NewSupplemental Health Claims Manager American FidelitySupplemental Health Claims ManagerOklahoma City, OklahomaWork with Supervisors, highly skilled Colleagues and other departmental or divisional leadership to set and manage goals and performance expectations which support accurate, fair service and the timely claim processing which comply with state and federal regulations. *Actively manage staff and plans for the appropriate allocation and use of resources; analyze past workloads to determine future needs and identify service trends which may detract from providing quality service to the Customer.
Claims Auditor- Remote American Health Companies IncClaims Auditor- RemoteOklahoma City, OKRemoteIn partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities.
Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time Zone Sedgwick Claims Management Services, Inc.Workers Compensation Claims Representative | Dedicated Client | Multiple Jurisdictions & Licensing Required | Remote - Central or Eastern Time ZoneOKRemote$42,000–$55,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Complex Claims Consultant - Private & NFP D&O CNA Financial CorpComplex Claims Consultant - Private & NFP D&OOklahoma City, OK$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Complex Claims Consultant - Epl, Private & NFP D&O CNA Financial Corp.Complex Claims Consultant - Epl, Private & NFP D&OOklahoma City, OK$72,000–$141,000 / yearPerforms a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Senior Casualty Claims Specialist - Central Time Zone Liberty Mutual Holding Company IncSenior Casualty Claims Specialist - Central Time ZoneOklahoma City, OKRemoteThe full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Claims Quality Review Sr Consltant CNA Financial CorpClaims Quality Review Sr ConsltantOklahoma City, OK$72,000–$141,000 / yearWorks with the Claim Quality Review Director and the Claim Quality Technical Lead for assigned line of business to aggregate and analyze results from quality and manager reviews to identify trending of best practice and opportunity areas for assigned line of business and across the Claim organization. Performs a combination of duties in accordance with departmental guidelines: Completes technical file reviews for assigned line of business; gathers and interprets data, evaluating both technical and operational behaviors associated with functional roles.
Director of Claims and Litigation Banner HealthDirector of Claims and LitigationOK$57.38–$95.64 / hourParticipates and presents at introductory meetings with potential insureds; prepares materials, participates and presents at Banner Medical Group (BMG) meetings, committees and other organizational structures and at other physician program meetings as established and as appropriate; provides education relative to the program across BH. Responsible for obtaining, entering data into claim file and monitoring such data in order to comply with deadlines for meeting Medicare, Medicaid, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medicals.
Claims Consultant - Oklahoma Physicians & Surgeons The Medical Protective CompanyClaims Consultant - Oklahoma Physicians & SurgeonsOklahoma City, OKService to insureds, assist where possible in sales and retention efforts of sales force. Confirm coverage and then manage claims and suits brought against policyholders in our P&S Division.
Claims Analyst Contractor Addison GroupClaims Analyst ContractorOklahoma City Metro Area, Oklahoma$19–$22 / hourThis position works closely with internal teams, pharmacies, and third-party vendors to research issues, resolve discrepancies, and maintain data integrity across operational systems. Job Description: The Claims Analyst Contractor will be responsible for reviewing pharmacy claims and vendor program data to ensure accuracy, completeness, and timely processing.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteOKRemote$136,890–$152,100 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Project management experience and skills to accurately complete detailed data assignments and to understand and interpret broad operational concepts and their application to the business unit and CSAA.
Gross Production Claims and Refunds Specialist State of OklahomaGross Production Claims and Refunds SpecialistOklahoma City, OKnCurrent active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub.\n \nIf you are needing any extra assistance or have any questions relating to a job you have applied for, please click the link below and find the agency for which you applied for additional information: \n \nAgency Contact\n\n. Job Posting Title\n \nGross Production Claims and Refunds Specialist\n \nAgency\n \n695 OKLAHOMA TAX COMMISSION\n \nSupervisory Organization\n \nGross Production\n \nJob Posting End Date \n \nRefer to the date listed at the top of this posting, if available.
NewSenior Claims Benefit Specialist CVS Health CorpSenior Claims Benefit SpecialistOK$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeOKEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Claims Team Leader Oklahoma/Kansas/Louisiana GT Independence CareersClaims Team Leader Oklahoma/Kansas/LouisianaOklahomaThe Claims Team Leader manages the submission of claims data, payments and works with team members and agencies to resolve outstanding claim issues. · Communicate with Claims Manager including but not limited to: training issues, agency challenges, unbilled items and A/R issues.
Claims Team Lead Delta Dental of OklahomaClaims Team LeadOklahoma City, OKResponsibilities include monitoring the daily workflow of the department, assisting with mail operations, pre-edit/scanning processes, tracking staff performance audits, completing staff training, and processing Medicaid claims. Problem resolution skills in order to answer internal and external inquiries, and questions or problems raised by department personnel or external customers.
Remote Claims Representative 597004 Metro Public AdjustmentRemote Claims Representative 597004Oklahoma City, OKRemote$35,000–$150,000 / yearConduct a virtual walk-through inspection of the property, take some pictures, and fill out about 5 minutes worth of paper work. Benefit from our 32 years of experience in business: We have an AWESOME training program and it's FREE!
Director Complex Claims and Counsel Banner HealthDirector Complex Claims and CounselOK$65.70–$109.50 / hourResponsible for obtaining, entering data into claim file and monitoring such data in order to comply with deadlines for meeting Medicare, Medicaid, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medical expense claims. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.
Auto Claim Owner - Kansas City, KS • Oklahoma City, OK • Caledonia, MI • Phoenix, AZ • St. Louis, MO Farmers Group, Inc.Auto Claim Owner - Kansas City, KS • Oklahoma City, OK • Caledonia, MI • Phoenix, AZ • St. Louis, MOOklahoma City, OKUtilizes working knowledge and skills developed through formal training to investigate, confirm coverage, determine liability, establish damages, and negotiate settlements of auto claims, which includes single and multi-vehicle losses with basic coverage and moderate complexity of liability. Proactively investigates and determines coverage for Auto policy claims with coverage issues requiring in-depth investigation including but not limited to if the policy is out of force for the date of loss, unlisted or permissive drivers, excluded drivers, vehicles not on the policy, rideshare involvement, material misrepresentation issues, and new business investigations.
Claim Specialist - WCCS Deployed State FarmClaim Specialist - WCCS DeployedOklahoma City, OK$59,059.65–$82,000 / yearPhysical agility to allow for: walking; bending, reaching, kneeling, squatting, stooping, frequent lifting, carrying, unfolding, and climbing a ladder; ability to utilizing appropriate equipment in accordance with safety guidelines to traverse roofs at various heights and pitches for inspection of both residential and commercial structures; ability to crawl in tight spaces to gather information needed during the adjustment of a claim. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!