Claims Operations Manager

PROPERTY CLAIMS SPECIALISTWe are seeking a detail-oriented and organized Property Claims Specialist to join our dynamic team at Allcat Claims Service. In this role, you will be responsible for investigating, assessing, and managing claims related to water damage that is not weather-related, ensuring timely and accurate resolution of claims.JOB...

Job Title: Manager, Claims OperationsJob Summary: We are seeking a dedicated Manager, Claims Operations to lead a team of Auto Injury Examiners at USAA. The successful candidate will have a strong background in claims handling and leadership experience.Key Responsibilities:Lead and Manage Team: Direct a team of Auto Injury Examiners responsible for...

Job SummaryWe are seeking a highly skilled Claims Recovery Specialist to join our team at Alternative Claims Management. As a key member of our team, you will be responsible for negotiating and settling claims on behalf of our clients.Key Responsibilities:Recover claims through direct contact with responsible partiesReview and evaluate new damage recovery...

Job Title: Director of Claims OperationsAt USAA, we're committed to delivering exceptional service to our members. As a Director of Claims Operations, you'll play a critical role in leading our claims contact center teams to achieve business results and drive member satisfaction.About the RoleWe're seeking a seasoned leader with a strong background in claims...

Why USAA? As the Claims Operations Executive Director, you will be accountable for delivering operational business results at scale for auto, property, or other claims teams. Your responsibilities will include member service, paying what we owe, controlling expenses, employee engagement, quality, operational risk, and compliance across multiple MSTs. You...

Job SummaryWe are seeking a highly organized and detail-oriented Claims Support Specialist to join our team at the City of San Antonio Texas. In this role, you will provide administrative support for the Claims Section in the Office of Risk Management, assisting with the processing and administration of claims information.Key ResponsibilitiesAssist with the...

Job Title: Claims AdjusterWe are seeking a skilled Claims Adjuster to join our team at Fred Loya Insurance. As a Claims Adjuster, you will be responsible for investigating and evaluating insurance claims, negotiating settlements with attorneys and claimants, and ensuring that all claims are handled in a fair and timely manner.Key Responsibilities:Investigate...

About the Role:Sedgwick is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing and processing General Liability claims to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.Key...

Job Title: Medical Claims ExaminerJob Summary:TRIAD is seeking a highly skilled Medical Claims Examiner to join our team. As a Medical Claims Examiner, you will be responsible for accurately processing health plan delegated claims, addressing provider inquiries, and handling various administrative tasks within the department.Key Responsibilities:Process...

About the Role:Sedgwick is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing and processing low-mid level General Liability claims on behalf of our valued clients. Your primary goal will be to determine benefits due while ensuring ongoing adjudication of claims within service expectations,...

POSITION SUMMARY/RESPONSIBILITIES As a Claims Resolution Specialist at University Health, you will analyze complex problems related to claim payments, eligibility, and system issues that affect claims payment. You will work cooperatively with Configuration in testing of contracts used in business operations and reporting to assure auto adjudication....

About the RoleUSAA is seeking a highly skilled and experienced Senior Injury Claims Adjuster to join our team. As a key member of our claims resolution team, you will be responsible for adjusting attorney-involved moderately complex bodily injury and UM claims, as well as catastrophic auto PIP/MP medical claims.Key ResponsibilitiesIdentify and manage...

Optum Job DescriptionAt Optum, we deliver care and technology to help millions of people live healthier lives. We're seeking a Senior Claims Examiner to join our team in reviewing, analyzing, and researching complex health care claims. As a Senior Claims Examiner, you will be responsible for identifying discrepancies, verifying pricing, confirming prior...

About the RoleUSAA is seeking a highly skilled Injury Examiner to join our team. As a dedicated professional, you will be responsible for adjusting complex bodily injury claims and UIM claims, ensuring timely and accurate resolution of claims in compliance with state laws and regulations.Key ResponsibilitiesAdjusts complex bodily injury claims with...

Job Title: Senior Operations Project ManagerJob Summary:We are seeking a Senior Operations Project Manager to join our team at HCL Technologies. As a Senior Operations Project Manager, you will be responsible for managing and executing projects related to Guidewire Policy Center and Claim Center.Key Responsibilities:Analyze and identify topics/events in...

Job SummaryOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and...

Creative Financial Staffing has partnered with a reputable healthcare provider to find a skilled Medical Biller to join their team. This opportunity offers a chance to work in a dynamic healthcare environment and contribute to the organization's financial success.About the Role:The Medical Biller will be responsible for processing and submitting medical...

Claims Adjudicator for Argo GroupWe're seeking a highly skilled Workers' Compensation Claims Adjudicator to join our team at Argo Group. As a Claims Adjudicator, you will be responsible for adjudicating indemnity workers' compensation claims of higher technical complexity for our customers in the states of AR, LA, MA, and TX.Key Responsibilities:Adjudicate...

We're committed to delivering exceptional customer service and making a positive impact in the lives of our customers. As a Workers' Compensation Claim Representative, you'll play a critical role in planning, recommending, and executing the investigation of workers' compensation claims.This position requires strong analytical and problem-solving skills, as...

Job DescriptionClearsight Billing is seeking a skilled Medical Billing Specialist to contribute to our team's success. Key responsibilities include:Managing insurance accounts receivable and resolving claim denials, EDI rejections, and unpaid claims.Processing electronic claim files and posting payments.Providing exceptional customer service and support for...