Global Claims & Provider Operations Leader
International S.O.S.
International SOS is seeking a Director of Claims Operations to lead the operational delivery for the Tricare Overseas Program, overseeing claims, NSS, and TPSS functions across regions. You will establish KPI frameworks, governance with the WPS vendor, and data-quality controls to reduce friction and improve right-first-time outcomes. In this global leadership role, you will partner with the Provider Network Director and PNMs to ensure audit readiness, effective provider education, and #J-18808-Ljbffr International SOS
- A global health service organization is seeking a Head of Provider Operations to lead the operational delivery and performance of TRICARE services in San Antonio, Texas. This role is crucial for managing claims operations, ensuring quality control, and facilitating effective...Claims
$66k - $85k
A prominent contact center service provider is seeking a Contact Center Manager to lead operations in San Antonio, Texas. The role involves optimizing the contact... ...essential. Competitive salary between $66k-85k depending on experience. #J-18808-Ljbffr Allcat Claims ServiceClaims$20 per hour
...International SOS we work to protect global workforces from health and security... ...first point of contact for the client, providing a full range of operational support to those seeking access to... ...inquiries, enrollment, and claims requests.Ensuring medical service requests...ClaimsBi-weekly payHourly paySecond jobH1bWork at officeWorldwideOverseasShift workWeekend work1 day per week- ...Flyttr is seeking a Chief Operating Officer to lead a global operations function spanning manufacturing, facilities, supply chain, IT, and program delivery across all sites. You will design the operations structure, hire leadership, and report to the CEO. The role...Suggested
- ...position in San Antonio, Texas focused on supervising a claims processing unit. Candidates must have at least five... ...Medicaid, Medicare, and Commercial claims. This position provides an opportunity to enhance operational efficiencies within a managed care environment. #J-188...Claims
- University Health seeks an experienced claims professional to review, analyze, and adjudicate all claim types, including coordination of benefits and DME claims. You will analyze provider appeals and document outcomes via formal correspondence. As a provider liaison, you...Claims
$248.5k - $373k
...OperationsCompany: UnitedHealth GroupOptum is a global organization that delivers care, aided by... ...Director for the Oncogenetic Program provides clinical leadership and oversight for... ...member appeals clinical review, medical claim review and provider appeals clinical reviewYou...ClaimsMinimum wageWork experience placementLocal areaRemote work$171.6k - $338.3k
...regional, national, and global insurers deliver better... ...while enabling claim professionals to adjudicate... ...ll doThe Product Sales Leader is a true Market Maker... ...deadlinesAbility to mentor and provide clear guidance to... ...partnerships).Experience operating in a startup environmentExperience...ClaimsLocal area- ...client-facing experience to provide high-quality advisory services... ...Evaluate client operations, exposures, and enterprise-wide... ...client needs, inquiries, and claims-related questions with urgency... ...business of Marsh (NYSE: MRSH), a global leader in risk, reinsurance and...ClaimsContract workTemporary workWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week
- ..., keeping the lights on, providing access to clean water, or... ...dreams and become part of a global team of over 50,000... ...eliminate such.Directs staff to operate and minimize exposure to claims.Supervises and directs... ...global infrastructure leader, committed to delivering...ClaimsWork at officeLocal areaWorldwideRelocationFlexible hours
$34.62 per hour
...Global Operations Summer Internship 2027 Wells Fargo is seeking talent... ...transform the business and provide a valuable client experience... ...Payments Operations Fraud and Claims Management Global... ...learning sessions with key leaders. It is designed to provide...ClaimsRotational programFull timeWork experience placementSummer workInternshipSummer internshipWork at office- ...of nearly 13,000 experts, we provide 24/7 support to help... ...of the Job: The Director of Claims Operations leads the operational delivery... ...conversations with internal leaders, vendors, and providers. Required... ...and sets high standards for global network operations performance...ClaimsWork experience placementWorldwideOverseas
- ...Overview Advance Your Career in Insurance Claims with Allied Universal® Compliance and... ...insurance claim investigation. As a global leader, we provide dynamic opportunities for claim... ...standards in conducting surveillance operations QUALIFICATIONS (MUST HAVE) High school...ClaimsFull timeWork at officeLocal area
- SWBC is seeking a talented individual who will provide hands-on operational leadership for the Global Security Operations Center in a converged cyber and physical security environment.This senior individual contributor role is responsible for leading daily security operations...Full timeShift work
- Vice President - Fraud Operations, Fraud Customer... ...FCPS) Join the team and provide day to day leadership,... ...and support of FCPS (Claims IM) operations goals.... ...with peers and senior leaders to develop highly complex... ...talents they bring to our global workforce are directly...ClaimsShift work
- ...the Project Director leads on-site operations with precision, discipline, and a... ...PROJECTThis role sits within Legends Global Owner’s Representation, which provides project management services for... ...staff, serving as the day-to-day leader responsible for coordinating execution...Full timeFor contractorsRelocation
- ...documentation, timely notice of claims, subcontract negotiation and... ...to be one. €40 billion global revenue +9% organic growth 15... ...caring company in the world, by providing equitable opportunities to everyone... ...the communities in which we operate, and ‘inclusion’ is one of...ClaimsContract workFor subcontractor
$105.38k - $215.38k
...Are you a delivery-focused tax leader who thrives on individual tax... ...risk and quality controls, operational rigor, and the ability to interact... ...Tax Delivery Manager role in Global Employer Services (GES)... ...Deloitte is committed to providing reasonable accommodations for...Work at officeLocal area- ...innovation? Want to work for a global company that values... ...three generations, and operate in over 100 countries.... ...external counsel, and provides strategic legal... ...Manage all litigation, claims, investigations, and dispute... ...guidance for business leaders. Strong executive presence...ClaimsContract workLocal areaRemote workWorldwideFlexible hours
- ...Independent Insurance Claims Adjuster (Licensed) Are you ready to embark on a dynamic and in-demand career as an Independent Insurance... ...Our expert instructor, with years of industry experience, will provide you with hands‑on training, insider tips, and practical...Claims
- Company Overview Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied... ...destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU...ClaimsWork at officeLocal area
$122.4k - $183.6k
Claims Consultant FL - CV07GE We're determined to make a difference and are proud to be an... ...we help shape the future. The Hartford Global Financial Lines Errors and Omissions Claims... ..., policy issues, industry trends, etc Providing support and working collaboratively with...ClaimsFull timeContract workTemporary workPart timeWork at officeRemote work3 days per week$120k - $150k
...risks, proactively resolving disputes and claims 5- Maintain accurate contract records, documentation... ...Management, Procurement, Finance, Legal, Operations 2- External stakeholders: Clients, Vendors, Subcontractors, Service Providers 3- Regularly report to the Director of...ClaimsContract workFor subcontractor- Area Operations Leader BH Job ID: BH-4557 SF Job Req ID: Area Operations Leader Ingersoll Rand is an equal opportunity employer... ...Leader to join our team. This position is responsible for providing the leadership for all activities in the value stream process...Contract workImmediate startNight shift
$84.3k - $173.3k
...advise multinational companies operating in China. Working across the... ...Deloitte US CSG Operations Leader and work closely with the broader... ...judgment and ability to provide clear, practical guidanceAbility... ...direct your inquiries to the Global Call Center (GCC) at...Work at officeLocal areaVisa sponsorship- ...Claims Training Project Manager Our client is seeking a Claims Training Project Manager to support a Claims Technical Training Center... .... Track project status, timelines, action items, and provide stakeholder updates. Manage training rosters and support the...Claims
- ...Friday Essential Job Functions Provides direction in implementing the practices... ...for employment verification. Applicants claiming military service to meet the experience... ...associated software programs. Ability to operate a computer keyboard and other basic...ClaimsFull timeContract workWork at officeLocal areaMonday to Friday
- Choctaw Global is seeking a Director, IT/IM to provide strategic leadership for information technology and information management across the WIC Overseas Program, TRICARE Overseas Program Office, and DoD environments. The role oversees enterprise systems, cybersecurity...Work at officeOverseas
- Independent Insurance Claims Adjuster (Licensed) Are you ready to embark on a dynamic and in-demand career as an Independent Insurance... ...Our expert instructor, with years of industry experience, will provide you with hands‑on training, insider tips, and practical...Claims
- ...tasks in order to recognize the maximum reimbursement from each claim. This position will be responsible for navigating the electronic... ...departments. Address denials and zero payments to identify and provide any requested documentation required to process the claim or...ClaimsWork at office
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