Senior Claims Operations & Finance Manager
Blue Cross NC
Blue Cross NC is seeking a Manager, Claims to lead end-to-end service across provider segments, driving performance targets and efficient claims processing. You will oversee claims submission, refunds, and recovery, while collaborating with leadership on contractual obligations and financial reporting. The role requires extensive experience in claims operations, analytics, and leadership, with a focus on accuracy, process improvement, and customer satisfaction within a regulated health insurance #J-18808-Ljbffr Blue Cross NC
- Jobtailor in Raleigh, NC is seeking a Service Manager to lead the service team, coordinate field and in-house work,... ...role requires overseeing training, safety, and warranty claims while maintaining efficient operations and quality control across all service activities....SeniorClaims
$157k - $265k
...resolution practice at the Director, Managing Director, or Senior Managing Director level. This individual... ...accounting, economic damages, and claims consulting. As a leader within the practice... ...:A Bachelor’s degree in Accounting, Finance, or a related analytical field is...SeniorClaimsFull timeFor contractors$130.56k - $208.9k
...Job Description The Senior Manager, Operations roles is a pivotal in overseeing multiple functions which may include membership, enrollment, system support, customer service, claims, and fulfillment processes. This position ensures efficiency and productivity deliver operational...SeniorClaimsFlexible hours- ...We are recruiting a Senior Finance Manager, Operations Finance, for a rapidly growing global organization in the RTP area. This role will support operational and supply chain finance initiatives across a complex manufacturing environment. The ideal candidate will bring...SeniorFor contractorsWork at officeLocal area
$155.6k - $306.8k
...the M&A Integration & Divestiture (I&D), Finance & Operations (Fin & Ops) team helps clients plan and... ...value capture efforts to help clients manage risk and achieve transaction objectives... ...but are not limited to: Partner with senior executives to define how they employ M&...SuggestedLocal area- ...Senior Contract Manager (M/F/D)To support our team within the Business Unit Grid Integration, we are looking for a Senior Contract Manager to... ...avoidance and support project management in the coordination of claims liaising with legal department.Ensuring integrity and...SeniorClaimsContract workLocal areaFlexible hours
- Banyan Search is looking for a Director of Payroll Operations in Raleigh, NC, to lead payroll functions across multiple entities. This... ...understanding of payroll operations and compliance, focusing on managing teams and ensuring timely payroll delivery. The ideal...Senior
$100k - $130k
OverviewMBP is looking for a Senior Estimator in Raleigh, NC, or the Mid-Atlantic region,... ...desired: general contracting, construction management, CPM scheduling, value engineering, risk management, constructability review, claims analysis, and/or contract administration....SeniorClaimsFull timeContract workFor contractorsWork at officeNight shift- DescriptionPosition Overview:The Compliance Operations Manager executes the day-to-day operations of Mayne Pharma's Compliance & Risk Program... ...regulations, and industry codes (e.g., Anti-Kickback Statute, False Claims Act, FDA promotional requirements, PhRMA Code, etc.)....ClaimsCasual workLocal area
- ...Program Operations Manager – Labcorp Labcorp is seeking a Program Operations Manager to oversee the execution of operational workflows that... ...overseeing healthcare operations with a strong understanding of claims and/or lab data. Project Management Professional (PMP)...ClaimsTemporary workCasual workInternshipWork at officeFlexible hours3 days per week
- Job Description Summary:Overall management of Aviation construction project resulting in successful project completion. This position will... ...estimating staff (bid item specialist)• Avoid or mitigate claims and conflict• Complete all job close-out procedures• Conduct warranty...SeniorClaimsFull timeContract workTemporary workFor subcontractorFlexible hours
- ...re looking for a Reinsurance Operations Specialist in Raleigh, NC to... ...diversification initiatives. You will manage the operational aspects of... ...reinsurance premiums, claims, and recoverables.Maintain accurate... ...internal teams (Legal, Risk, Finance, Operations, IT) and external...ClaimsFull timeContract workWork at officeFlexible hours
- MSIG USA is seeking a seasoned Claims Adjuster to handle assigned claims across a range of complexities. You will investigate, adjust reserves, and settle claims in accordance with company guidelines and regulatory requirements. The role requires 5+ years of claims experience...SeniorClaims
- Ryder System, Inc. is seeking a Claims Analyst to manage complex bodily injury and property damage claims under the company’s self-administered liability program. The role requires investigating and adjusting claims and coordinating with defense counsel, adjusters, experts...SeniorClaims
- MSIG USA is seeking a seasoned claims adjuster to manage assigned claims within delegated authority, conduct thorough investigations, and pursue fair settlements. The role emphasizes timely analysis of indemnity and coverage questions under MSMM guidelines and coordination...SeniorClaims
- ...specialty units, and heavy equipment. We proudly serve fleet managers, maintenance teams, mining operations, and risk management professionals across the region.... ...to ensure efficient operationsOverseeing warranty claims, customer concerns, and quality assurance processes...ClaimsWork at office
- TruCapital Partners is seeking a Claims Technical Specialist in the United States (North Carolina) to manage moderate to complex general liability claims and oversee litigated matters. The role provides technical guidance to claims examiners on investigation quality, reserving...SeniorClaims
- ...analytics for predominantly fully insured benefit programs. You will prepare standard analyses, model renewal scenarios, and analyze claims utilization for clients with 100-250 lives. You will develop strategies, coordinate with carriers for quotes, and support client...SeniorClaims
- ...candidate has 8+ years in mass torts, a JD, and active bar admission, with experience drafting settlement documents, managing teams, and data-driven claims administration. This role reports to partners and oversees complex negotiations and governance. #J-18808-Ljbffr...SeniorClaims
- ...Schnellecke Logistics USA is seeking a Senior Operations Manager to lead the operations area in alignment with our quality management system and client requirements. This role ensures service levels, safety, and performance goals while directing supervisors and warehouse...Senior
$135k - $165k
...getting measurable, lasting value from our work.This role owns the operational foundation for Pendo's Customer Engineering organization:... ...solutions, and drive them forward. At Pendo, great leaders don't just manage delivery — they operate as strategic owners, setting direction...SeniorWork at officeRemote workFlexible hours3 days per week- ...Description Rumpke is a family-owned and operated company that ranks as one of the largest... ...family. Come join our team! The Operations Manager oversees the day-to-day waste and... ...accidents, incidents, and property damage claims, completing accurate and detailed reports...ClaimsContract workLocal areaFlexible hoursNight shift
- Builders Mutual Insurance Company in Raleigh is seeking an experienced Commercial Claims Adjuster for a hybrid role. You will handle investigations, coverage determinations, and settlements with a focus on prompt, customer-focused service. Expect collaboration with agents...SeniorClaims
- ...with strong documentation skills. The position focuses on estimating auto damage and negotiating settlements for 1st and 3rd party claims. The ideal candidate will have auto field adjusting experience, an active adjuster license, and CCC estimating familiarity to handle...SeniorClaimsRemote job
- CRC Group is seeking a Senior Claims Professional in the United States to manage complex claims processes, including investigation, evaluation, and resolution of high-severity claims. The role emphasizes timely adjudication, risk reduction, and strong client/broker relationships...SeniorClaims
$107k - $150k
MBP is hiring a Senior Construction Claims Analyst for their Raleigh location. This full-time position requires in-depth experience in analyzing... ...have a background in Civil Engineering or Construction Management and will need proficiency in Oracle P6. The role offers competitive...SeniorClaimsFull time- ...Senior Automation TesterClient is seeking an Automation Tester to perform QA and Testing work related to support the Managed Care Transition Project.This position is responsible for the following... ...with Healthcare Claims Processing Testing.Must be an excellent...SeniorClaims
- ...We are recruiting a Senior Finance Manager to serve as a strategic partner to key business leaders. This role will be responsible for forecasting... ...the opportunity to influence both financial strategy and operational execution. Key Responsibilities Lead forecasting,...SeniorFor contractorsWork at officeLocal area
- Finance Systems Manager / Senior Finance Systems ManagerAbout This Role:Veranex has an exciting opportunity to join our Corporate Finance team as... ...managing our financial systems to support corporate finance operations, drive efficiency, and enable data-driven decision...Senior
$119k - $179k
...Clinical Operations Manager The Clinical Operations Manager serves as a dedicated functional expert within a cross-functional team, contributing... ...for projects that further business strategy for evidentiary claim development. Qualifications: Minimum...ClaimsFull time
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