UNKNOWN

FEED

How you will contribute: Manage the day-to-day execution and continuous improvement of quality assurance programs across Dental Shared Services and supported operational functions, including Contact Center, Claims, Utilization Management, Provider Operations, Complaints and Grievances, Member Enrollment, Intake and Digital Services, and Vision operations. Partner with Operations, Training, Workforce Management, Compliance, Client Engagement, Technology, and BPO leadership to develop and monitor corrective actions, coaching plans, training updates, and sustainable performance improvements.

YEAR

Sun Life Financial

Sr. Manager, Quality Assurance

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You will be working independently in a fast paced, highly visible environment as well as collaboratively with the internal program prior authorization support services and field sales to ensure all customer needs are met supporting patient therapy access and communicating coverage challenges across specific payer channels with guidance on how to navigate and minimize those potential hurdles. Both proactively and reactively navigate and address individual account and patient access issues that occur by partnering with external and internal stakeholders including internal reimbursement team and field sales colleagues.

Inspire Medical Systems Inc

Field Reimbursement Manager - Northeast Region NY, RI, CT, MA, VT, NH, ME

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Travelers'' Private/Non-Profit Team provides executive and organizational management liability coverage to privately held companies and non-profit entities of all types and sizes as well as certain governmental public entities. Prepare and present reports for management that accurately reflect loss development, potential/actual financial exposure, reserve adjustments, coverage issues, and claim and recovery strategies.

The Travelers Companies Inc

EPL & D&O Liability Associate Claim Counsel

Deliver consistent absence services that meet or exceed all service levels and goals, including accuracy and timeliness, and result in a great experience for clients, claimants and our own employees. Ensure thorough, fair, and objective case management, delivering accurate and timely service in accordance with plan provisions, state regulations, established procedures, and Unum claims philosophy.

UNUM Group

Manager, Absence Operations

ADAPTED_NOW

The Life Benefit Case Manager I is a claims examiner experienced role that requires skills to process more complex claims beyond a Life Benefit Specialist, such as High Dollar, Complex Benefit Calculations and Accidental Death investigations. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.

Life Benefit Case Manager I

Sun Life Financial Jobs

Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.

Case Manager I LTD

Sun Life

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Heartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMapAnalysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). The flagship product-an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFRCT Analysis-provides a color-coded, 3D model of a patient's coronary arteries indicating the impact blockages have on blood flow to the heart.

Heartflow Inc

Field Reimbursement Manager - Northeast

The Business Development Manager (BDM) is responsible for business development across an assigned territory of brokers, agents, and other distribution partners, with a primary focus on Chubb's products and services related to Small Commercial, Middle Market, and Financial Lines business. The BDM serves as an ambassador for Chubb's offerings to a select group of agents and is responsible for overall agency relationship management, including new client acquisition and client management.

Chubb is the world&rsquo;s largest publicly traded property and casualty insurance company and the largest commercial insurer in the U.S.
With operations in 54 countries and territories, we are a major personal lines writer, as well as a leading middle market, small commercial and large industrial commercial insurer, providing a wide range of traditional and specialty coverages.
As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. And we combine the precision of craftsmanship with deep experience to conceive, craft and deliver the very best insurance coverage and service to individuals and families and to businesses of all sizes.
Our products and services are distributed through brokers, independent agents, exclusive agents and various forms of direct marketing.
What we deliver:
<ul>
<li>Extensive product and service offerings</li>
<li>Broad distribution capabilities</li>
<li>Service excellence</li>
<li>Risk expertise</li>
<li>Underwriting discipline</li>
<li>Exceptional financial strength</li>
<li>Local operations globally</li>
</ul>

Chubb Ltd

Business Development Manager

Our Total Rewards program includes industry-leading compensation and benefits plus additional incentives that are designed to meet your needs and those of your family so you can get the most out of your career and your life, including: Time Away: Program starts at 20 paid time off days in addition to 11 paid holidays and 8 hours of volunteer time off yearly (time off days are prorated based on start date and program varies based on full or part-time status and management level). Supporting your Health & Well-being: flexible health and insurance options including medical, dental and vision, employee, spouse and child life insurance, short- and long-term disability, pre-tax Health Savings Account with employer contributions, Healthcare FSA, critical illness, accident & hospital indemnity insurance, and a total well-being program that helps you and your family stay on track physically, socially, emotionally, and financially.

Ally Financial Inc

Auto Mechanic, Service Manager or Service Technician - Bilingual French

Assists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.

HOUR

Founded over a century ago in 1901, we have a rich and colorful history of continuous improvement and innovation at Walgreens. From inventing the world’s first chocolate malted milkshake to the creation of one of the most popular and sophisticated mobile applications in retail shopping today, we have transformed ourselves into a leader within the retail and drug industry.
Walgreens, one of the nation’s largest drugstore chains, is included in the Retail Pharmacy USA Division of Walgreens Boots Alliance, Inc., the first global pharmacy-led, health well being enterprise.
At Walgreens you'll find a team positively energized by the unique talents, ideas, experiences and aspirations of every individual. In other words, you can be your authentic self in our stores, offices and other workplaces, and be comfortable and confident that what matters most here is doing your best to make health and well-being within reach for everyone on a daily basis.
Walgreens has a proud legacy of valuing diversity and fostering inclusion more than 100 years-strong, and we're still living that commitment. We intend to be recognized as a “Next Practices” company for diversity and inclusion – one whose cultures, people, perspectives and workplaces reflect the current and future customers we serve while delivering superior business performance.
Walgreens has over 9,500 stores in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands.

Walgreen Co

Pharmacy Operations Manager

Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Statement of Work (SOW) Management - Update and finalize the upcoming year's SOW, including submission of all required ServiceNow (SNOW) tickets, completion of project scoping activities, and preparation of supporting documentation for associated change orders.

Valeris Inc

Program Manager, Copay

Our Account Executives & Managers provide service to clients' changing insurance needs by selling personal and commercial lines insurance products as well as servicing existing accounts, reviewing coverage, increasing retention through account rounding, and upselling. Handles all client contacts (phone calls, walk-ins, email, etc.) and activities for assigned accounts and other accounts as needed.

All Points Insurance

Account Manager

Is the “face” of Pitstop Fuels in his or her local markets and seeks market growth through community contacts, staying abreast of competitive forces in the marketplace, enthusiastically promoting company sales and marketing campaigns, and encouraging employee sales involvement. This leadership position reports to the Director of Discount Fuels and offers a broad array of responsibilities such as driving a customer-focused culture, achieving financial objectives, developing team members and promoting safety.

Dead River Company

General Manager - Pitstop Fuels

The associate is regularly required to run; stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk and hear. With its best-in-class parking and hospitality solutions and its fully integrated technology platform, we deliver seamless parking and mobility experiences in the places where people live, learn, work, play, rejuvenate, and recover.

Towne Park Ltd

Account Manager - Courtyard Portland Downtown Portland, ME

Collaborates with the Group Commander and other base organizations to plan, develop and implement numerous long term plans to include: the Wing/Group Strategic Plan (mission, goals, values, objectives, etc.), Commanders Inspection Program, the Base Master Plan (facilities), Communications/Computer Plan (infrastructure capabilities/upgrade), the Vehicle Replacement Plan, the Deployment Cycle Plan, Aircraft Modification Plan, Depot Input Plan, force management and recruiting/retention plans, weapon system conversions, and base supplements. Your qualifications will be evaluated on the following competencies (knowledge, skills, abilities and other characteristics): Knowledge of the activity, staff, support operations, manpower, equipment, supplies, and materials, etc., to develop short- and long-range plans and schedules of maintenance workloads.

United States Air Force

AIRCRAFT MAINTENANCE MANAGER

We are entering an exciting phase where we are strengthening our personal insurance provider network while simultaneously developing new solutions, partnerships, and ways of working within Health Insurance and DSS Hälsa. You will also contribute to strategic projects related to healthcare services, digital providers, and future service models, including the development of PI partnerships, products, and health concepts.

If P&C Insurance

Sourcing Manager (12-Month Maternity Cover)

FULL_TIME

OTHER

The Delivery Leader will partner closely with stakeholders across the organization (managers, operations stakeholders, business analysts, developers, testers and infrastructure persons) to ensure consistent delivery, effective processes, and successful onboarding of new State Medicaid customers. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Sr. IT Project Manager - Project/Program

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This is a role for someone who enjoys high-level strategic thinking while also driving initiatives with short-term impact - from assessing market opportunities to facilitating and synthesizing workshops on prioritized topics. While each team member leads their own projects, we collaborate closely on key topics, sharing knowledge, exchanging perspectives, and helping each other solve complex business challenges.

Claims Manager Jobs in Maine

Sr. Manager, Quality Assurance Sun Life Financial

Field Reimbursement Manager - Northeast Region NY, RI, CT, MA, VT, NH, ME Inspire Medical Systems Inc

EPL & D&O Liability Associate Claim Counsel The Travelers Companies Inc

Manager, Absence Operations UNUM Group

Life Benefit Case Manager I Sun Life Financial

Case Manager I LTD Sun Life Financial

Case Manager I LTD Sun Life

Life Benefit Case Manager I Sun Life

Field Reimbursement Manager - Northeast Heartflow Inc

Business Development Manager Chubb Ltd

Auto Mechanic, Service Manager or Service Technician - Bilingual French Ally Financial Inc

Pharmacy Operations Manager Walgreen Co

Program Manager, Copay Valeris Inc

Account Manager All Points Insurance

General Manager - Pitstop Fuels Dead River Company

Account Manager - Courtyard Portland Downtown Portland, ME Towne Park Ltd

AIRCRAFT MAINTENANCE MANAGER United States Air Force

Sourcing Manager (12-Month Maternity Cover) If P&C Insurance

Sr. IT Project Manager - Project/Program Maximus

Business Development Manager If P&C Insurance

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