Director, Claims - San Diego

We are seeking a dynamic self-starter to join our team as a Complex Claims Consultant handling Directors & Officers claims for Community Associations. · CNA is the market leader in providing Community Association Directors & Officers liability coverage and provides best-in-class ...

p>We're seeking four entrepreneurial Chapter Directors per location who don't just want a role; they want to build recurring wealth through our ecosystem. · This isn't a job. It's an entrepreneurial opportunity where your income directly reflects your impact, with top performers ...

We are looking to hire a Sr. Field Auto Appraiser supporting the San Diego Metro, CA area. · ...

The Retail Sales Specialist plays a critical role in ensuring operational excellence for key retail and distribution partners. This position is responsible for the comprehensive management of product setup and content, meticulous tracking of promotions and Marketing Development F ...

+ Job summary · Embrace a fulfilling career at USAA where our core values define how we treat each other and our members. · + Applies knowledge and understanding of fraud schemes on any questionable claims. · Collects evidence through field or remote interviews. · Makes recommend ...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown is seeking a Senior Director of Business Process Outstanding (BPO) to join our growing team. · Define and execute the enterpri ...

+We're seeking four entrepreneurial Chapter Directors per location who don't just want a role; they want to build recurring wealth through our ecosystem. · A connected leader with deep relationships in your industry nicheMotivated by unlimited earning potential tied directly to p ...

+We are looking for a SIU Investigator (mid-level). This is a Field position. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-re ...

The position is accountable for providing medical management and leadership to SCMG to ensure the delivery of high quality, · cus- tomern responsive and cost-effective medical care on behalf of SCMG, · and its members through a network of private practice physicians. ...

We're seeking four entrepreneurial Chapter Directors per location who don't just want a role; they want to build recurring wealth through our ecosystem. This isn't a job. It's an entrepreneurial opportunity where your income directly reflects your impact. · Strategically build re ...

The Contracts Associate assists with the operations, negotiations and analyses of contracts... · ...

The Human Resources Generalist supports corporate and hotel operations by providing hands-on HR guidance with a primary focus on employee relations, · •Serve as a primary HR resource to General Managers and department leaders · •Ensure consistent application of company policies, ...

+We believe in being true to the gaming community, which means being true to ourselves. We create products that help the best of the best be better, and products that help the not-so-good feel not-so-bad. · ++Partner with Sales Directors, Accounting, and Finance to validate SOA, ...

The Bookkeeper will process claims for assigned contracts. This includes reconciling grant financial records with general ledger and preparing monthly expenditure spreadsheets. · ...

This position supports the system centralized utilization management department to meet division and organizational objectives. · Ensures timely follow up on payer requests for clinical documentation. · Mitigate denials and ensure established timeliness response metrics are met. ...

This position supports the system centralized utilization management department to meet division and organizational objectives. · Ensure timely follow up on payer requests for clinical documentation. · Optimal inbound and outbound fax management to mitigate denials. · ...

This position supports the system centralized utilization management department to meet division and organizational objectives, facilitate effective communication between department staff and internal external customers including business office revenue cycle physicians payers. · ...

This position is responsible for care coordination services provided by the Case Manager. The Clinical Resource Coordinator will review complex requests for medical care and services, process referrals for prior authorization, and assist with patient follow up. · ...

The Clinical Resource Coordinator will review medical requests for care services. · Review patient needs and condition with Skilled Nursing Facilities for placement.Set up transportation through contracted ambulance service when neededFacilitate post-discharge calls to patients d ...

The position is accountable for providing medical management and leadership to SCMG to ensure the delivery of high quality, customer responsive and cost-effective medical care on behalf of SCMG, and its members through a network of private practice physicians. · Required Qualific ...