Claims Manager

Ryder System, Inc. is seeking an experienced Claims Expertise Manager to handle complex claims and lead our team in delivering exceptional results.The estimated salary for this position ranges from $75K to $80K annually, depending on experience.Job Description:We are looking for a seasoned Claims Expertise Manager to join our Risk Management team. In this...

Company Overview">Elevance Health is a leading healthcare company dedicated to improving lives and communities. We are a Fortune 25 company with a long history in the healthcare industry, seeking leaders at all levels who are passionate about making an impact on our members and the communities we serve.">Salary">We offer a competitive salary of approximately...

Individual assigned to this position is responsible for developing the Call Center’s operation, in terms of Internal Processes, Procedures, Client Management and Staff Development. Serve as a partner with the Client Management Team in the outsourcing of their Benefits Program. Lead the HRIS Infrastructure development for the Call Center. Manage Client...

Critical Role in Healthcare Financial OperationsAs a Business Office Clerk at Acadia Healthcare, you will play a vital role in ensuring timely submission of claims to third-party payors and collection. Your attention to detail and strong customer service skills will be instrumental in maintaining positive relationships with clients and payors.Key...

PURPOSE STATEMENT: Responsible for the timely submission of claims to third party payors and collection. Following up on outstanding accounts receivable. ESSENTIAL FUNCTIONS: Provide strong customer service. Review and submit claims to third party payors. Assist with monthly invoicing to guarantors for continued care. Registration and charge entry...

The Client Manager is responsible for maintaining and developing the strategic flow and positioning of all communication and data to and from the Client, including all company departments. They serve as the main point of contact for the organization’s Clients. Client Managers must ensure that all sales, products and services development, creative...

What you’ll do In a few words… Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning... Providing high quality services to client and beneficiaries is at the core of what we do every day! The PBM Operations & Services team...

In a few words… Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning… Providing high quality services to client and beneficiaries is at the core of what we do every day! The PBM Operations & Services team is the very heart of...

Job Overview:">The Medical Billing Specialist - Accounts Receivable position at Acadia Healthcare is a rewarding opportunity for individuals with strong customer service skills and medical billing/collections experience. This role is responsible for the timely submission of claims to third-party payors and collection of outstanding accounts receivable.">Key...

Position Summary:The Health Professional 1 provides telephonic customer service and timely resolves inquiries regarding patient care, eligibility, benefits, and claims, among others. This key individual provides follow up for patients to assure continuity of care and efficiency of overall services. This employee is not responsible for conducting any UM...

Product Quality Assurance Specialist Job DescriptionAt Abarca Health, we are igniting a revolution in healthcare by redefining pharmacy benefits. We are seeking a Product Quality Assurance Specialist to join our team. This role will ensure that business requirements are developed accurately and configured into our claims adjudication platform.Key...

We are seeking a skilled Military Healthcare Benefits Coordinator to join our team at Leidos, Inc. in San Juan, Puerto Rico.As a Military Healthcare Benefits Coordinator, you will play a critical role in supporting the TRICARE Overseas Program (TOP) under the Defense Health Agency (DHA). Your primary responsibility will be to provide beneficiary education...

Job SummaryWe are seeking an experienced Client Solutions Manager to join our team. As a Client Solutions Manager, you will be responsible for managing small to medium-sized accounts and working closely with Product Managers to manage larger accounts.About the RoleIn this role, you will be responsible for developing and implementing strategies to maximize...

About OrientalOriental is a leading financial institution dedicated to providing exceptional banking services to its customers.Job DescriptionThe Channel Service Specialist will play a vital role in delivering outstanding customer service and promoting bank products to our valued clients.Key Responsibilities:Provide top-notch customer service, handling a...

**Company Overview**Oriental is a leading financial institution dedicated to providing exceptional mortgage servicing and credit solutions.**Job Description**We are seeking an experienced Mortgage Operations Specialist to join our team in San Juan, PR. As a key member of our operations team, you will be responsible for reviewing mortgage loan files,...

Job Description Job Objectives Models and delivers a distinctive and delightful customer experience. Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service. In accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of...

The Analyst, Credit Servicing (QC / Regulatory) reviews the mortgage loan files and executes the revision of the documentation within the established timeline ascertaining that the documents are in accordance with the originated/closed and servicing, mortgage loan category and following the investors’ requirements by using the applicable checklist (FHA,...

What you’ll do In a few words… Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning. Our Quality Assurance & Oversight team is key to implementing new clients, testing claims within their respective lines of business and...

Under the guidance of the Branch Manager, the Associate, Retail Channel (Teller At-Large) is responsible for providing superior and efficient customer service that includes handling an array of transactional services as well as promoting bank products in accordance with established processes, guidelines and in strict compliance with applicable regulations....

Job Description : A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information technology and business operations services for health plans. Credit & Collections Specialist Location: This position will work a hybrid model...