Senior Claims WFM Lead: Forecasting & Capacity
CVS Health
CVS Health in Dover, Delaware, is seeking a Workforce Management expert to oversee Claims operations. The ideal candidate should possess strategic insight and deep analytical expertise to optimize workforce utilization and support operational decision-making. This role encompasses forecasting, capacity planning, and the development of staffing models, while maintaining close collaboration with senior leadership and cross-functional teams. #J-18808-Ljbffr
$80k - $95k
...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$109.2k - $223.4k
...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$100k - $125k
A leading risk and claims administration partner is seeking a Sr. Claims Specialist to analyze and manage professional liability claims. This role involves negotiating settlements, coordinating legal defense, and ensuring high levels of customer service. Candidates should...SeniorClaimsRemote work$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- ...sharing Vision insurance HETI has a great opportunity for a Senior Geologist/Senior Environmental Scientist/Senior Engineer with 10... ..., and permits during the remediation process. Insurance Claim Support Experience providing technical support to insurance claims...SeniorClaimsRemote workWork from homeFlexible hours
$86.3k - $118.7k
...Become a part of our caring community The Senior Compliance Professional ensures adherence... ...experience in pharmacy operations and/or claims processing within a pharmacy setting. Two... .... Strong communication skills to lead meetings and communicate with business partners...SeniorClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...sharing ~ Vision insurance HETI has a great opportunity for a Senior Geologist/Senior Environmental Scientist/Senior Engineer with 10... ..., and permits during the remediation process. Insurance Claim Support Experience providing technical support to insurance...SeniorClaimsRemote workWork from homeFlexible hours
$100k - $125k
...Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist, Professional Liability | E&O, D&O, EPL | Remote Primary... ...candidate for this or other roles. Sedgwick is the world\’s leading risk and claims administration partner, which helps clients thrive...SeniorClaimsWork at officeLocal areaRemote workFlexible hours$80k - $110k
...About the Role The Senior Analyst, AI Transformation is a hands‑on builder who designs and deploys AI‑enabled analytics workflows. This... ...reports and measures programmatically. Experience with healthcare claims data and healthcare‑specific data structures. Strong problem‑...SeniorClaims$99.3k - $150k
...Position Overview The Storage Mgmt. Lead is responsible for the design, implementation, and ongoing operations of enterprise storage... ...function, ensuring on‑premises and cloud‑based storage solutions meet capacity, performance, resilience, and security objectives. The Storage...Contract workWork at office$80k - $110k
...Stay for the culture. What You’ll Be Doing: About the Role The Senior Analyst, AI Transformation is a hands-on builder who designs and... ...reports and measures programmatically. Experience with healthcare claims data, and healthcare-specific data structures. Strong problem-...SeniorClaimsImmediate start$72k - $108k
A national health company is seeking a dynamic sales professional to cultivate prospects and sell health products in a remote capacity. The ideal candidate must possess strong negotiation skills and a solid understanding of the health insurance market. Responsibilities...SeniorRemote work$24.5 - $26 per hour
...Come join our amazing team and work remote from home! The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for reviewing FHA mortgage insurance claims for accuracy and submitting the claim form for filing. Performs all duties in accordance...ClaimsRemote workWork from home$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto PRIMARY PURPOSE OF THE ROLE: To analyze... ...right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive...ClaimsContract workWork at officeLocal areaFlexible hours$50k - $55k
...Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage PRIMARY PURPOSE OF THE... ...right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients...ClaimsContract workWork at officeLocal areaFlexible hours- ...The Insurance Follow-Up and Collections Specialist is responsible for following up on all hospital and/or professional insurance claims. The position requires advanced knowledge of all payers and claim types, and the ability to prioritize workflow to meet insurance company...ClaimsFull timeContract workShift work
- ...• Branch compliance with federal and state regulations • Oversight if internal billing and collection efforts to generate clean claims • Perform other duties as assigned Why Join Our Team? • Our clinical team is a family of clinicians who work together to meet...ClaimsFull time
$72.1k - $133.9k
...debit memos, agent error payouts, and HCP traveler reimbursements Claims & Research: Manage US rental car accident claims and assist... ...Analysis & Processing: Conduct monthly financial reviews comparing forecasted budgets against actual expenditures; calculate travel bonuses,...ClaimsWork at officeImmediate startFlexible hours$133.5k - $274.1k
...evaluate medical documentation for disability claims in a collaborative, team-oriented... ...medical knowledge to determine functional capacity through assessment of medical and other data... ...of Unum Group, a Fortune 500 company and leading provider of employee benefits to...ClaimsTemporary workWorldwideFlexible hours- ...preferred. Medical malpractice liability insurance is not required for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 U.S.C. § 1346(b)) while acting within the scope of their employment. This is a Direct Hire Solicitation....Claims
$90k
...Band 7 Job‑Specific Essential Duties and Responsibilities Provide senior‑level engineering and operational support for enterprise VoIP... ..., and supporting restoration efforts during incidents. Perform capacity planning and scalability analysis, leveraging performance and...SeniorContract work- ...business related research and analysis such as the preparation of forecasts and/or analysis of financial reports, records and trends;... ...reports, graphs and charts of data developed. Serve as a project lead for special projects within the department. Lead and document financial...Work at officeLocal area
$86.4k
...business related research and analysis such as the preparation of forecasts and/or analysis of financial reports, records and trends;... ...reports, graphs and charts of data developed. Serve as a project lead for special projects within the department. Lead and...For contractorsWork at officeLocal area- ...Sedgwick is hiring a Claims Representative for Liability with the ability to work remotely across the United States. The role focuses on processing low level general/product liability claims, determining benefits, and advancing claims through approved action plans....ClaimsRemote work
$94.1k - $155.3k
...The Storage Engineer, Senior provides technical leadership for enterprise storage platforms... ...requirements. The engineer leads complex storage changes, migrations, and... ...availability workloads. Perform detailed capacity planning, performance analysis, and storage...SeniorContract workWork at office- ...A leading claims adjusting firm in Delaware seeks Licensed Claims Adjusters for a rewarding career path in helping others. Join a dynamic industry where your skills can make a difference. Enjoy flexibility and competitive compensation while receiving comprehensive training...ClaimsFlexible hours
$63.4k - $95k
A claims management firm is seeking a Claims Examiner to analyze workers compensation claims for California, ensuring benefits determination and timely resolution. The candidate should possess 5 years of claims management experience, along with a High School Diploma or...ClaimsRemote workFlexible hours$23 - $26 per hour
Carrington is seeking a Loss Mitigation FHA Claims Specialist to work remotely from home in the United States, Delaware. This role involves preparing, filing, and following up on FHA home retention claims, ensuring compliance with investor guidelines. Candidates should...ClaimsHourly payRemote workWork from home- ...Sedgwick is seeking a Liability Claims Adjuster in Dover, Delaware, dedicated to a client with capped caseloads. The role involves analyzing and processing claims, negotiating settlements, and maintaining communication with claimants and clients. Ideal candidates have...ClaimsRemote workFlexible hours
$100.2k - $164.1k
...Senior Incident Response Consultant 133254 This role joins SpearTip, the cybersecurity... ...experiencing cyber security incidents. Leads complex investigations, provides strategic... ...response services as part of cyber insurance claims and breach response protocols. Stay...SeniorFull timeTemporary workApprenticeshipLocal areaRemote workVisa sponsorshipFlexible hours
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