- Humana (Frankfort, KY)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- CVS Health (Boston, MA)
- …throughout the United States. Managers of each claims line will report to the Claims Director , who must exhibit strong leadership skills with the claims ... of Claims is responsible for managing all claims lines within Risk Management including the...claims to mitigate risk to the company. The Claims Director will be engaged with leaders… more
- Marriott (Costa Mesa, CA)
- …Program. The Senior Director follows and upholds the applicable claims sections of MIP-41, Risk Management . **SCOPE/BUSINESS CONTEXT/EXPECTED CONTRIBUTIONS** ... **Schedule** Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** The Senior Director has… more
- Banner Health (AZ)
- …monitor all open claims . Updates claim files per documentation guidelines. Apprises Director of Claims and VP Business Health of case developments as ... in the attorney selection and re-evaluation process with the Director of Claims and VP Business Health....Creates and implements an orientation plan for new Area Claims Managers (ACM's), Litigation Management Specialists/paralegals and… more
- AIG (San Francisco, CA)
- Claims Complex Director - Healthcare Professional... portfolio of the most complex and high exposure medical malpractice (and some GL) claims at ... Liability (HPL) Join us as a Claims Complex Director to take on key...+ Keeps abreast of significant changes in the law, claims and industry trends (not limited to medical… more
- MTA (Brooklyn, NY)
- …internal reports as needed. + Develop and implement ongoing training programs for claims management and non-managerial staff in areas relevant to their ... Director , Claims Investigations and Adjustments Job...to claims managers and/or outside vendors, reserving claims , evaluating medical records and working with… more
- AON (Chicago, IL)
- Aon is looking for an Associate Director , Claims Advocate in Reinsurance, hybrid in Chicago, IL.; 1-2 days in office per week. What the day will look like: In ... documents and policies. #LI-KD1 #LI-HYBRID 2548521 Aon is looking for an Associate Director , Claims Advocate in Reinsurance, hybrid in Chicago, IL.; 1-2 days… more
- USAA (Chesapeake, VA)
- …solutioning and leading with data. **What sets you apart:** + Recent Claims Director level experience (leading larger teams of managers/ supervisors) ... Be part of what truly makes us special and impactful. **The Opportunity** As a dedicated ** Director , Claims Operations** you will lead a team of Auto Claims … more
- CenterLight Health System (NY)
- …including government agencies. + Experience building financial models and big data analytics using medical claims and CMS and NY DOH files as data source. + ... JOB PURPOSE: The Director of Encounter and Data Analytics is responsible...Experience: + Minimum of 5 years of experience in medical economics and claims operations in managed… more
- USAA (Tampa, FL)
- …be a part of what makes us so special! **The Opportunity** As a dedicated Director , Claims Operations, you will lead and be accountable for auto, property, and ... responsible for delivering business results. Responsible for leading execution change management , claims strategies, leader development and technology adoption.… more