Manager, Claims Operations - Washington

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expe ...

Responsibilities & Duties:Claims Processing and Assessment: · Evaluate incoming claims to determine eligibility, coverage, and validity. · Conduct thorough investigations, including reviewing medical records and other relevant documentation. · Analyze policy provisions and contra ...

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your cont ...

ESI is seeking a QNXT Configuration Analyst that will be responsible for the configuration, maintenance, and optimization of the QNXT core claims processing system to support health plan operations. This role ensures accurate benefit setup, provider configuration, claims pricing, ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partne ...

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. · ...

Role: Data Analyst · Location: 100% Remote · Interview Process: 2 Rounds · About the Role: · We are seeking a senior Data Analyst with strong Healthcare Payer experience to support Claims, Appeals, and Call Center Operations Analytics. The role focuses on extracting and analyzing ...

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. · ...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expe ...

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

Helpline Senior Paralegal: Exercising more independent judgement , ollows standard operating procedures and guidelines to performs the following tasks. · Provide superior customer service to claimants, authorized representatives, attorneys, and the public who contact the VCF rega ...

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 ...

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, · ...

Who is Prescryptive? · Prescryptive Health is a healthcare technology company delivering solutions that empower consumers. Prescryptive's secure, mobile-first products connect consumers, pharmacists, and employers, ultimately providing people with the information they need to mak ...

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 ...

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 ...

Provides subject-matter expertise for Cigna's Out-of-Network (OON) Protection Programs, including the Network Savings Program (NSP) and Bill Negotiation Services (BNS). Serves as a shared service supporting all Cigna platforms in achieving OON goals. · Oversees program administra ...

+ 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 ...

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 ...