Manager, Claims Operations - Washington

The Director of Resolutions · (Claims) Operations will lead the Resolutions Financials and Claim Technical Support leader of Resolutions Financials and Resolutions Support. ...

United Educators (UE) is a member-owned liability insurer serving K-12 schools, colleges and universities across the United States, · with a focus on long-term partnerships. · ...

Evaluate incoming claims to determine eligibility, coverage and validity conduct thorough investigations including reviewing medical records and other relevant documentation analyze policy provisions and contractual agreements to assess claim validity utilize claims management sy ...

Healthcare Analytics Consultant at Careignition. · We are hiring a Healthcare Analytics Consultant for a customer-facing role that combines analytics, client support, and internal problem solving. · ...

The Disability Operations Supervisor is responsible for leading and managing the day-to-day operations of the disability claims team. · This role focuses on ensuring high-quality service delivery, compliance with industry standards, · and meeting key performance indicators.The Su ...

Supervise and provides daily direction to multi-functional team members regarding training and development, policies, procedures, and work production quantity and quality. · ...

+ Job summary +We are seeking an experienced and dynamic leader to join our Payment Integrity team as an Assistant DirectorClaims Production. As a people leader you will be responsible for providing leadership for claims production processing activities in the commercial claims s ...

We are currently looking for a Remote Claims Manager to supervise multiple teams and ensure successful execution of client commitments. · ...

Kaiva Tech LLC is seeking a Licensed Attorney to review claim submissions under an agency-managed program. · Review claim submissions for completeness accuracy and compliance with applicable federal regulations · Determine eligibility based on established criteria prepare recomm ...

The successful candidate will be a senior member of the claims team for Coalition Claims Solutions Canada, Inc. They will handle a pending file load while providing oversight and guidance to Coalition's team of adjusters in Canada, · ...

The Gallagher Claims Specialist will administer information from clients by phone, email and fax in order to process insurance claims. Reports claims for clients and works directly with both insureds and claimants to identify new claims. · Reviews claim forms and related document ...

This position is located in the Department of Employment (DOES), Office of Unemployment Compensation (OUC), Benefits Division.The Benefits Division is responsible for filing initial,re-opened and additional unemployment compensation claims and the adjudication of all issues assoc ...

The Claims Examiner Lead works under the direction of the Claims Examiner Supervisor to manage the daily operations of the Claims Examiner team. · ...

Job summary · This position is located in the D.C. Department of Employment Services (DOES), Office of Paid Family Leave (OPFL), Validations Unit. The mission of the Office of Paid Family Leave is to plan, develop and administer paid leave program for the District of Columbia und ...

+Job summary · The Claims Examiner Lead works under the direction of the Claims Examiner Supervisor to manage the daily operations of the Claims Examiner team.This position is responsible for assisting with work distribution, individual performance tracking, and measuring compete ...

The Sr Coding Specialist position at Houston Methodist Primary Care Group is responsible for applying correct coding conventions to patient charge encounters in a clinical environment.Coding specialists abstract diagnosis and procedural services from physician records and review ...

+ Lead coding specialists at Houston Methodist Primary Care Group.+ Abstract diagnosis and procedural services from physician records.+ Review charge review and claim edit related coding errors.<+ Mentor coding specialists,<+ Provide cross-training,+ Collaborate with management o ...

This role will serve as a Project Supervisor (Review) assigned to the Radiation Exposure Compensation Act (RECA) program of the DOJ Civil Division Works under the direction of a Project Manager performing duties such as acting as primary supervisor for assigned staff members over ...

The Revenue Cycle Management (RCM) Supervisor oversees insurance and patient billing for all locations, clinician credentialing, training team members, tracking progress, identifying process gaps, and supporting benefit verifications. · Ensure accurate client onboarding and maint ...

The Provider Field Representative supports the provider community in various areas including virtual and onsite visits, claims follow up and research support, · The appropriate individuals for these positions will possess complex claims resolutions, strong communication skills, · ...