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Technical Claims supervisor General Liability Coverage Responsibilities Maintain contact and collaborate with TPA team members business line leader underwriters Insured s defense counsel program manager and broker Oversee and manage ..
Technical Claims supervisor Major Case Unit Construction Duties The candidate will deliver industry-leading technical claim handling management claim outcomes business support and customer service Make claim services an Arch competitive ..
Claims Supervisor Duties: Responsible for investigating; settling high exposure, high risk claims. Insure high level of customer service and claim file quality. Confirms coverage of claims by reviewing policies and documents ..
Description The Senior Vehicle Fleet Management Professional operates and maintains motor vehicles and equipment. Schedules and dispatches the organization's vehicles and drivers. The Senior Vehicle Fleet Management Professional work assignments involve ..
Job Description An Operations Supervisor is a key leader supporting the CVS Store Management team in planning and driving store execution and performance while building consumer loyalty to CVS/pharmacy through a ..
Description The Supervisor, Quality Engineering carries out procedures to ensure that all information systems products and services meet organization standards and end-user requirements. The Supervisor, Quality Engineering works within thorough, prescribed ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
Job Information Humana Supervisor, Grievances & Appeals - Remote, ... City New Jersey Description The Supervisor, Grievances & Appeals manages client ... an appeal is warranted. The Supervisor, Grievances &..
Description The Supervisor, Grievances & Appeals manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if a grievance, appeal, or further request is warranted ..
Job Information Humana Supervisor, Credentialing in Jersey City New Jersey Description Responsibilities The Supervisor, Credentialing Operations is responsible for supervising activities associated with certification and recertification of providers in the TRICARE ..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..
Description The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the contracted working ..
Description The Care Delivery Tele Sales Supervisor supports and develops a team of Care Delivery Tele Sales Agents. The Care Delivery Tele Sales Supervisor provides timely and effective support to assist ..
Description Since 2009, Humana's Your Home Advantage (YHA) has been dedicated to improving Medicare members' well-being by linking the doctor's office and the member's home. We schedule and complete In-Home Health ..
Job Information Humana Supervisor, UM Administration-Remote in Jersey City New Jersey Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines ..
Technical Claims Supervisor - Major Case Unit Construction Duties: The candidate will deliver industry-leading technical claim handling/management, claim outcomes, business support, and customer service. Make claim services an Arch competitive advantage. ..
Description The Supervisor, Consultative Pharmacy Technicians certified Pharmacy Technician who acts as an intake for all calls from patients, pharmacies and providers. The Supervisor, Consultative Pharmacy Technicians works within thorough, prescribed ..
Description Humana Special Needs Plans provide personalized guidance and resources to help members get the right care and information based on their specific condition or needs. Beneficiaries qualify with the following ..
Technical Claims Supervisor - General Liability/Coverage Responsibilities: Maintain contact and collaborate with TPA team members, business line leader, underwriters, Insured’s, defense counsel, program manager, and broker. Oversee and manage TPA team ..
Description The Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment requiring ..
... Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in ... City New Jersey Description The Supervisor, Pre-Authorization Nursing will be managing ... to the appropriate stakeholder. The..
(This will open in a new window from which you will be automatically redirected to an external site after 5 seconds) Job Overview Company: TheBest Claims Solutions Pay: $65,000 to $80,000 ..
... Agency Broker Lead - Life Insurance in Jersey City New Jersey ... Agency Broker Lead - Life Insurance develops and maintains relationships with ... Agency Broker Lead - Life..