Director, Claims Operations - United States

Meet MedPro Group. We're an industry-leading Berkshire Hathaway insurance company with a passion for our clients and our team. We are hundreds of professionals with varied backgrounds and experience levels who came together to achieve one goal: protecting those who have made it t ...

Overview: · The position provides oversight, leadership, direction, and monitoring of outside counsel to optimize claim outcomes, ensure the provision of superior legal services in the representation of policyholders. Defines and maintains a fit-for-purpose legal services deliver ...

· Overview · The position provides oversight, leadership, direction, and monitoring of outside counsel to optimize claim outcomes, ensure the provision of superior legal services in the representation of policyholders. Defines and maintains a fit-for-purpose legal services deliv ...

The Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively researching and analyzing systems and processes that span across multiple operational areas.Investigates and facilitates the resolution of ...

Memphis, TNJob Description: · Oversight of workers' compensation, casualty insurance and other insurance lines claim processes, including direct insurance carrier and 3rd party claim administrator relationships · Administrate a return-to-work program to ensure the availability an ...

We're redefining primary care by making access to healthcare more convenient, timely, and seamless. · ...

Description · We are seeking a Behavioral Health (BH) Claims Domain subject matter Expert in our CRE – Concept research & exploratory team within our Datamining COE for exploratory claims analysis and support the development of advanced data mining capabilities. This role will fo ...

The Professional Revenue Cycle Manager provides strategic support in the management of third-party payer relationships, ensuring timely and accurate claims submission and reimbursement across various insurance payers. · The role actively plans, develops, organizes, and manages mu ...

Position Summary · The Quality Assurance Specialist is responsible for ensuring the accuracy, compliance, and integrity of claims processing, benefit configurations, and operational data. This role performs detailed audits and validation of pharmacy claims, system configurations, ...

Position Summary · The Operations Specialist supports daily operational functions across claims processing, savings program administration, CRM management, and internal process coordination. This role plays a key part in maintaining billing accuracy, ensuring data integrity acros ...

The Manager shall partner with organizational leadership to oversee and optimize our centralized physician business office operations. · ...

· Welcome to the intersection of energy and home services. At NRG, we're driven by our passion to create a smarter, cleaner and more connected future. · Vivint Smart Home, an NRG owned company, is a leading smart home company in the United States, dedicated to redefining the hom ...

The Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively researching and analyzing systems and processes that span across multiple operational areas.Investigates and facilitates the resolution of ...

About Us · Coastal Claim Services is the most trusted, performance-driven public adjuster firm in the U.S. We support licensed professionals with collegial, administrative, operational, and back-end systems that allow public adjusters to focus on what they do best—advocating for ...

General Responsibilities: · Responsible for overseeing the successful and efficient operations of the Safety Claims Administration Team, including management of the related processes and systems. The position handles complex and escalated claims issues, while supervising the clai ...

JOB DESCRIPTION Job Summary · Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. · Essential Job Duties · Provides support for resolu ...

· Overview · Seeking a highly-organized, strategic and execution-focused Director to support the Claim Legal Department. This role will serve as a trusted advisor, project leader and operational partner, helping drive strategic initiatives, manage cross-functional projects, and ...

We're hiring a Client Claims Director to lead client-focused claims operations by enhancing programs, analyzing adjuster performance, and ensuring exceptional outcomes aligned with Client Special Handling Instructions and company Best Practices. · ...

We're looking for an Assistant Vice President, Claims · Based in the US and reporting to US-based Insurance Claims Coordinator, you will be responsible for Property/D&F and Casualty Claims management. · Hamilton Re is our Bermuda insurer underwriting property, casualty and spec ...

Industry & Sector · A fast-moving organization operating in the US Healthcare Revenue Cycle Management (RCM) sector, delivering end-to-end billing, claims management, and reimbursement optimization services for provider organizations and payers. This role supports distributed, re ...