National Director of Claims Management

Job DescriptionJob DescriptionResponsible for accurate review and input of claims in accordance with outside regulation, internal production standards and contractual obligations of the organization. Duties and Responsibilities1. Accurately review all incoming claims to verify if required fields are populated.2. Process claims information into the...

Job OverviewWe're seeking a seasoned Sales Account Manager to spearhead our referral and vendor relationships in the Los Angeles area. As a key member of our team, you'll play a crucial role in understanding client needs and delivering exceptional support throughout their insurance claims process.Key Responsibilities:Client Acquisition: Identify and engage...

Job OverviewWe are seeking a skilled Medical Claims Auditor to join our team at MedPOINT Management. This role involves reviewing claims paid in Shared and Dual Risk Pools, ensuring accuracy and integrity of Hospital claims paid by MPM.

Job OverviewMedPOINT Management is a leading provider of healthcare services, and we are seeking a highly skilled Healthcare Claims Compliance Specialist to join our team.

To support office administration functions. ESSENTIAL FUNCTIONS and RESPONSIBILITIES - Types form letters. Sets up, maintains and locates claim files. Processes packets. Conducts computer data entry and processing; documents claim files in the system Office Assistant, Entry Level, Assistant, Insurance, Business Services, Office

Job Summary The Claims Supervisor works with the Claims Manager to oversee the daily operations of the claims department. This position is responsible for ensuring that quality levels of performance are maintained throughout the Claims Department and that all functions remain in compliance with State and Federal regulations. This position will manage...

Claims Litigation Specialist OpportunityAn exciting opportunity to be part of a dynamic in-house legal team for a well-established and successful organization offering a great culture, commitment to legendary service, and competitive compensation package.We are seeking an experienced Claims Litigation Specialist to join our team. The successful candidate...

Job DescriptionKey ResponsibilitiesWe are seeking an experienced Workers Compensation Specialist to assist with claims investigations and settlement negotiations for our main claims management client.Key ResponsibilitiesAnalyze and process complex workers' compensation claims by investigating and gathering information to determine exposure.Negotiate...

About the RoleThe Utilization Management team at Blue Shield of California plays a crucial part in ensuring our members receive the necessary level of care. As a Senior Utilization Management Nurse, you will be responsible for reviewing inpatient stays and applying nationally recognized guidelines for levels of care. This role reports to the Utilization...

About the Role:Catalytic Claims Services, Inc. is seeking a Commercial Property Adjuster to join our team working in a remote capacity. The Commercial Property Adjuster will be responsible for managing the investigation and adjustment of first-party claims from initial assignment to full resolution.Key Responsibilities:Manage the adjustment of reporting...

The National Director, Field HEOR is a disease state, clinical, and health systems expert, responsible for developing programs and activities that support professional relationships with market access decision makers, clinical experts, and key opinion leaders. The National Director, Field HEOR supports the entire Ascendis Pharma product and pipeline...

The National Director, Field HEOR is a disease state, clinical, and health systems expert, responsible for developing programs and activities that support professional relationships with market access decision makers, clinical experts, and key opinion leaders. The National Director, Field HEOR supports the entire Ascendis Pharma product and pipeline...

The National Director, Field HEOR is a disease state, clinical, and health systems expert, responsible for developing programs and activities that support professional relationships with market access decision makers, clinical experts, and key opinion leaders. The National Director, Field HEOR supports the entire Ascendis Pharma product and pipeline...

JAS is an international, non-asset-based supply chain services and solutions company. Our services include air and ocean freight forwarding, contract logistics, customs brokerage, distribution, inbound logistics, truckload brokerage and other supply chain management services, including consulting, the coordination of purchase orders and customized management...

Job Title: Warranty ClerkJob Summary:The Warranty Clerk plays a crucial role in ensuring customer satisfaction by efficiently processing and resolving warranty claims. This position requires strong organizational skills, attention to detail, and effective communication to collaborate with internal teams and external partners.Key Responsibilities:Process and...

The National Director, Field HEOR is a disease state, clinical, and health systems expert, responsible for developing programs and activities that support professional relationships with market access decision makers, clinical experts, and key opinion leaders. The National Director, Field HEOR supports the entire Ascendis Pharma product and pipeline...

The National Director, Field HEOR is a disease state, clinical, and health systems expert, responsible for developing programs and activities that support professional relationships with market access decision makers, clinical experts, and key opinion leaders. The National Director, Field HEOR supports the entire Ascendis Pharma product and pipeline...

*Job Purpose*While professional experience and qualifications are key for this role, make sure to check you have the preferable soft skills before applying if required.Processes benefit claims for dental, vision, prescription, medical, retiree medical trust (RMT) benefits, and death benefits. Has knowledge of benefit plan provisions, exclusions, limitations,...

*Job Purpose*Processes benefit claims for dental, vision, prescription, medical, retiree medical trust (RMT) benefits, and death benefits. Has knowledge of benefit plan provisions, exclusions, limitations, policies and procedures of the claims department. Performs examination and analysis of claims, exercises judgment based on knowledge of terminology,...

Description National Account Manager We are looking for patient-inspired, passionate and experienced National Account Managers (NAM) with a demonstrated track record for our new team. You will have the opportunity to be part of a dedicated cross-functional team that will launch a novel treatment for pediatric patients with Congenital HyperInsulinism (CHI).As...