Senior Claims Leadership Position

Leadership OpportunityWe are seeking a Senior Manager to lead our team and manage claims analysis and processing in coordination with third-party administrators (TPAs) and insurance companies.Main Responsibilities:Lead team members, minimize escalations, and ensure seamless claim handling.Maintain strong relationships with TPAs/insurance companies to uphold...

Claims Management Leader\This is an exciting opportunity to lead and oversee a team of claims professionals in a fast-paced insurance environment. As Claims Management Leader, you will be responsible for ensuring smooth and efficient claims processing across cashless and reimbursement cases.\You will have strong expertise in handling Employee Benefits (EB)...

Job Overview:">The role of Claims Manager involves analyzing and processing claims in coordination with third-party administrators (TPAs) and insurance companies. This position requires effective leadership and communication skills to manage relations with TPAs/Insurers, ensure timely claim settlements, and provide excellent client experience."

Senior Claims Examiner RoleThis role involves claims adjudication and adjustment, focusing on professional (HCFA) and institutional (UB) claims. The ideal candidate will have 2-3 years of experience in handling authorization, COB, duplicate and pricing processes. They should also be knowledgeable about healthcare insurance policy concepts, including...

Job OpportunityWe are seeking an experienced professional to fill the role of Senior Leadership Position. The ideal candidate will have a strong background in team management, systems implementation, and business process improvement.This position involves supporting cross-functional projects related to operations, staff, and products. The successful...

Job SummaryWe are seeking a skilled and experienced professional to fill the role of Senior Claims Operations Associate. This individual will be responsible for managing claims processes, ensuring timely and qualitative resolutions, and meeting production and quality goals.Process insurance claims efficiently and effectively, adhering to company policies and...

Senior Medical Coding Auditor SIUDeveloping expertise in assessing trends and patterns in fraudulent healthcare claims requires deep knowledge of medical coding guidelines. The professional conducts thorough investigations into allegations of fraudulent and abusive practices.Key Responsibilities:Advances the organization's expertise in CPT HCPCS and ICD-10...

Claims Data SpecialistAbout the Role:This is a key position within our team, requiring an experienced professional to manage data creation and analysis for claims-related projects. The ideal candidate will have extensive knowledge of facets in the claims domain and excellent communication skills.Mandatory Skills:Strong technical background with experience in...

Job Summary:Lead a senior medical coding team with extensive experience in multispecialty coding.Key Responsibilities:Oversee daily operations, including workload and staffing.Develop long-range goals and ensure their implementation.Evaluate the impact of innovations and changes on the coding unit.Design and implement systems to improve data...

Job OverviewWe are seeking a Senior Manager to join our team. This is a hybrid role that requires working at least three days a week in the office.Key ResponsibilitiesLead and manage teams to achieve business objectives.Develop and implement strategies to drive growth and success.The ideal candidate will have excellent leadership skills, a strong work ethic,...