Talent.com
Technical Claims Manager

Technical Claims Manager

VirtualVocationsSaginaw, Michigan, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Technical Claims Manager - Direct.

Key Responsibilities

Ensure compliance with the group claims handling philosophy by internal and external claims handlers

Manage and monitor claims performance outcomes across key metrics, including indemnity control and claims savings

Provide technical oversight of complex claims and manage internal claims resources to meet objectives

Required Qualifications

10+ years of experience in handling complex claims and coverage or related insurance experience

Ability to influence and lead junior team members effectively

Proficient in MS Excel and Word, with flexibility to adapt to new business areas

Experience in managing and mentoring a team of claims professionals

Experience in testifying in disputes as a corporate and fact witness

serp_jobs.job_alerts.create_a_job

Technical Manager • Saginaw, Michigan, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Senior Claims Examiner

Senior Claims Examiner

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Examiner to adjudicate complex life insurance claims.Key Responsibilities Lead the adjudication of complex or contested life insurance claims Conduct tho...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Team Lead Insurance Specialist

Team Lead Insurance Specialist

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Team Lead Insurance Specialist in Patient Access.Key Responsibilities Oversee daily operations to ensure timely acquisition of required prior authorizations Collaborat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Michigan Licensed Claims Adjuster

Michigan Licensed Claims Adjuster

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Execute decision-making to analyze and resolve claims while managing claims exposure Interact with var...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Life Insurance QA Lead

Life Insurance QA Lead

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Life Insurance Software QA Lead to oversee testing efforts for transformation projects in the life insurance domain. Key Responsibilities : Lead and manage the testing ph...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Audit Support Specialist

Audit Support Specialist

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for an Audit Support COB and DM.Key Responsibilities Assist in daily administrative activities within the Coordination of Benefits and Data Mining departments Collaborate wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Senior Commissions Analyst

Senior Commissions Analyst

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Commissions Analyst.Key Responsibilities : Implement and ensure the accurate application of sales compensation plans within the sales compensation system Monitor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Accreditation Specialist

Accreditation Specialist

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for an Accreditation Specialist to lead quality improvement efforts and ensure NCQA Health Plan Accreditation. Key Responsibilities : Develops and prepares documentation for NC...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Facets Claims Configuration Lead

Facets Claims Configuration Lead

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Facets Benefits and Claims Configuration Lead.Key Responsibilities Lead configuration design activities for Facets Claims and Benefits based on approved business requir...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Reimbursement Analyst

Reimbursement Analyst

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Reimbursement Analyst III to provide functional expertise and leadership for a healthcare organization's implementation project. Key Responsibilities Serve as a key func...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Stop Loss Claims Coordinator

Stop Loss Claims Coordinator

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Stop Loss Filing Coordinator to manage the end-to-end stop loss claims process.Key Responsibilities : Prepare and submit stop-loss claims and supporting documentation A...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Insurance Senior Specialist

Insurance Senior Specialist

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Sr.Specialist to manage complex accounts and support team operations remotely.Key Responsibilities Resolve complex accounts and act as a subject matter exper...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Workers' Compensation Claims Adjuster (FL, RI, TX Licensed)

Workers' Compensation Claims Adjuster (FL, RI, TX Licensed)

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Workers' Compensation Claims Adjuster to manage complex claims in various jurisdictions across the United States. Key Responsibilities Adjudicate higher complexity worke...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Oregon Licensed Senior Claims Director

Oregon Licensed Senior Claims Director

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Director to manage complex claims and provide mentorship to junior adjusters.Key Responsibilities Analyze coverage and settle complex claims while managin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
California Licensed Claims Specialist

California Licensed Claims Specialist

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Specialist (PAWP).Key Responsibilities Adjust claims for assigned PAWP programs Build and maintain relationships with internal and external customers Investiga...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Licensed Claims Analyst

Licensed Claims Analyst

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Analyst to join their team in a remote capacity.Key Responsibilities Provide exceptional resolution of claim files to ensure a best-in-class claims experience I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Business Analyst, P&C Claims

Business Analyst, P&C Claims

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Business Analyst, P&C Claims (Remote).Key Responsibilities Participate in meetings to define system requirements and identify existing issues Adhere to project timelin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Risk Adjustment Coordinator

Risk Adjustment Coordinator

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Member Risk Adjustment Coordinator I.Key Responsibilities Schedule appointments and assist members in booking visits with primary care providers Gather medical histori...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Risk Adjustment Program Advisor

Risk Adjustment Program Advisor

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for an Individual & Family Plans (IFP) Risk Adjustment Program Management Advisor.Key Responsibilities Manage multiple interrelated projects for the IFP Risk Adjustment team,...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
California Licensed Claims Examiner

California Licensed Claims Examiner

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Workers Compensation Claims Examiner III (Temporary).Key Responsibilities Manage a caseload of 150 to 180 workers' compensation files, including complex claims Conduct...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Claims Operations Manager

Claims Operations Manager

VirtualVocationsSaginaw, Michigan, United States
serp_jobs.job_card.full_time
A company is looking for a Manager, Claims Operations to lead day-to-day operational activities related to claims processing and member communications. Key Responsibilities Establish team goals an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours