Senior Claims WFM Lead: Forecasting & Capacity
$67.9k - $199.14kCVS Health
CVS Health is seeking a Claims Workforce Management leader to own and optimize workforce strategies. This role requires deep analytical expertise and experience in workforce management to forecast demand and improve operational efficiency. Candidates must have at least 7 years in relevant roles and strong communication skills to collaborate with senior leadership. This position offers flexibility for remote or hybrid work arrangements in the US and a competitive pay range of $67,900 to $199,144 annually. #J-18808-Ljbffr
- Starkweather & Shepley Insurance Brokerage Inc. is seeking an experienced claims manager in East Providence, Rhode Island. This individual will serve as the primary claims contact, manage the overall claims process for identified clients, and assist associates with complex...SeniorClaims
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- Citizens Financial Group is seeking a Senior Manager for Fraud & Claims Quality Control. This role involves leading the QC program, ensuring compliance with regulations, and managing a team to enhance operational effectiveness. The ideal candidate will have significant...SeniorClaims
- ...A leading healthcare provider is seeking a knowledgeable claims analyst to review and process Stop Loss claims according to established standards. The successful candidate will build client relationships, educate clients, and analyze claim losses, ensuring compliance with...SeniorClaims
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...Senior Account Manager - Commercial Lines Hybrid Preferred: 1-2 days in Columbia, SC office... ...be required to work onsite in a hybrid capacity as there may be occasions when on-site presence... ..., policy administration, billing, claims, and coverage analysis. Manage policy expirations...SeniorClaimsFor contractorsRemote work$100k - $125k
...A leading claims administration firm is seeking a Sr. Claims Specialist to analyze and resolve complex professional liability claims. The ideal candidate will have six years of claims management experience and strong negotiation and analytical skills. Responsibilities...SeniorClaimsRemote work$126.2k - $264.1k
...Oracle is seeking a US-based Senior Principal Energy Program Manager... ...President of Infrastructure Capacity and Planning. As an energy... ...reduction and renewable energy claims: Global Reporting Initiative... ...your potential at a company leading the way in AI and cloud solutions...SeniorClaimsContract workTemporary workFor contractorsFlexible hours$115.28k - $133.86k
SENIOR LITIGATION COUNSEL/CONSUMER & ECONOMIC JUSTICE UNIT/SPECIAL... ...federal court experience to help lead the Office’s consumer... ...consumer protection and antitrust claims against business preying on Rhode... ...civil litigation caseload in the capacity as first chair, and be...SeniorClaimsTemporary workInternshipWork at officeLocal areaMonday to Friday- Senior Manager, Fraud & Claims Quality Control (QC) The Senior Manager, Fraud & Claims Quality Control (QC... ...to detail, and the ability to lead through change in a complex, evolving... ...performance improvement Ensure effective capacity planning, prioritization, and execution...SeniorClaimsFull timeWork at officeLocal areaMonday to FridayShift work
$90k - $100k
Ryder System, Inc. is seeking a Claims Analyst to handle complex bodily injury and property damage claims. The role requires at least seven years of experience and strong technical skills in claims management. Offering a competitive salary between $90,000 to $100,000 annually...SeniorClaims- ...Bradford Commercial Team, the Senior Account Executive is a... ...pursue customers using lead generation tools,... ...readiness, and Operations capacity. Engage Customer... ...certifications and customer-facing claim programs (e.g., Target... ..., win/loss data, and forecast inputs. Provide...SeniorClaimsContract workRemote work
$125k - $135k
Join to apply for the Senior Legal Counsel- Employment role at Bally... ...(formerly Gamesys Group), a leading global interactive gaming... ...relations issues like harassment claims, discrimination, disability... ...litigation results, budgets, forecasts, exposure analysis and litigation...SeniorClaimsFull time- ...provider in Providence, RI is looking for a strong Senior QA Tester with extensive experience in QA testing and the Facets claims processing system. The ideal candidate has... ...assurance, including at least 3 years in a lead role. This position requires strong healthcare...SeniorClaims
- BCG Attorney Search seeks an experienced mid-to-senior level attorney to join their Professional Consulting Practice Group in Providence, RI. The role focuses on risk management, claims monitoring, and strategic advice to architects, engineers, and insurers across the US...SeniorClaims
- Brown University Health is seeking a Manager of Denial Appeals to oversee the claims denial process and manage appeal strategies. This role requires strong leadership in educating staff on denial prevention while ensuring compliance with insurance regulations. The ideal...SeniorClaimsRemote jobFull time
- Sedgwick is seeking a Workers' Compensation Claims Examiner to analyze complex claims, manage high exposure matters, and ensure adjudication aligns with client service expectations. The role involves adjudication with litigation and rehabilitation considerations and opportunities...SeniorClaimsFlexible hours
- A national claims management organization is seeking a Claims Adjuster to manage workers' compensation claims. The ideal candidate will have a background in claims management and experience with indemnity/lost time claims, holding active adjusters' licenses in multiple...SeniorClaimsRemote job
- CVS Health in Providence, RI is seeking a Senior Analyst, Informatics (Encounter Technical Analyst) to analyze and document business data and processes, conduct root cause analysis, and develop reports or solutions to support business needs. This role emphasizes SQL development...SeniorClaims
- Gallagher Bassett is seeking a Claims Management professional who will contribute to our mission of helping clients navigate complex claims. This role, eligible for fully remote work, requires at least 5 years of related experience and relevant licenses. Your responsibilities...SeniorClaimsRemote job
$195k - $265k
Senior Project Executive, Healthcare Job Locations: US-CT-Glastonbury... ...? You are a coach/leader who leads with an inclusive and... ...accuracy of project financial forecast, notice provisions, and billings... ...requirements and resolve potential claims and deviations Ensures team creates...SeniorClaimsContract workFor contractorsFor subcontractorWork at officeLocal area$22.3 - $35.2 per hour
...Lead Coordinator, Collections About Navista We believe in the power of community oncology to support patients through their journeys... ...accounts receivable team, ensuring accurate and timely processing of claims, including denials and the maximization of cash flow. This role...ClaimsHourly payTemporary workWork at officeLocal areaFlexible hours$18.5 - $42.35 per hour
CVS Health in Rhode Island is seeking a Senior Coordinator for the Accounts Receivable department, responsible for managing medical claims, improving processes, and ensuring compliance. The ideal candidate should have at least 2 years of experience in medical billing and...SeniorClaimsHourly payFull time- Blue Cross and Blue Shield of Rhode Island is seeking candidates with expertise in medical claims analysis. The position requires conducting in-depth reviews of claims and ensuring compliance with various guidelines. Applicants should have experience with statistical analysis...SeniorClaimsRemote jobFlexible hours
- A leading insurance firm is seeking an experienced Claims Adjuster to manage workers' compensation claims. The ideal candidate will have at least 5 years of related experience and must be licensed in multiple states. This fully remote role requires analytical skills to...SeniorClaimsRemote jobFlexible hours
- Humana Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. The role requires...SeniorClaimsRemote job
- Argonaut Management Services, Inc is seeking a Senior Workers' Compensation Claims Adjuster for a temporary assignment in the United States. The role requires adjudicating complex claims with a focus on achieving the best financial outcomes. Candidates must have a minimum...SeniorClaimsRemote jobTemporary work
- ...Brown University seeks a Senior HRPP Administrator to oversee the Human Research Protection Program and ensure compliance with IRB policies for human subjects research. This role includes preparing meeting agendas, collaborating with faculty, and independent protocol...SeniorRemote work
- Argonaut Management Services, Inc is seeking a Senior Workers' Compensation Claims Adjuster for a temporary assignment ending on October 9, 2026. This role involves adjudicating complex indemnity claims for clients in South Carolina and Virginia. The successful candidate...SeniorClaimsRemote jobTemporary work
- ...Appian integrations. Ideal candidates will have 5+ years of experience and a Bachelor's in Computer Science. Responsibilities include leading implementation teams and supporting Agile methodologies across various client projects. The position offers a hybrid work...Senior
- Argonaut Management Services, Inc is seeking a Senior Workers' Compensation Claims Adjuster for a temporary assignment, with a work environment that supports both in-office and remote flexibility. This role involves adjudicating complex indemnity claims primarily for customers...SeniorClaimsRemote jobHourly payTemporary workWork at office
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