Claims Systems Lead (Hybrid) - Oversight & Improvement
ADP
Blue Cross Blue Shield Global Solutions SM in King of Prussia, PA, is seeking a Supervisor of Claims Systems to oversee daily operation and hands-on configuration of claims platforms. You will coordinate system changes, testing, and validation while ensuring regulatory compliance and collaboration with IT, Product, Enrollment, and Finance teams. You will lead a team of analysts, manage risk and audits, and drive continuous improvement in claims processing systems, including Actisure and #J-18808-Ljbffr ADP
- ...Supervisor, Claims Systems At Blue Cross Blue Shield Global... ..., Claims Systems is a hybrid leadership and hands-... ..., and continuous improvement of claims administration... ...position combines direct oversight of a team with active... ...defect resolution Lead and execute user acceptance...ClaimsWorldwide
$144k - $176k
...by our shared purpose: leading the fight against MASH... ...for the independent oversight and delivery of all data... ...role in continuous improvement of data management processes... ....• Lead EDC system setup, user acceptance... ...employment offers from people claiming to work for or on...ClaimsMinimum wageFull timeWork at officeLocal areaFlexible hours$97.7k - $130.3k
...Claims Specialist Supervisor The Claims Specialist Supervisor is responsible for leading a team of Claims Specialists who investigate, evaluate... ..., coaching, and oversight to ensure claims are handled... ...appropriate process or performance improvements. Coach and develop...Claims$72k - $141k
...limits, to provide technical oversight of complex, high-exposure commercial Workers’ Compensation claims handled by Third-Party Administrators... ...role requires the ability to lead through influence by setting... ...experience. #LI-KE1 #LI-Hybrid In certain jurisdictions, CNA...ClaimsFull timeWork experience placementWork at office- Sovereign Insurance Group is seeking a Claims Specialist to manage the full claims process from notice to resolution. You will collaborate... ...analytical skills, and proficiency with MS Office and claims systems. Hybrid work options are available in Berwyn, PA. #J-18808-Ljbffr...Claims
- ...hands-on Supply Chain Lead to lead global clinical... ...logistics, and external vendor oversight. You will partner cross... ..., processes, systems, vendor strategies, and... ...and implements ways to improve the efficiency of clinical... ...and offers a flexible hybrid work model with a minimum...Contract workWork at officeLocal areaWorldwideFlexible hours2 days per week
- ...Location: United States (Hybrid / Office based as... ...focus on IQVIA claims data, OneKey HCP/... ...& Integration Lead end to end onboarding... ...environments, CRM systems, and compliance... ...Quality & Operational Oversight Establish and... ...documentation, and continuous improvement initiatives across...ClaimsContract workWork at office
- ...Field Operations Manager to help lead, support, and grow our... ...plumbing service team. This is a hybrid role for someone who is comfortable... ..., and helping ownership improve day-to-day operations. We are... ...not just be handed a finished system. You will help create it. This...Hourly payRemote workFlexible hours
- ...DoTired of those billable hours? Are you ready to join a diverse team of attorneys with full responsibility for your own title insurance claims? Do you want to be the decision maker rather than just an advisor? Are you seeking a change, or maybe you have just been waiting...ClaimsFull time
- ...that are 100% remote or hybrid, you must have access... ...Overview The Business Systems Analyst Senior serves... ...Responsibilities Leads the requirements management... .../system enhancement/improvement and brings to the attention... ...working with FACETS claims system preferred Proficiency...ClaimsContract workLive inRemote workFlexible hours
- Responsibilities:Leads the design and continuous improvement of sales compensation data frameworks... ...processes and data systems, identifying gaps in scalability... ...effectiveness.Provides oversight of payout integrity by... ...WorkVanguard has implemented a hybrid working model for the...Full timeWork experience placement
- ...professional to manage a portfolio of 80-100 property insurance claims from start to finish. You'll review loan documents, coordinate with... ...investors, and supporting the disaster recovery reporting process. Hybrid work in Lower Gwynedd is available. #J-18808-Ljbffr NewmarkClaims
- ...oriented team member to manage a portfolio of property insurance claims within our loan servicing and portfolio management operations.... ...disbursements. The position is located in Lower Gwynedd, PA, on a hybrid schedule and requires strong analytical and communication skills...Claims
- First American in Berwyn, PA is seeking a Claims Specialist Supervisor to lead a team of Claims Specialists who investigate, evaluate, and resolve title insurance claims. The role includes coaching, workload management, and ensuring adherence to company policies and authority...Claims
- ...applications and database management systems. Identifies opportunities for continuous quality improvement of technical standards,... ...financial wellbeing of our clients. To lead through product and services... ...WorkVanguard has implemented a hybrid working model for the majority...Full timeWork experience placement
- ...Clinical Documentation Improvement (CDI) Nurse One of the nation's largest and most respected... ...the UB04. Update the charge master system as needed based on charge reviews.... ...Perform charge audit reviews on high dollar claims prior to billing to ensure all billed charges...ClaimsLocal area
$257.47k - $294.41k
...our shared purpose: leading the fight against... ...enrollment, improve participant retention... ...in the selection, oversight, and evaluation of... ...organizations, healthcare systems, research networks... ...decentralized and hybrid clinical trial... ...from people claiming to work for or on...ClaimsMinimum wageFull timeLocal areaFlexible hours- ...Defense Attorney to join its team in King of Prussia, PA. This hybrid position involves managing a caseload independently from assignment... ..., focusing on auto liability matters, especially UM/UIM claims. The ideal candidate will hold a Juris Doctor degree, have a strong...Claims
$78.73k - $96.49k
...connected by our shared purpose: leading the fight against MASH.... ...motivated and experienced Finance Systems Analyst, Reporting to the... ...Transformation, Automation and Continuous Improvement: Assist with the... ...offers from people claiming to work for or on behalf of Madrigal...ClaimsMinimum wageFull timeLocal areaFlexible hours- .../Sr. Trial Attorney to provide legal representation for insureds in litigated claims, advise claims department, and manage a full caseload from inception to resolution. The position is hybrid with 2 days in office and 3 remote days, depending on business needs. Responsibilities...ClaimsWork at officeRemote work
- ...evidence, make decisions, and improve patient outcomes—starting in oncology... ...partner with the world's leading pharmaceutical companies,... ...governance. Coordinate internal QA, system testing, integration testing,... ..., patient services data, claims data, specialty pharmacy data,...ClaimsLocal area
$124.4k - $207.4k
...offs clearly, and helps improve the quality, adoption,... ...Analytical Direction• Lead the selection, design,... ...pharmaceutical data, such as claims, electronic health... ...generative AI, agentic systems, or the evaluation of AI... ...Relocation Package Position is hybrid and will require to...ClaimsPermanent employmentFull timeH1bLocal areaVisa sponsorshipWork visaRelocation package2 days per week3 days per week$114.5k - $143.1k
...within the continental U.S. or hybrid in Berwyn, PA. About... ...actionable insights, and industry leading support.Backed byover25 years... ...integrated operating model, improve efficiency, monitor and mitigate... ..., workflows and program oversight. Lead the TPRM program in supporting...Contract workWork at officeRemote work$28 per hour
A consumer services organization is seeking a Reverse Logistics Specialist for a hybrid role in Wayne, PA. This position requires a Bachelor's degree and two years of logistics experience. The hourly rate is $28, with a work schedule from Monday to Friday. Responsibilities...ClaimsHourly payMonday to FridayFlexible hours- Penn Medicine is a leading academic medical center dedicated to patient care, research,... ...Office A in identifying issues, planning improvements, and guiding AR staff toward timely reimbursements... ...setting. #J-18808-Ljbffr Penn Medicine, University of Pennsylvania Health SystemWork at office
- Universal Health Services in King of Prussia, PA is seeking a Senior Manager - Content Development to lead content strategy for hospital/system marketing campaigns, blogs, print, digital messaging, and videos. You will advise cross-functional teams and mentor writers and...Freelance
- ...the monitoring of insurance claims within our portfolio of loans... ...and participates in projects, system enhancement design and testing... ...Gwynedd, PA office on a hybrid work schedule. Core Competencies... ...implement and promote process improvements in day to day duties Customer...ClaimsWork at officeShift work
$46.82k
...to impact people’s lives and improve the earth by helping to eliminate... ...water services and industry-leading solutions globally. Local... ...Position Summary The HYBRID Customer Care Account Manager... ...Beware of fake job offers falsely claiming affiliation with our company....ClaimsFull timeWork at officeLocal areaImmediate startRemote workWork from home2 days per week3 days per week1 day per week- This is a hybrid position requiring the team member to be onsite a minimum... ...that is connected by a purpose to improve patient lives that has been at the... ...policies, as well as providing ongoing oversight and support for financial and claims administration duties as may be...ClaimsLocal areaWorldwideRelocation3 days per week
- Universal Health Services is seeking a Claims Paralegal to support their Claims and Legal Litigation Team in King of Prussia, PA. This hybrid position involves independent work on legal document management and coordination within a collaborative environment. The ideal...Claims
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