Claims Manager TPA Remote Job Locations US CA LOS ANGELES Job ID 2024 3803 Category Claims Type Regular Division Surplus & Specialty Crum & Forster Company Overview Crum & Forster (C&F) with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial

Manage the evaluation of payer proposals related to Fee For Service (FFS), capitation arrangements and value based contracts Partner with the payer contracting team to manage the modeling and negotiation process, evaluate proposals, and provide guidance to senior leadership on the financial impact and viability of the contract Work closely with the Finance and Actuarial t

Serve as single point of contact to the physician network and is an accountable owner, responsive to physician needs. Knowledgeable about incentive programs, contract reimbursement, Optum's internal processes and priorities, and other Optum initiatives, as applicable Monitors performance of assigned PCPs, identifies low performing PCPs and works with IPA leadership to dev

Under direction of both the Director and CDI Manager, the Clinical Documentation Specialist independently prioritizes and performs assigned duties and tasks. Clinical Documentation Specialists are responsible and accountable for the day to day management and success of the Continuous Documentation Improvement Project to include all modalities, acting as a liaison with spe

Join us on our mission to create a completely new, 100% digital bank that truly serves customers' best interests. We are a close knit and fun loving team of seasoned financial services professionals who came together for the challenge of building a bank from scratch and we are committed to doing it all the right way (from technology infrastructure to modern marketing to c

Job Description Pacific Life is investing in bright, agile and diverse talent to contribute to our mission of innovating our business and creating a superior customer experience. We're actively seeking a talented New Business Specialist to join our team in Omaha NE or Lynchburg, VA. This is a hybrid role. As a New Business Case Manager , you'll play a key role in Pacific

Who We Are Woodruff Sawyer has been an industry leader for over 100 years. As a top insurance brokerage, our clients range from small start ups to some of the most innovative companies in the world. Here, your unique expertise and perspective helps move companies ahead and your career forward. We believe in supporting the whole lives and careers of our employees. That's w

Who We Are Woodruff Sawyer has been an industry leader for over 100 years. As a top insurance brokerage, our clients range from small start ups to some of the most innovative companies in the world. Here, your unique expertise and perspective helps move companies ahead and your career forward. We believe in supporting the whole lives and careers of our employees. That's w

of the position The Insurance Services Manager plays a pivotal role in the newly established Honda Insurance Solutions company. Their responsibilities encompass overseeing and managing the property and casualty insurance business, from strategic planning to execution. The Manager formulates and refines the short and long term insurance business roadmap. They propose innova

Perform reviews of affordable housing projects awarded funding through the Federal Home Loan Bank of San Francisco's Affordable Housing Program ("AHP") to determine eligibility and compliance within program guidelines and regulatory requirements. Consult with and provide expertise on community investment programs and affordable housing compliance issues to Bank management

Working under the direction of the Manager, Claims, this position has direct responsible for the supervision of staff and for overseeing the day to day operations of the Claims Processing and UM Denial Letter Units. Additional responsibilities include reporting functions to ensure compliance with AB1455, attention to CMS guidelines and department policy and procedures. Pr

Company Description Visa is a world leader in digital payments, facilitating more than 215 billion payments transactions between consumers, merchants, financial institutions and government entities across more than 200 countries and territories each year. Our mission is to connect the world through the most innovative, convenient, reliable and secure payments network, enab

Director of Network Development and Provider Relations Facility Prime Healthcare Management Inc Location US CA Ontario ID 2024 153822 Category Director Position Type Full Time Shift Days Job Type Exempt Overview Prime Healthcare is an award winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient l

The Principal IT Regulatory Analyst recommends, develops, and implements IT regulatory strategy and rate case deliverables, and drives supporting processes and tools. This position supports all CPUC and FERC rate cases and proceedings (GRC, TO, RAMP), the IT component of separately filed rate cases (e.g. WGSC), and compliance with all regulatory directives and stakeholder

Manager, Claims Job Locations US CA Irvine Requisition ID 2024 16419 Category Claims Workers Compensation Position Type Regular Full Time Overview AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Workers' Compensation Claims Manager in Irvine, CA. The Workers Compensation Claims Manager is responsible to supervise activi