Claims Manager, Medicare Advantage Plan
$95.4k - $208.3kUCLA Outpatient Clinics
Description Play a vital role on our Claims leadership team, you will manage a team of claim examiners, auditors, and support staff toward operational excellence. The Claims Manager of the Medicare Advantage Plan will: Implement and maintain efficient and streamlined claims adjudication processes that effectively utilize technology to automate business processes and maximize the accuracy of claims payments. Foster a positive, high-performing team culture focused on quality and exceptional customer service Identify opportunities to enhance workflows, resolve complex claim issues, and develop practical standard operating procedures Empower the team to navigate challenging scenarios with confidence and consistency Salary Range:$95,400 -$208,300/annually #J-18808-Ljbffr
$95.4k - $208.3k
...section visibility Play a vital role on our Claims leadership team, you will manage a team of claim examiners, auditors, and support... ...operational excellence. The Claims Manager of the Medicare Advantage Plan will: Implement and maintain efficient and streamlined...SuggestedWork experience placementWork at officeRemote workMonday to FridayFlexible hours$95.4k - $208.3k
...A healthcare facility is looking for a Claims Manager for their Medicare Advantage Plan to lead a team of claim examiners and auditors. You will be responsible for implementing efficient claims processes, fostering a positive team culture, and resolving complex issues...Suggested$95.4k - $208.3k
...A leading healthcare organization located in Los Angeles is seeking a Claims Manager to oversee the claims leadership team. This role requires five or more years of claims operations experience and three years in a managerial position within the claims processing environment...SuggestedFlexible hours$78.5k - $163.6k
...Description The Claims Resolution and Reconciliation Supervisor... ...with Department of Managed Health Care (DMHC) and Centers for Medicare & Medicaid Services (CMS... ...managed care or health plan environment Minimum of 2... ...DMHC and CMS Medicare Advantage regulatory requirements...SuggestedWork at office$144.5k - $227.5k
...Claims Manager - Construction Defect Los Angeles, CA | Hartford, CT | Exton, PA | New York, NY | Morristown, NJ | USA As a Construction Defect... ...clients and colleagues to put nature at the heart of their plans. Addressing climate change: The effects of a changing climate...SuggestedFlexible hours$110k - $180k
...Claims Manager- Workers' Compensation BITCO is seeking a Claims Manager- Workers' Compensation to join our regional office located in Pasadena... ...team on preparing and carrying out the office's business plan each year, including setting of business objectives with...Temporary workWork at officeLocal areaFlexible hours$85k
...Company Description At Cirrus Asset Management, we are dedicated to providing exceptional... ...Insurance ~ Vision Insurance ~401k Plan ~ Healthcare Spending or Reimbursement... ...Risk Manager to oversee all insurance claims processes across our portfolio of residential...For contractorsWork at officeMonday to FridayNight shift- ...Claims Team Manager In order to deliver an exceptional customer experience, a leader creates a culture of engagement by inspiring passion... ...giving constructive feedback, etc.), get support from above, plan/organize work, analyze/solve problems, and focus on the larger...Work at officeLocal areaImmediate start
$150k - $190k
About the Position We’re seeking Contracts and Claims Managers to support large, heavy‑civil infrastructure programs—including highways, roads... ...Life insurance and accidental death and dismemberment 401(k) plan with guaranteed employer contribution Formal career planning...Contract workTemporary workWork at officeLocal areaFlexible hours- ...Position Title: Division Claims Manager Location: Orange, CA Job Id: 1549 # of Openings: 1 Reports To: Executive Vice President, Workers... ...direction on claim strategy, settlements, reserves, litigation planning, compensability decisions, and overall file handling....Full timeWork at officeLocal areaImmediate startRemote workMonday to FridayNight shift1 day per week
$99k - $232k
...The Opportunity As a Property & Casualty Insurance Claims Operations Consultant, Manager, you will play a pivotal role in helping clients optimize... ...and manage client accounts, focusing on strategic planning and mentoring junior staff. You are accountable for project...Full timeH1b- ...Claims Supervisor will be responsible for assisting Claims Manager in overseeing the Claims Department. Responsibilities include, but not limited to: • Maintain... ...: Contractual agreement rates Health Plan procedures Medicare and Medi-cal reimbursement Claims...
$105.7k - $179.7k
...Brandywine Claim Director The Brandywine Claim Director is responsible for all aspects... ...value. Responsible for conducting/managing factual claims investigation, including communications... ...to management regarding claim resolution plans. Maintain physical/electronic claim...Work at officeLocal area- ...Grow your career with a rapidly growing company that invests in its people and their ability to drive real progress. The Senior Claims Manager position will be responsible for technical oversight of general aviation hull and liability claims along with airline hull...Worldwide
$85k
Company Description At Cirrus Asset Management, we are dedicated to providing exceptional property... ...Insurance Vision Insurance 401k Plan Healthcare Spending or Reimbursement Accounts... ...Risk Manager to oversee all insurance claims processes across our portfolio of...Full timeFor contractorsWork at officeMonday to FridayNight shift- ...Job Description Job Description - National Insurance Carrier is looking for an experienced EPL Claims Manager that is currently managing a team. Prior experience in EPLI & professional liability claims is preferred but not mandatory. Will need a minimum of 5 to 7...
$78.5k - $163.6k
...seeking a detail-oriented and experienced Claims Quality Supervisor to lead our audit and... ...standards of compliance and performance. Managing the customer service functions within the... ...to analyze problems and formulate plans, solutions and a course of action. Ability...$123.28k - $168.82k
...businesses to Fortune 1000 accounts. Job Title Claims Technical Director – Excess Claims Location Los Angeles, CA Responsibilities Manages a book of excess claims for significant,... ..., dental and vision coverage; wellness plans; parental leave; adoption assistance; and tuition...Work at officeRemote work$123.28k - $168.82k
...accounts. We are looking for a Claims Technical Director - Excess Claims to... ...Job Functions and Responsibilities Manages a book of excess claims for a significant... ...medical, dental, and vision coverage, wellness plans, parental leave, adoption assistance, and...Full timePart timeSeasonal workWork at officeRemote work$125k - $140k
PPO Medical Claims Manager Location: San Fernando Valley (Onsite) Compensation: $125,000 - $140,000 + stellar benefits & generous PTO Schedule: Full-Time About the Organization This established healthcare benefits organization is all about supporting its members with...Full time$50k
...AvonRisk Claims Unit Manager AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional... ...Job Requirements: Project Management - Develops project plans; Coordinates projects; Communicates changes and progress;...Contract work$50k
...AvonRisk is the nation’s leading specialty risk manager for self-insured organizations, uniting... ..., InterMed, George Hills, and AS&G Claims Administration, we’re a people focused, operations... ...Project Management - Develops project plans; Coordinates projects; Communicates...Contract work- A healthcare benefits organization in Los Angeles is seeking an experienced PPO Medical Claims Manager to lead an onsite team. Responsibilities include overseeing claims processing, coaching staff, and collaborating with leadership to enhance workflows. Candidates must...
$155k - $190k
...software with powerful tools that simplify every part of practice management. From admin work to clinical care, our suite of innovative... ...Medical, dental, vision, life & disability insurance ~401(k) plan with company match ~ Flexible Time Off (FTO), wellbeing days,...Summer workPrivate practiceFlexible hours$89.8k - $170.5k
...s why there's nowhere like RSM. RSM is looking for a Audit Manager to join our Insurance team. Our Insurance group is a rapidly growing... ...and reporting regarding productivity and adherence to work plan schedules on each assignment Maintain contact with clients...Work experience placementInternshipLocal area$122.7k - $317.2k
...Technology Strategy | Enterprise Architecture Senior Manager FS / Insurance Industry We Are: We are Advisory. Our vision is to... ...Architecture Operating Model Enterprise Architecture Strategy and Planning Enterprise IT Governance Infrastructure and Cloud...Live inWork at officeLocal area$140k - $190k
...defense with a multi-product portfolio that gives the ultimate advantage-domain dominance. The company's products are powered by... ...accountability to metrics across SQE and HQE RCCA & Issue Management Own root cause and corrective action framework across the...Contract workWork experience placementCasual workRelocation package$600 per month
...Permanent Build a brilliant future with Hiscox Product Manager - Insurance Enablement Build a Brilliant Future with... ...matching ~ Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care) ~ Company paid...Permanent employmentTemporary workWork at officeLocal area- ...business, as being responsible for renewal retention and ongoing management of existing portfolio. Key Job Objectives Manage book of... ...employees save on healthcare expenses. RETIREMENT We offer a 401(k) plan with a Roth option and employer-matching contributions to assist...Work at officeLocal areaRemote workFlexible hours
- ...an experienced Underwriter responsible for risk selection and management of commercial property and liability new business. The ideal candidate... ...business relationships. This role offers comprehensive benefits, including health insurance and retirement plans. #J-18808-LjbffrRemote work
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