Claims Operations Manager Jobs | Glassdoor

Claims Operations Manager Jobs

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  • 3.8
    Kaiser Permanente – Downey, CA
    Est. Salary $61k-$98k
    11 days ago 11d
    Responsible for the operations of one or more claims processing units, including timely and proper adjudication of claims in accordance… insurance claims to meet operation, financial, and service requirements. Develops and executes strategic and operational business…
  • 2.8
    Randstad Professionals – Atlanta, GA
    Est. Salary $51k-$84k
    5 days ago 5d
    opportunity! The Claims Operations Manager will oversee medical claims for quality, productivity and processing outcomes. Claims Operations… Operations Manager responsibilities: Manage overall quality, productivity and outcomes of medical/healthcare claims processing…
  • 2.8
    Dane Street – Boston, MA
    Est. Salary $51k-$76k
    1 days ago 12hr
    forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers Compensation… reaching the appropriate medical determination as part of the claims management process. https://en.wikipedia.org/wiki/Independent_medical_examination…
  • 4.0
    KAISER – Downey, CA
    Est. Salary $88k-$139k
    20 days ago 20d
    Responsible for the operations of one or more claims processing units, including timely and proper adjudication of claims in accordance… insurance claims to meet operation, financial, and service requirements. Develops and executes strategic and operational business…
  • 4.1
    Denali Federal Credit Union – Anchorage, AK
    EASY APPLY
    1 days ago 20hr
    cancelation of after-market products and/or filing of damage and GAP claims. 12.Assists members with short sell process and refinance of… - Credit Administration Reports To: Credit Administration Manager Exempt: Non-Exempt Function Supervised: None Description…
  • 4.1
    Denali Federal Credit Union – Anchorage, AK
    EASY APPLY
    1 days ago 20hr
    tracing. 3. Prepares and files court documents for small claims/civil cases initiated by the Credit Union. 4. Handles frequent… achieve objectives. 8. Attends and participates in small claims/civil hearings both in person and telephonically. 9. Establishes…
  • 4.5
    Washington State Employees Credit Union – Olympia, WA
    Today 10hr
    loss mitigation, card-dispute processing, vulnerable adult claims and referrals, fraud loss tracking and reporting, insurance… institution operations position, involving fraud investigations or compliance initiatives, or similar operational functions Strong…
  • 2.6
    Genesis Healthcare – Baltimore, MD
    Est. Salary $52k-$68k
    1 days ago 13hr
    Compliance Process, Standard/Code of Conduct, Federal False Claims Act and HIPAA. 2. Participates in required orientation and training… Caregivers/Aides, consistent with their scope of practice. The RN manages patient care by performing nursing assessments and collaborating…
  • 3.0
    Availity – United States
    Est. Salary $101k-$152k
    Today 10hr
    payer/insurance industry specifically claims processing systems, provider office operations, and customer service processes in a… in each product release. As the bridge between the Product Manager and the delivery team, you must align both parties to a common…
  • 1.8
    Houston International Insurance Group – Houston, TX
    Est. Salary $60k-$96k
    30+ days ago 30d+
    Responsibilities: The Claims Operation Manager will manage a function that supports HIIG Claim Division management and staff… Job Summary: The Claims Operation Manager will lead a function designed to support Claim Division technology and related services…
  • Pivotal Health Care – Overland Park, KS
    EASY APPLY
    1 days ago 13hr
    prevention; assists with legal claims or suits; assists with complaints. Assists CEO and VP of Operations with special projects.… Performs benefits administration to include system maintenance, claims resolution, enrollments and terminations, change reporting,…
  • 3.0
    Western Growers – Irvine, CA
    EASY APPLY
    Est. Salary $65k-$104k
    1 days ago 19hr
    organization, such as Installation, Claims, Sales, Underwriting, Utilization Management, Account Managers, etc. to ensure the timely &… containment programs for Western Growers Assurance Trust & Pinnacle Claims Management Inc. What you get to do: * Develop a Provider…
  • 3.4
    Plymouth Rock Assurance – Red Bank, NJ
    3 days ago 3d
    underwriting referrals for endorsements, renewal questionnaires, claims and Rate Pursuit documents OTHER DUTIES AND RESPONSIBILITIES… and development of various underwriting integrity projects • Manage agency assignment to their specific marketing and production…
  • 2.6
    Genesis Healthcare – Rochester, NH
    Est. Salary $50k-$68k
    1 days ago 14hr
    and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. Provides leadership and support for the Compliance… dedicated, team oriented Center Nurse Executive - RN to lead and manage the Nursing Department in our 79 bed facility. Colonial Hill…
  • 3.2
    Alta Resources – Neenah, WI
    2 days ago 2d
    needs while operating within established processes Provide solutions to customer service items including ad claims, damages,… Job Description This business to business sales position manages sales activities selling products to dental offices over the…
  • 3.9
    Tesoro – Kenai, AK
    1 days ago 20hr
    Marine Operations Manager, the Port Captain supports Tesoro's commercial marine organization to optimize vessel operations and is… and loss control specialists with research and resolution of claims and issues. Conducts SIRE (Ship Inspection Report Exchange…
  • 3.4
    Liberty Mutual – Boston, MA
    Est. Salary $70k-$107k
    1 days ago 15hr
    modeling in Claims. You will focus on building and presenting the business case to Claims Senior/Executive Managers where one or… analytics can add value for each Claims LOBs, with exposure to present to Claims Senior/Executive Managers Lead pilots and implementation…
  • 5.0
    Flexion Therapeutics – Boston, MA
    Est. Salary $68k-$107k
    Today 7hr
    executive teams. Experience with pharmaceutical sales, Rx, and claims data, and leveraging these and other data sources to generate… work. The Role: We have a great opportunity for a Manager/Sr. Manager of Decision Support to join our team. In this role, you…
  • 4.2
    RoundPoint Mortgage Servicing Corporation – Charlotte, NC
    Est. Salary $34k-$55k
    7 days ago 7d
    Manages all loans in the claims queue to ensure all required milestone(s) are met. Manages/Audits claim filing/… the claim. Manages exception reporting used as key controls for minimizing risk. Monitors/Audits claims, identifying…
  • 3.6
    Philadelphia Insurance Companies – Bala Cynwyd, PA
    2 days ago 2d
    region and works closely with management, sales counterparts and claims personnel to achieve targeted results. Communicates effectively… business commensurate with authority and collaborate with regional manager as well as home office staff. Maintains strong familiarity…
  • 3.4
    Liberty Mutual – Boston, MA
    1 days ago 15hr
    Markets No Fault Field Claims Organization Identify and analyze key drivers of financial/operational trends countrywide & at… Advance your Claims career at Liberty Mutual Insurance- A Fortune 100 Company! U.S. Consumer Markets Claims is actively searching…
  • 3.2
    Alta Resources – Neenah, WI
    11 days ago 11d
    to facilitate client / customer needs by operating within established processes Manage sales and customer service activities to… being met and exceeded Provide customer service including ad claims, damages, sales materials, and deductions and credit problems…
  • 3.0
    Civil Service Employees Insurance – San Dimas, CA
    3 days ago 3d
    knowledge of claims policies, procedures, and protocols; fair/unfair claims practices regulations, all operating states insurance… accordance with corporate claims policies and procedures. Investigate claims thoroughly and refer claims to Special Investigative…
  • 3.2
    Preferred Mutual – New Berlin, NY
    EASY APPLY
    Est. Salary $100k-$146k
    6 days ago 6d
    cross-functional managers. Provide claims function expertise and policy limit authority for personal and commercial lines claims. Participate… exposures. Responsible for overseeing claims issues that exceed the Claims Managers’ authority level. Accountable for the…
  • 2.8
    Dane Street – Huntington, NY
    6 days ago 6d
    forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers Compensation… reaching the appropriate medical determination as part of the claims management process. https://en.wikipedia.org/wiki/Independent_medical_examination…
  • 3.4
    Liberty Mutual – Seattle, WA
    1 days ago 15hr
    Presidents and Managers of varying departments such as Information Systems, Corporate Research, Actuarial, Underwriting, Claims, Sales,… Safecos dynamic Distribution Strategy and Sales Operations team, you will manage aspects of the most sensitive, highly visible and…
  • 2.8
    Dane Street – Huntington, NY
    6 days ago 6d
    forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers Compensation… reaching the appropriate medical determination as part of the claims management process. https://en.wikipedia.org/wiki/Independent_medical_examination…
  • 3.2
    Alta Resources – Neenah, WI
    Est. Salary $23k-$36k
    10 days ago 10d
    but not limited to: account management which includes sales, claims management, informing customers of product launches, new distribution… include the following. Other duties may be assigned. Create and manage sales and customer service tools for client teams as requested…
  • 3.6
    Clements Worldwide – Washington, DC
    EASY APPLY
    3 days ago 3d
    conditions. • Manage all changes affecting insurance coverage. Take first reports of loss from clients and report to Claims department… Commercial Insurance Account Manager Washington, D.C. Job Title: Commercial Insurance Account Manager Requisition #: 17-0003…
  • 2.9
    San Francisco Health Plan – San Francisco, CA
    7 days ago 7d
    and system upgrades Functional understanding of health care claims processing and data sets such as ICD-9/10 and CPT/HCPCs, provider… activities including prototyping, analysis, system configuration, operational implementation and process documentation. Recommend and…
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