Job Description A bit about this role: We’re seeking a Claims Operations Manager to join an impact-oriented team... focused on improving accuracy, reducing friction, and strengthening the integrity of our end-to-end processes. The team...
, Payment Integrity (PI) Operations, manages and leads critical components of L.A. Care's enterprise Payment Integrity program..., overseeing the design, execution, and continuous refinement of pre-payment and post-payment accuracy activities. This position...
expert for recovery systems, including Claims Recovery Platform and Enterprise Business Operations System coordination..., or payment integrity recovery operations. Experience supporting government programs, auditing and compliance monitoring...
across Claims Operations, Finance, Provider Relations, Compliance, IT, and Care Management to embed Payment Integrity throughout the... and utilize each person’s talents and strengths. The Manager of Payment Integrity (PI) leads the strategic design...
across Claims Operations, Finance, Provider Relations, Compliance, IT, and Care Management to embed Payment Integrity throughout the... and utilize each person’s talents and strengths. The Manager of Payment Integrity (PI) leads the strategic design...
across Claims Operations, Finance, Provider Relations, Compliance, IT, and Care Management to embed Payment Integrity throughout the... and utilize each person’s talents and strengths. The Manager of Payment Integrity (PI) leads the strategic design...
across Claims Operations, Finance, Provider Relations, Compliance, IT, and Care Management to embed Payment Integrity throughout the... and utilize each person’s talents and strengths. The Manager of Payment Integrity (PI) leads the strategic design...
across Claims Operations, Finance, Provider Relations, Compliance, IT, and Care Management to embed Payment Integrity throughout the... and utilize each person’s talents and strengths. The Manager of Payment Integrity (PI) leads the strategic design...
regulatory adherence, operational integrity, and effective oversight of payment accuracy programs. The Compliance Manager serves... alignment, issue tracking, and coordination between compliance, operations, IT, and data teams. Ensure the accuracy of claims...
platforms - spanning claims processing, benefits verification and/or payment disbursement - driving down loss and directly... mental healthcare for the better. About the role: As a Product Manager on our Core Insurance Product team supporting...
Ensure solutions reduce payment leakage, enhance claims accuracy, and improve audit effectiveness. Collaborate with finance... Measures Reduction in payment leakage and improvement in cost avoidance. Enhanced claims accuracy and audit efficiency...
reduce payment leakage, improve claims accuracy, and support audit effectiveness. · Partner with finance and operations... · Lead cross functional teams (engineering, data science, claims operations, finance) to deliver scalable Payment Integrity...
Manager, Corporate Claims manages day to day operational Claims elements of all coverage lines within the company’s risk... interpretation, technical accuracy, claims strategy, and financial control. The position requires excellent written and verbal...
, and support staff toward operational excellence. The Claims Manager of the Medicare Advantage Plan will: Implement and maintain... and maximize the accuracy of claims payments. Foster a positive, high-performing team culture focused on quality and exceptional...
in all areas of Workers' Compensation claims adjusting. High level of accuracy with claim financials: benefit/bill payment...Job Category: Claims Adjusting Job Description: Chubb is seeking an Assistant Vice President (AVP) Claim Manager...
claims testing or accuracy audits. Deep experience interpreting provider contracts, payment methodologies, and managed care... communities and residents and to support the safety net required to achieve that purpose. Job Summary The Manager, Claims...
or coordination. The Senior Manager leads a team of adjustment analysts and dispute specialists, building a culture of accuracy... of Financial Responsibility (DOFR) to claims processing, and managed care payment rules. An advanced knowledge of contractual...
for advancement Training & development Vision insurance Position Title: Xactimate Estimator & Payment Follow-Up Specialist... Department: Inland Water Damage & Restoration Reports To: Project Manager / Owner Employment Type: Full-Time Location: Colton...
of risk, claims manager, and legal counsel on litigated claims. Is a key contributor in the return-to-work and modified duty...Job Category: Contracts Job Description: Job Summary: We are seeking a detail-oriented and organized Claims...
claims. Interpret policy provisions and manually adjudicate claims within a payment authority up to $400,000. Review claims... to determine whether referral to a Complex Case Manager or Claims Quality Specialist is required. Actively follow up on open...