manager insurance claim department - Phoenix - beBeeClaimsManagement

We are a resiliency-building company that unleashes the power of our employees and participants to create a resilient world. We support healthy work/life balance for our employees and invest in their potential through opportunities for continual learning and growth. · Manage and ...

The Risk Management Analyst assists the Chief Risk Officer with the development implementation coordination maintenance analysis and monitoring of multiple activities within the Risk Management department. · Assists CRO with intake of legal matters assignment of outside legal cou ...

+ Job Summary · + Provides clerical support for the Claims department · + Performs photocopying and pulling claims and Explanations of Benefits (EOBs) off the on-line system using Filenet and Emdeon software · Key ResponsibilitiesOpens and sorts incoming Claims mail. · Pulls docu ...

The Claims Specialist Trainee manages workers' compensation claims within delegated limited authority to best possible outcome, · Receives claims and confirms policy coverage. · Determines validity and compensability of the claim. · ...

We offer remote work opportunities (AK, AR, AZ, CO, FL, HI , IA) and other states. Conducts retrospective review of medical/surgical claims and behavioral health claims for inpatient and outpatient services as it relates to claims inquiry resolution audit. Applies clinical coding ...

The Supervisor, Claims Administration is responsible for the daily oversight of a claims administration functional team handling requests related to Government claims. · This position may manage one or more work types including but not limited to claims research reconsideration c ...

The Manager, · Claims Admin is a steward of ensuring a positive experience · and outcome when a claim event occurs. · This position manages and is accountable for claims teams who · are responsible for delivering business results.The Manager, · Credits Admin works collaboratively ...

+ Performs research to assess root cause of moderate to high complexity claims issues · + Regularly engages with the claims subcontractor and internal business partners · + Evaluates claims data and trend reports regularly to proactively identify provider billing issues , syste ...

The Warranty Administrator will function as the primary face of Cutter Aviation and must be an exceptional relationship builder with the drive to provide world-class service. · File and track all warranty claims returns and coresReview of work orders for accuracy prior to filing ...

Tango is a leader in the home health management industry and is preparing for significant growth Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. · We are currently looking for an Analyst, Claims Customer ...

The Restoration Claims Specialist is responsible for the Managed Repair claims process from intake to resolution, ensuring accuracy, compliance, and exceptional customer service.This role ensures that restoration claims are handled efficiently and in alignment with company standa ...

As a member of our Claims team, utilize your knowledge of Workers Compensation Claims to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. · , Promptly investigates all assigned claims with minimal s ...

Allied Universal Compliance and Investigation Services is hiring a Special Investigations Unit (SIU) Investigator. This role involves investigating claims with red flags that suggest fraudulent behavior in relation to an Insurance claim. · ...

Allied Universal is hiring a Special Investigations Unit (SIU) Investigator to investigate claims with red flags that suggest fraudulent behavior in relation to an Insurance claim. · Independently investigate suspected fraudulent insurance claims for a variety of coverage. · ...

This position is a primary point of contact for sourcing and securing corporate leases for housing claims. · ...

The Medical Only Claims Specialist manages non-complex and non-problematic medical only claims. · Receives claims, confirms policy coverage · Determines the validity and compensability of the claim · ...

This position is responsible for the training needs of Health Plan staff and contracted providers, including development of training materials, communications and activities. · Provides training in all aspects of provider training, case management, medical management, compliance, ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · ...

This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams.The person in this position must fully understand all product offerings available to Organization members. · ...

The Senior Claims Specialist plays a critical part in supporting our Transportation & Logistics solution; a comprehensive program that combines legal liability and all-risk cargo coverage into one streamlined offering for logistics providers and their clients. · Manage complex tr ...

The Provider Data Resolution Specialist ensures accurate timely maintenance synchronization of critical provider data on all provider databases systems such as claims data management and authorization referral systems. · ...