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From our roots in our hometown of Fort Wayne, Indiana, we''ve worked diligently to become the nation''s premier healthcare liability coverage provider, currently insuring more than 300,000 customers. Our team works across the country to provide the best strategies to mitigate risk and preserve the reputations of those who have entrusted their good name to us.

The Medical Protective Company

Claims Intake Analyst

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ADAPTED_NOW

HOUR

Seeking a seasoned Delivery Manager with deep Healthcare Payer expertise and strong experience in the TriZetto FACETS platform to lead large-scale delivery portfolios spanning application development, production operations, maintenance, modernization, and support services. The ideal candidate will have a proven track record of managing outcome-based and SLA-driven engagements, leading cross-functional delivery teams, driving operational excellence, and building strong client relationships.

Axelon

Delivery Manager

The role aims to accomplish the following: Supporting their sites in executing on various EHS processes including: EHS-related training, environmental compliance, occupational health and safety, workers’ compensation, transportation safety, contractor management, and business continuity. Support the workers’ compensation claims process by completing OSHA determinations, identifying gaps in claims management, and promoting safe and early return to work as well as any other requirements related to general liability, motor vehicle, and property damage claims.

Sysco is the global leader in selling, marketing and distributing food products to restaurants, healthcare and educational facilities, lodging establishments and other customers who prepare meals away from home. Its family of products also includes equipment and supplies for the foodservice and hospitality industries. With more than 72,000 colleagues, the company operates 334 distribution facilities worldwide and serves approximately 725,000 customer locations. For fiscal year 2023 that ended July 1, 2023, the company generated sales of more than $76 billion. Information about our Sustainability program, including Sysco’s 2023 Sustainability Report and 2023 Diversity, Equity & Inclusion Report, can be found at www.sysco.com.

Sysco

EHS Leader

One Red Cent - Direct

Implement an annual Risk Management Training Plan that includes analyzing data to identify training that must be completed by all staff and additional risk management training for select staff involved in certain professions/fields, and tracking and monitoring staff compliance with training requirements. Ensure that litigation holds are issued immediately upon receipt of any notice of litigation, including but not limited to a state claim or administrative tort claim, to prevent the loss or alteration of any information relevant to the claim, including but not limited to records concerning medical treatment, billing, communications between involved parties, personnel records, and policies and procedures in effect at the time of the incident.

Osborn Family Health Center

Risk Claims Manager

OTHER

Our client is a leading biotechnology company that combines technological insight with world-class manufacturing, scientific expertise, and process excellence and helps its customers deliver new and innovative medicines that help treat a wide range of diseases. Work Type: Onsite Summary We are seeking an experienced Contracts & Claims Manager to oversee the commercial and contractual management of large and medium-sized capital expenditure (CAPEX) projects valued at $5 million or more.

WE THE TEKWISSEN PEOPLE TekWissen offers you a broader portfolio of services, industry-leading solutions, and the meaningful innovations that give you greater flexibility and speed to respond to market dynamics, reduced costs and risk to improve enterprise performance, and increased productivity to enable growth.To keep pace with global market demands, TekWissen keeps its finger on the pulse of change. Our organized approach to guiding a project from its inception to closure. Managing projects is becoming more and more important as we enter the digital era. To cope with the pace that this transition demands, a method is required to manage projects so they can yield quality work, while incorporating efficient use of time and resources. Project involves identifying which quality standards are relevant to the project and determining how to satisfy them. It is important to perform quality planning during the Planning Process and should be done alongside the other project planning processes because changes in the quality will likely require changes in the other planning processes, or the desired product quality may require a detailed risk analysis of an identified problem. It is important to remember that quality should be planned, designed, then built in, not added on after the fact. Capabilities and accomplishments in one TekWissen business enhance the opportunity for success in the others. Put simply, TekWissen's unique combination of attributes promotes success.

TekWissen LLC

CAPEX Contracts & Claims Manager

Ceipal

The ideal candidate will have extensive experience managing complex construction or engineering contracts, working with EPC/EPCMV contractors, and supporting major capital projects in regulated industries. We are seeking a Senior Contracts & Claims Manager to support global capital sourcing activities for large and medium-scale CAPEX projects.

Karwell Technologies

Senior Contracts & Claims Manager

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What You’ll Be Doing (Essential Responsibilities) Conduct detailed reviews of client policy claims for accuracy in completeness, documentation, and signatures; coordinate electronic input of claim transactions, submit loss requests to appropriate carrier adjuster, or to management if under agency draft authority, and ensure documents are delivered/mailed to appropriate parties. Actively manage and review claim reserves in partnership with carriers and clients to ensure accuracy, timely adjustments, and optimal financial outcomes, supporting overall client and organizational profitability.

Troxell Insurance Quotes for Personal or Business

Claims Manager

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Perform multi-policy checks where appropriate to determine if New York Life claimants with active disability and/or Life claims may be eligible for additional VB benefits as a result of their condition(s) in support of GBS service integration initiatives. We provide a full package of benefits for employees - and have unique offerings for a modern workforce, including leave programs, adoption assistance, and student loan repayment programs.

YEAR

There are few Fortune 100 companies as renowned as we are for our diverse culture, training, and career opportunities. So it should not be surprising that when you work at New York Life—whether as an agent or one of our valued corporate employees—you’re backed by unyielding support, development, and resources. Start here to discover the right career track for you.

New York Life Insurance Co

Voluntary Benefits Claims Manager

This critical role will be responsible for managing employment and liability claims litigation and workers’ compensation by working with inside and outside counsel to resolve complex cases efficiently, control costs, and minimize risk while ensuring compliance with policies and regulations. Liaison & Communication: Act as a key contact for employees while working with claim team, attorneys, management and vendors, ensuring clear communication on case status and developments.

National Beef

Claims and Litigation Manager

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At the core of this role is deep, practical experience in claims management: overseeing the full claims lifecycle, driving financial recovery, managing carrier relationships, and building high-performing teams that consistently deliver results across both final mile and parcel claim types. Leverage AI-driven analytics and predictive modeling to forecast claim volumes, identify high-risk carriers or routes, optimize resource allocation, and proactively surface trends before they become financial liabilities.

Samsung Electronics America Inc

Claims Sr Manager

The successful candidate will operate as both a people leader and strategic operator, partnering closely with Fraud Strategy, Detection Operations, Channel Leaders, and other internal stakeholders to reduce fraud losses, improve customer outcomes, and manage operational expense. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions.

We believe in our vision and values just as strongly today as we did the first time we put them on paper more than 20 years ago. Staying true to them will guide us toward continued growth and success for decades to come. As you read more about our vision and values, you will learn about who we are, where we’re headed and how every Wells Fargo team member can help us get there.

Wells Fargo

Fraud & Claims Operations Senior Manager

Weyerhaeuser

Working knowledge of how different healthcare stakeholders (payers, providers, life sciences, employers/brokers, digital health and care navigation) actually use data to make decisions. Comfort treating other internal teams as your customers, and skill at balancing proactive, self-directed roadmap work with planning built around other teams’ timelines.

Turquoise

Senior Product Manager, Claims Data

The ideal candidate can independently identify systemic gaps, translate complex operational issues into actionable technical requirements, and partner with Product and Engineering to drive sustainable solutions. End-to-End Adjudication Knowledge: Demonstrated expertise in claims adjudication workflows, benefit hierarchy, health plan configuration, pend rules, and identifying systemic processing gaps.

CollectiveHealth, Inc.

Senior Manager, Claims Systems

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Independently owns and manages scorable action items (SAIs), including assisting and executing projects and tasks to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, post-payment datamining, and overpayment recovery, to improve encounter submissions, reduce general and administrative (G&A) expenses, and drive positive operational and financial outcomes for all payment integrity (PI) solutions. Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), and federal/state Medicaid payment rules.

Molina Healthcare Inc

Program Manager, Health Plan Payment Integrity (Claims & Recovery) Remote

Success in your first 90 days: learn the portfolio and current review process, audit high-visibility and high-risk claims in market, build relationships with key stakeholders, and propose a prioritized roadmap for process improvements and claims library buildout. The Role: As an Associate Manager, Clinical Claims, you'll make sure everything Ro says about its products and services is accurate, evidence-based, and compliant, while helping Marketing say it boldly and defensibly.

Roman Health Medical LLC

Associate Manager, Clinical Claims

NET, Java, React, MS SQL, SSIS, Azure, AWS, Databricks, Tibco Total experience of 15 years, with 8 years of experience in Project Management and execution Expertise in US Healthcare in Data, Claims, Clinical, Payment integrity. NET, Java, React, MS SQL, SSIS, Azure, AWS, Databricks, Tibco Total experience of 15 years, with 8 years of experience in Project Management and execution Expertise in US Healthcare in Data, Claims, Clinical, Payment integ.

Looking for a great job? Join eTeam. We’re looking for talented staffing professionals to join our staff. We also provide contract assignments and full-time jobs at Fortune 2000 Companies. We’ve been named one of the best companies to work for by Staffing Industry Analysts and New Jersey Business.

eTeam Inc.

Program Manager (Healthcare Data & Claims)

The Claims Department Manager partners closely with the Director of Claims and other organizational leaders to identify and communicate business needs, implement operational improvements, support strategic initiatives, and drive process efficiencies. This position oversees claims supervisors, claim support functions, and operational initiatives to ensure timely, accurate and compliant processing of claims while meeting client, regulatory, financial, and customer service expectations.

Insurance Administrative Solutions LLC

Manager, Claims

Experience with test automation frameworks, CI/CD pipelines, API testing tools, SQL, and data validation techniques. Deep understanding of SDLC, Agile execution, test estimation, risk-based testing, and release management.

The Dignify Solutions, LLC

QA Lead/Manager- PBM Claims Processing -Remote

You’ll help keep the Risk Management department running smoothly by supporting claims investigations, coordinating insurance renewals, maintaining accurate records, and providing essential administrative support to the Director of Risk Management. We’re looking for a Risk & Claims Coordinator who brings strong organizational skills, attention to detail, and a proactive approach to supporting claims, insurance administration, and day-to-day Risk Management operations.

Vacatia

Risk & Claims Coordinator

clearcompany

We’re seeking self-motivated, proactive, responsible, and service-oriented teammates to join us in our mission of helping customers in their greatest moments of need by repairing and restoring homes and businesses with an industry-leading level of service. SERVPRO Team Shaw – Ranked 2024 #4 Fastest Growing Mid-Market Company in DFW & #69 Fastest Growing Private Restoration/Construction Company in the Country .

Claims Manager Jobs in the United States

Claims Intake Analyst The Medical Protective Company

Delivery Manager Axelon

EHS Leader Sysco

Risk Claims Manager Osborn Family Health Center

CAPEX Contracts & Claims Manager TekWissen LLC

Senior Contracts & Claims Manager Karwell Technologies

Claims Manager Troxell Insurance Quotes for Personal or Business

Voluntary Benefits Claims Manager New York Life Insurance Co

Claims and Litigation Manager National Beef

Claims Sr Manager Samsung Electronics America Inc

Fraud & Claims Operations Senior Manager Wells Fargo

Senior Product Manager, Claims Data Turquoise

Senior Manager, Claims Systems CollectiveHealth, Inc.

Program Manager, Health Plan Payment Integrity (Claims & Recovery) Remote Molina Healthcare Inc

Associate Manager, Clinical Claims Roman Health Medical LLC

Program Manager (Healthcare Data & Claims) eTeam Inc.

Manager, Claims Insurance Administrative Solutions LLC

QA Lead/Manager- PBM Claims Processing -Remote The Dignify Solutions, LLC

Risk & Claims Coordinator Vacatia

Claim Manager Servpro

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