Senior Claims Processing Leader
CenterWell Senior Primary Care
CenterWell Senior Primary Care in the Town of Florida is looking for a Manager of Claims Processing to lead the end-to-end claims adjudication process. This role involves managing a team and ensuring accurate processing of complex Medicare, Medicaid, and commercial claims. The ideal candidate will have extensive experience in claims processing with a proven ability to improve workflows and manage escalated issues. The position offers competitive benefits and opportunities for professional development. #J-18808-Ljbffr
$45.39k - $88.51k
Molina Healthcare in California is seeking a Claims Supervisor to lead the claims activities team. Responsibilities include supervising claims processing, managing team performance, and analyzing claims reports to improve efficiency. Ideal candidates will have over 5 years...SeniorClaims- Marathon Petroleum is seeking a Process Technologist to ensure technical needs are met and to provide guidance across refinery operations. The ideal candidate will have a Bachelor's Degree in Chemical Engineering and 15+ years of experience in process technology. This role...Senior
- A regional insurance company is seeking a Senior Casualty Claims Examiner to oversee complex claims and ensure compliance with best practices. The ideal candidate will have a Bachelor’s degree, at least five years of adjusting claims experience, and strong communication...SeniorClaimsFull time
- ...proficiency in various BI tools and data analysis software. The role involves leading requirement-gathering sessions, evaluating business processes for improvements, and managing stakeholder expectations. Candidates must possess a bachelor's degree or equivalent experience. #J...Senior
$70.1k - $126.2k
.... Position Purpose Evaluate and analyze benefit configuration processes, initiatives, and requirements to determine instructional documentation... ...understanding of coding rules (CPT, HCPCS, ICD) 4+ years of claims payment/analysis experience 4+ years of experience in...SeniorClaimsFull timePart timeWork at officeRemote workFlexible hours$106.4k - $159.6k
A leading insurance provider seeks a Claim Specialist for their Complex Claims Unit. You will manage complex construction defect claims, requiring expert analysis and negotiation skills. This role offers hybrid or remote options, with a competitive salary range of $106,...SeniorClaimsRemote job- ...resolution while collaborating with a legal team to represent clients affected by medical negligence. Responsibilities include evaluating claims, negotiating settlements, and maintaining a strong understanding of Florida medical malpractice law. Ideal candidates will have 5+...SeniorClaims
- A leading financial services company is seeking a Lead Claims Examiner in New York to investigate, evaluate, and negotiate insurance claims. The ideal candidate will have 3+ years of experience as a Workers Comp adjuster and proficiency in MS Office. Responsibilities include...SeniorClaims
- Millennial Specialty Insurance LLC. is hiring a Senior Claims Examiner, responsible for managing high-severity insurance claims with a focus... ...and colleagues, and an understanding of Florida's claims processes is preferred. This is a full-time remote position, offering opportunities...SeniorClaimsRemote jobFull time
$272.5k - $300k
.... is seeking an Of Counsel attorney for their Orange County, CA office. The role involves defending lawsuits related to employment claims and advising employers on legal issues. Candidates should have over 9 years of litigation experience, a good standing with the CA Bar...SeniorClaimsWork at officeFlexible hours- ...Blue Shield of North Carolina is seeking a Senior Business Systems Analyst in New York. In... ...role, you'll leverage your expertise in claims and provider pricing to implement impactful... ...solutions while optimizing operational processes. As a vital liaison, you'll collaborate with...SeniorClaims
- ...Blue Shield of North Carolina is seeking a Senior Business Systems Analyst in New York. You will leverage your expertise in claims and provider pricing to deliver impactful solutions... ...defining business strategies, optimizing processes, and facilitating project management while...SeniorClaims
- ...is seeking a detail-oriented Medical Biller to manage billing processes and ensure compliance with healthcare regulations. Responsibilities... ...cases, monitoring billing accuracy, and following up on claims. Candidates should have 5 years of Surgical Center billing experience...SeniorClaims
$18.5 - $42.35 per hour
A leading health services organization is seeking a medical claims reviewer to adjudicate complex medical claims and support customer... ...candidate will have at least 18 months of experience in medical claim processing and demonstrate attention to detail in a high-volume...SeniorClaimsHourly payFull time- Philadelphia Insurance Companies is seeking a professional to supervise claims adjusters and technical support staff in managing day-to-day claims handling, document processing, and tracking trends. This role involves hiring, training, and assuring departmental targets...SeniorClaims
- ...The ideal candidate will have over 5 years of experience in revenue cycle management, robust knowledge of billing, coding, and claims processing, as well as strong leadership and analytical skills. Competitive compensation and growth opportunities are included. #J-18808-...Claims
- ...must meet all of the following qualifications: Minimum of two (2) years’ claims supervisory experience; Ability to supervise and manage a team of adjusters in accordance with Client’s processes and procedures including managing a team of up to twenty adjusters; Ability...Claims
$78.4k - $107.8k
...The Manager, Claims Processing reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Manager... ...submission. Maintain frequent contact with peer managers and senior professionals across departments to align on workflows,...ClaimsFull timeTemporary workApprenticeshipWork at office- ...Will be responsible for determining action on property/casualty claims based on coverage, appraisal, and verifiable damage. This... ...compliance and progress of ongoing claims. Throughout entire claim process, ensure exceptional service is provided to customers and timely...SeniorClaims
- ...analytics team strives to be transformative leaders that support our internal and external... ...understanding of the business needs, processes, and functions to effectively contribute... ...and PowerBI. Healthcare revenue cycle or claims experience is strongly preferred. Excellent...SeniorClaims
$96k - $192k
...Carrier is looking for a Senior Product Designer to lead design initiatives within their Digital Products and Experiences team. This... ...in product design for digital platforms. You'll own the design process from concept to execution, collaborating closely with cross-functional...SeniorRemote work- ...TurningPoint Healthcare Solutions is a leader in advanced clinical and... ...including pricing governance processes and controls, as well as sales... ...several functions, including claim trend analysis, experience... ...appropriate recommendations to senior management across teams both within...SeniorClaimsContract workRemote work
- Kavaliro is seeking a Core Banking Systems Manager to lead the Credit Union’s Core Processing platform. The role requires deep technical expertise and strategic leadership to ensure system accuracy and high availability. Responsibilities include managing core banking applications...Senior
$117.5k - $234.5k
...dynamic team. This role requires a bachelor's degree and 5+ years of RMIS experience, focusing on developing strategies and managing processes related to risk management. Responsibilities include data analysis, managing relationships, and compliance support. The position...Senior- Partners Federal Credit Union is looking for a Senior Member Experience Professional to foster lasting relationships with members in... ...Florida, NY. This role involves providing exceptional service, processing transactions, and mentoring team members. Applicants should have...SeniorShift work
$60 per hour
...Mindrift is seeking professionals for project-based AI opportunities focused on evaluating auto insurance claims decisions. Contributors will assess accuracy, build test scenarios, and document outcomes. Successful candidates will have significant experience in auto claims...SeniorClaimsHourly payPermanent employmentPart time$77.5k - $87k
AmTrust Financial Services, Inc. is seeking a Lead Claims Examiner in Florida, NY. This role involves investigating and managing insurance claims, maintaining communication with various parties, and ensuring effective negotiation of claims. The ideal candidate will have...SeniorClaims$69k
A state agency dedicated to child advocacy is seeking a Senior Attorney to advocate for the welfare of Florida’s children. The role involves... ...and collaborating with various professionals during the legal process. The position requires a law degree and at least two years of...Senior$80k - $131k
...Be Here. Be Great. Working for a leader in the insurance industry means opportunity for... ...Functions and ResponsibilitiesInvestigates claims:Secures and analyzes necessary information... ...compensation ranges during the hiring process. Learn more at seasonal employees and interns...SeniorClaimsFull timePart timeSeasonal workWork at officeRemote workWorldwide- Senior Claims Specialist - Personal Lines Casualty Our Casualty Attorney Represented team is hiring for Senior Claims Specialists to manage... ...Ensure adequacy of reserves. Maintain security of financial processing of claims and confidentiality of files. Update files and...SeniorClaimsLocal areaRemote workHome office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Claims Processing Leader. Be the first to apply!

