Insurance Claims Coordinator
3 weeks ago
Philadelphia, Pennsylvania, United States Adam Hutcheon - State Farm Agent Full timeAbout the RoleWe're seeking a highly motivated and detail-oriented Insurance Claims Coordinator to join our team at Adam Hutcheon - State Farm Agent. As a key member of our team, you will play a critical role in processing insurance claims, maintaining accurate records, and ensuring seamless communication with customers.Key ResponsibilitiesProcess and...
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Insurance Claims Adjuster
2 days ago
Philadelphia, Pennsylvania, United States Capstone ISG Inc Full timeAbout the RoleWe are seeking a highly skilled and experienced Insurance Claims Adjuster to join our team at Capstone ISG Inc. As an Insurance Claims Adjuster, you will be responsible for resolving residential and commercial property claims by conducting thorough investigations, analyzing policies and records, and making informed decisions regarding coverage...
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Insurance Claim Fraud Investigator
22 hours ago
Philadelphia, Pennsylvania, United States Allied Universal® Compliance and Investigations Full timeJob OverviewAllied Universal Compliance and Investigations Services is a leading provider of insurance claim investigation solutions. As a global leader, we offer dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators.Key ResponsibilitiesIndependently investigate suspected fraudulent insurance claims for various...