Claims Department Manager

At Conduent State Healthcare, LLC, we are seeking a skilled Claims Department Manager to lead our medical claims processing team. As a key member of our organization, you will be responsible for overseeing daily tasks, setting priorities, and coordinating activities to ensure timely completion.Key Responsibilities:Manage a claims processing department to...

Job Title: Claims Department Senior Manager PositionConduent State Healthcare, LLC is seeking an experienced Claims Department Senior Manager to lead our medical claims processing team. As a senior manager, you will be responsible for overseeing daily tasks, setting priorities, and coordinating activities to ensure timely completion. You will leverage your...

Job Summary: We are seeking a highly skilled Claims Department Manager to lead our complex medical claim processing team. As a key member of our leadership team, you will oversee daily tasks, set priorities, and coordinate activities to ensure timely completion. Key Responsibilities: Lead a team of medical claims processing professionals Oversee daily...

Job DescriptionAs the Claims Department Team Lead, you will oversee daily tasks, set priorities, and assist with coordinating activities to ensure timely completion. You will guide team members and work to resolve mission-critical escalated issues and projects. Your expertise will significantly impact the team's effectiveness, fostering efficiency and...

Job Title: Claims Department Team LeadConduent State Healthcare, LLC is seeking a highly skilled Claims Department Team Lead to join our team. As a key member of our operations team, you will be responsible for leading a complex medical claim processing team, overseeing daily tasks, setting priorities, and assisting with coordinating activities to ensure...

Job Summary: We are seeking a highly skilled Medical Claims Processing Manager to lead our team in processing medical claims efficiently and effectively. As a key member of our Conduent State Healthcare, LLC team, you will be responsible for managing a claims processing department, interacting with government personnel, and driving operational success.Key...

Role OverviewSedgwick is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing complex liability claims, determining benefits due, and ensuring ongoing adjudication of claims within service expectations and industry best practices.Key ResponsibilitiesAnalyze and process complex liability claims by...

Claims Team Lead - Liability SpecialistSedgwick is seeking a Claims Team Lead - Liability Specialist to supervise the operation of multiple teams of examiners and technical staff for liability claims for clients. The ideal candidate will have a thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and...

About SedgwickSedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Our purpose is to help organizations protect their people, assets, and reputation. We achieve this by delivering innovative solutions that address the complexities of risk, benefits, and integrated business needs.Job SummaryWe are...

About the Role:Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. As a Claims Examiner - General Liability Specialist, you will play a critical role in analyzing high-level commercial General Liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing...

Job SummaryWe are seeking a highly skilled Medical Director to join our team at Humana. As a Medical Director, you will be responsible for leading the clinical review process and making determinations on whether requested services, level of care, and site of service should be authorized at the inpatient level.Key ResponsibilitiesLead the clinical review...

Job SummaryThe Business Systems Analysis Manager is responsible for leading the day-to-day operations of the business analysis function within Pharmacy Services. This includes the documentation of business workflow and requirements, system analysis, cost analysis, and business designs for software development / acquisition projects. The ideal candidate will...

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague.It's having support for your mental, physical, financial and professional needs. And it means working in an environment that celebrates diversity and is fair and inclusive.PRIMARY PURPOSE OF THE ROLE:While partnering with the injured worker,...

Job Summary:The Montana Department of Transportation is seeking a highly skilled Environmental Scientist to join its Remediation & Assessment Section of the Environmental Services Bureau.This position serves as the Department's technical authority in solid and hazardous waste management, analysis and remediation, and regulatory compliance related to all...

At Health Care Service Corporation, we empower our employees with curated development plans that foster growth and promote rewarding, fulfilling careers.We are seeking a skilled Vocational Rehabilitation Specialist to join our team.Job SummaryAs a Vocational Rehabilitation Specialist, you will provide timely and accurate support to our client companies and...

The Montana Department of Transportation seeks an Environmental Scientist to lead the Remediation & Assessment Section of the Environmental Services Bureau.This position serves as the Department's technical authority in solid and hazardous waste management, analysis, and remediation, ensuring regulatory compliance for all preconstruction, construction, and...

About the RoleSedgwick is seeking a highly skilled Litigation Consultant - Liability to join our team. As a key member of our global claims team, you will be responsible for analyzing and processing complex commercial general liability claims on behalf of our valued clients.Key Responsibilities:Analyze and process claims through well-developed action plans...

Job Title: Head of Department - Physical EducationWe are seeking a highly skilled and experienced Head of Department - Physical Education to join our team at Eastern Hills Senior High School.About the RoleThe successful applicant will be responsible for leading the Physical Education department, providing high-quality leadership and management to ensure the...

Key Responsibilities: Assist the Vitamin and Body Care Managers in the successful operation and profitability of the vitamin and body care departments. Assist the department managers in ordering for vitamin and body care departments and maintaining accurate inventory levels. Assist the department managers in managing margin, driving sales, and overall...

Job SummaryWe are seeking an experienced Emergency Department Registered Nurse to join our team at Protouch Staffing. As a key member of our healthcare team, you will provide high-quality patient care in a fast-paced emergency setting.ResponsibilitiesProvide direct patient care in the emergency department, including assessment, treatment, and...