UNKNOWN

FEED

Evaluates, coordinates, and plans patient care in collaboration with an interdisciplinary health team; reassesses and revises plans of care in collaboration with other members of the health care team. Participates in all Managed Care related audits; generates, maintains and tracks periodic and annual reports/documents via MS Office program, e-mails to support Care Coordination program.

Truhealth

RN Case Manager

Appcast Exclusive 1

FULL_TIME

YEAR

CONSIDERED EXPERIENCE INCLUDES: VP Vice President Executive Director Program Manager Product Manager Underwriter Underwriting Manager Team Leader Commercial Contract Surety #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. VP Vice President Executive Director Program Manager Product Manager Underwriter Underwriting Manager Team Leader Commercial Contract Surety _.

Diedre Moire Corp.

Vice President Surety

WHO YOU ARE: The Claims Processor is primarily responsible for processing all types of contracted and non-contracted claims accurately and timely for Medicare, Medicaid and Commercial Insurance products. We are looking for future employees who exude our core values of taking accountability through ownership, being driven, innovative and who have a passion for continuous learning.

GlobalHealth, Inc.

Claims Processor (53334)

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Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. This position requires considerable interaction with clients, claimants, Medical providers, Attorneys, vendors, Nurse and Vocational Case Managers, and other TRISTAR staff.

TRISTAR Insurance Group, Inc

Claims Examiner III (Hybrid)

KEY RESPONSIBILITIES: Examine and adjudicate complex or specialized claims that have pended for review across multiple lines of business by applying applicable benefit provisions, processing guidelines, reimbursement methodologies, and sound judgment to determine appropriate claim outcomes. Assist with training, mentoring, and development of Claims Examiners; Serve as a resource by providing guidance on claims processing procedures, benefit provisions, system functionality, and complex claim scenarios.

CommunityCare

Claims HMO - Senior Claims Examiner

Two years related work experience in claims processing, claims data entry or medical billing OR medical related education to meet minimum two years required. KEY RESPONSIBILITIES: Examining and adjudicating claims that have pended for review utilizing resources, tools, knowledge and decision-making in determining appropriate actions.

Claims HMO - Claims Examiner 140-1058

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Claims HMO - Claims Examiner 140-1060

Claims HMO - Claims Examiner 140-1059

The Claims Team Leader manages the submission of claims data, payments and works with team members and agencies to resolve outstanding claim issues. · Communicate with Claims Manager including but not limited to: training issues, agency challenges, unbilled items and A/R issues.

GT Independence Careers

Claims Team Leader Oklahoma/Kansas/Louisiana

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JOB SUMMARY: The Lead Recalculation Examiner works directly with Claims Supervisor to create a team that works efficiently together to maximize the team's potential. Performs clerical duties associated with the processing and completion of claims including pending letters, requests for the loading of information for providers, members or authorizations.

Claims HMO - Lead Recalculation Examiner PC# 140-1019

PRIMARY PURPOSE OF THE ROLE: To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Skills & knowledge: thorough knowledge of claims management processes and procedures for multiple product lines, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, leadership/management skills, analytical and interpretive skills, ability to work in a team environment, and the ability to meet or exceed Performance Competencies.

<p>Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.</p>

Sedgwick Claims Management Services, Inc.

Claims Team Lead, Auto

This role involves managing the entire claims process from intake to final decision, ensuring frequent status updates to claimants through their preferred communication channels (email, phone, mail, etc.). NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses.

NTT DATA Group Corp

Claims Case management

Under the leadership of the Claims Billing Manager, the Claims Billing Supervisor is responsible for assisting in the day-to-day oversight of functions of the Claims Billing and Reimbursement Quality Assurance team to ensure accuracy and completeness of duties and tasks including submissions and finalizations of the CDCs, clams scrubbing, claims compiling, batching and submissions, claims tracking reviews, and claim error corrections. Possession of a medical marijuana license will not excuse you from the testing process or the consequences of testing positive for marijuana per the Family & Children's Services Drug Free Workplace Policy, including possible revocation of a job offer or dismissal from employment.

FAMILY & CHILDRENS SERVICES, INC.

Claims Billing Supervisor

The Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. The Tokio Marine HCC - Public Risk Group is seeking a self-motivated Claims Attorney to join our growing Claims Department and handle litigated and non-litigated claims primarily arising under Auto and General Liability, as well as potentially some Law Enforcement, Public Officials, and Employment Practices liability policies in various jurisdictions.

HCC Life Insurance Company

Claims Attorney (Municipal Entity)

Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. Be a supportive bridge between clients, project managers and technical personnel to define, track and communicate business requirements and their expected impact by building basic conceptual data and process models.

Gainwell Technologies LLC

Business Analyst - Healthcare Claims

Mid-Continent Group , a subsidiary of Great American, based in Tulsa, Oklahoma, specializes in commercial casualty coverages with an emphasis on general liability for the construction, energy, and difficult-to-place business in other industries. Manage a portfolio of complex, high-value commercial general liability and auto claims across the U.S. Lead investigations, evaluate coverage and liability, and drive resolution strategies.

Mid-Continent Casualty Company

Claims Specialist/Senior Claims Specialist

Mid-Continent Group, a subsidiary of Great American, based in Tulsa, Oklahoma, specializes in commercial casualty coverages with an emphasis on general liability for the construction, energy, and difficult-to-place business in other industries. Manage a portfolio of complex, high-value commercial general liability and auto claims across the U.S. Lead investigations, evaluate coverage and liability, and drive resolution strategies.

 Great American Insurance Group's  roots go back to 1872 with the founding of its flagship company, Great American Insurance Company. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses, and in the sale of traditional fixed and fixed-indexed annuities in the education, bank and individual markets. Great American Insurance Company has received an "A" (Excellent) or higher rating from the A. M. Best Company for over 100 years (most recent rating evaluation effective February 22, 2013). The members of the Great American Insurance Group are subsidiaries of American Financial Group, Inc. (AFG), also based in Cincinnati, Ohio. AFG's common stock is listed and traded on the New York Stock Exchange and the Nasdaq Global Select Market under the symbol AFG.

Great American Insurance Group (DBA)

The Claims Director operates with significant autonomy and accountability, balancing hands‑on technical engagement in critical situations with leadership that enables experienced professionals to perform at a high level. Authorized to resolve claims, establish reserves, and direct claim strategy within defined authority levels; larger or higher‑profile matters are managed collaboratively with senior Claims leadership.

Claims Director

We provide some benefits at no cost to the employee (Basic Life Insurance and AD&D at two times an employee's annual salary, Short- and Long-term Disability coverage, and Employee Assistant Plan). CopperPoint's culture of compassion extends to the community through employee volunteerism, corporate matching, Board service, program sponsorships, and in-kind contributions.

Claims Manager Jobs in Oklahoma

RN Case Manager Truhealth

Vice President Surety Diedre Moire Corp.

Claims Processor (53334) GlobalHealth, Inc.

Claims Examiner III (Hybrid) TRISTAR Insurance Group, Inc

Claims HMO - Senior Claims Examiner CommunityCare

Claims HMO - Claims Examiner 140-1058 CommunityCare

Claims HMO - Claims Examiner 140-1060 CommunityCare

Claims HMO - Claims Examiner 140-1059 CommunityCare

Claims Team Leader Oklahoma/Kansas/Louisiana GT Independence Careers

Claims HMO - Lead Recalculation Examiner PC# 140-1019 CommunityCare

Claims Team Lead, Auto Sedgwick Claims Management Services, Inc.

Claims Case management NTT DATA Group Corp

Claims Billing Supervisor FAMILY & CHILDRENS SERVICES, INC.

Claims Attorney (Municipal Entity) HCC Life Insurance Company

Business Analyst - Healthcare Claims Gainwell Technologies LLC

Claims Specialist/Senior Claims Specialist Mid-Continent Casualty Company

Claims Specialist/Senior Claims Specialist Great American Insurance Group (DBA)

Claims Director Mid-Continent Casualty Company

Claims Director Great American Insurance Group (DBA)

Sr. Adjuster-Workers Comp Claims CopperPoint Insurance Co

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