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...

About the RoleThe Claims Manager will lead and manage the Medium Complexity team, ensuring a high-performing team of Adjusters adhere to Departmental and line of business best practices, strategic goals, and technical referral expertise.Key Responsibilities:Technical support, guidance, and best practice standards for medium complexity claims.Technical...

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...

Job SummaryWe are seeking a Claims Representative I to join our team at Elevance Health. As a Claims Representative I, you will be responsible for successfully completing the required basic training and performing basic job functions with help from co-workers, specialists, and managers on non-basic issues.Key ResponsibilitiesLearning the activities/tasks...

As a key member of the NFP team, the Benefits Program Manager will be responsible for developing and implementing the Call Center's operations, focusing on internal processes, client management, and staff development. This role requires a strong partnership with the Client Management Team to ensure seamless outsourcing of benefits programs. The successful...

About the RoleAbarca Health is seeking a highly skilled Medicaid Encounter Data Manager to join our team. As a key member of our PBM Operations & Services team, you will be responsible for overseeing the accurate management, transfer, and audit of encounter data, related contractual requirements, and monitoring encounter submissions and rejections.Key...

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...

Job Summary:We are seeking a highly organized and detail-oriented Business Office Clerk to join our team at Acadia Healthcare. In this role, you will be responsible for the timely submission of claims to third-party payors and collection of outstanding accounts receivable.Key Responsibilities:Provide exceptional customer service to patients and payors.Review...

The Client Relationship 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.The Client Relationship Manager will manage small to medium sized accounts and will...

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...

Job SummaryAs a TRICARE Beneficiary Services Representative, you will play a vital role in supporting the healthcare needs of military families. You will provide education and enrollment support services for the TRICARE Overseas Program, ensuring that beneficiaries have access to the care they need.Key ResponsibilitiesVerify benefits eligibility and process...

Supporting Our Military FamiliesLeidos is seeking a skilled TRICARE Beneficiary Services Representative to provide education and enrollment support services for the TRICARE Overseas Program under the Defense Health Agency. As a member of our team, you will serve as a liaison for TRICARE eligible beneficiaries, providing customer support, assistance, and...

Job Description:Operations ExpertThe Operations Expert plays a pivotal role in providing technical direction, guidance, and resources to claims, customer service, or membership associates on a day-to-day basis.Key Responsibilities:Serves as a first-line resource for operational associates, addressing workflow and technical-related processes.Provides...

About Abarca HealthAbarca Health is a revolutionary company that's redefining pharmacy benefits through smarter technology. Our mission is to deliver exceptional healthcare services while ensuring the satisfaction of our clients and beneficiaries.Job SummaryWe're seeking a highly skilled Coverage Determination Team Manager to oversee the Coverage...

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...

**Job Summary**Abarca Health is seeking a highly skilled Medicaid Encounter Data Program Manager to oversee the accurate management, transfer, and audit of encounter data, related contractual requirements, monitoring encounter submissions and rejections, among other areas.As our Encounter Data Program Manager, you will be our key subject matter expert on all...

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...

Join Our Team as a Pharmacy Operations ManagerWe are seeking an experienced and skilled Pharmacy Operations Manager to join our team at Walgreens.About the RoleThis is a full-time position responsible for overseeing the daily operations of our pharmacy, ensuring efficient workflow and a positive customer experience. As a key member of our team, you will be...

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...