54 general claims manager jobs found

Division of Banking and Securities is recruiting for a Financial Examiner 1/2 Flex positions to join our team. As a Financial Examiner 1 (FE 1), you will: Review filings by Alaska Native Claims Settlement Act (ANCSA) corporations and shareholders, analyze requests for investigation, and draft enforcement orders with the assistance of a senior examiner. Maintain the ANCSA filing database and assist with public inquiries regarding the database. Learn examination concepts and skills through on-the-job training and formal classroom instruction offered by regulatory agencies/organizations. The position will, under direction of a senior examiner, assist in conducting securities examinations of broker-dealer branches and investment adviser firms, but may conduct examinations of other types of financial institutions as well, and may be required to respond to inquiries from the public and conduct investigations regarding alleged violations in other areas regulated...

Company : United Concordia Dental Job Description : JOB SUMMARY This job services United Concordia Dental's (UCD's) clients by recruiting, training and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet with dentists and office personnel to act as the intermediary between the organization and UCD. Respond to contractual and payment issues both internally and externally. Ensure compliance with contractual terms through regular on-site audits. Apply an active role in network management, training, monitoring and enforcement of company policies and procedures while increasing provider efficiencies. ESSENTIAL RESPONSIBILITIES Identify and initiate contact with prospective providers. Develop and follow up on leads in an established time frame, while incorporating a sound business plan strategy to support and...

This Individual Position is Exempt from the Hiring Freeze. Qualified Applicants are Encouraged To Apply. Welcome to the Department of Health! We’d be delighted to have you join our team. If you envision yourself in this role and are ready to start an exciting career with us, apply today! This position is open to Alaskan Residents only. Please check out the residency definition to determine if you qualify. We invite you to watch our "Welcome to DPA" video here: https://vimeo.com/1023052645?share=copy What You Will Be Doing: The Eligibility Technician 1s (ET 1s) are the backbone of the division, as the first point of contact for clients across the state of Alaska. In this position, you will assist the public in ensuring applications are routed correctly and timely to meet Alaskans' emergent needs. Mission and Values/Culture: The Division of Public Assistance is committed to promoting self-sufficiency and providing basic...

This position is open to Alaska Residents only. Please check our residency definition to determine if you qualify. What You Will Be Doing Primary administrator and adjudicator for General Liability and Property loss claims and is oversight supervisor for Tort claims handled by the Assistant Attorney’s General (AAG) working in the Department of Law. Communicates with potential claimants, state agencies, and insurers for the purpose of resolving claims.. Uses investigative skills and knowledge to complete liability investigations, evaluates settlement values and negotiates claims resolution. Knowledge of the Unfair Claims Settlement Practices Act, Alaska Statutes, and general investigative and claims handling skills will allow you success in this role. Works independently under the supervision of the Risk Manager. Our Organization, Mission, and Culture Our mission is to protect the financial assets and operations of the State of Alaska from accidental loss through a...

This Individual Position is Exempt from the Hiring Freeze. Qualified Applicants are Encouraged To Apply. Welcome to the Department of Health! We’d be delighted to have you join our team. If you envision yourself in this role and are ready to start an exciting career with us, apply today! This position is open to Alaskan Residents only. Please check out the residency definition to determine if you qualify. We invite you to watch our "Welcome to DPA" video here: https://vimeo.com/1023052645?share=copy What You Will Be Doing The Eligibility Technician 1s (ET 1s) are the backbone of the division, as the first point of contact for clients across the state of Alaska. In this position, you will assist the public in ensuring applications are routed correctly and timely to meet Alaskans' emergent needs. Mission And Values/Culture The Division of Public Assistance is committed to promoting self-sufficiency and providing basic living expenses to Alaskans...

This position is open to Alaska Residents only. Please check our residency definition to determine if you qualify. What You Will Be Doing Primary administrator and adjudicator for General Liability and Property loss claims and is oversight supervisor for Tort claims handled by the Assistant Attorney’s General (AAG) working in the Department of Law. Communicates with potential claimants, state agencies, and insurers for the purpose of resolving claims.. Uses investigative skills and knowledge to complete liability investigations, evaluates settlement values and negotiates claims resolution. Knowledge of the Unfair Claims Settlement Practices Act, Alaska Statutes, and general investigative and claims handling skills will allow you success in this role. Works independently under the supervision of the Risk Manager. Our Organization, Mission, and Culture Our mission is to protect the financial assets and operations of the State of Alaska from accidental...

Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. Job Overview We are currently seeking a dynamic, highly motivated, and experienced individual for the position of Sales Account Manager, Oncology. In this field-based role, the Prostate Cancer Sales Specialist will focus on achieving sales goals in their assigned geographic territory. This role serves the Greater Sacramento area and the successful candidate must live within territory. This individual will...

The Manager, Manufacturing Product Quality (Small molecule) is responsible for ensuring GMP compliance in the manufacturing packaging, labeling, and distribution of commercial and clinical trial materials across global operations. This role supports the oversight of manufacturing and packaging activities performed internally and at external vendors, ensuring that quality standards are met and regulatory requirements are maintained throughout the commercial and clinical supply chains. The manager will collaborate with cross-functional teams including Clinical Operations, Regulatory Affairs, and Supply Chain to ensure the integrity and traceability of investigational products from manufacturing and packaging through delivery. Key Responsibilities Oversee manufacturing of commercial and clinical products at contract manufacturers to ensure compliance with GMP, and applicable global regulatory requirements. Performs batch record review and quality release...

Brice Pacific, LLC Regular Why choose us? As a proud subsidiary of Calista Brice, we're part of a family of 20+ companies tackling tough construction, environmental, and technical challenges. Working at a Calista Brice company means joining a team where cultural values and practical innovation come together to create meaningful impact. You'll experience the stability of a large organization while enjoying the tight-knit community and entrepreneurial spirit of a smaller company, with opportunities to grow your career across our diverse family of businesses. Calista Brice is owned by Calista Corporation, an Alaska Native Corporation (ANC) established under the Alaska Native Claims Settlement Act of 1971. ANCs were created to support economic development and self-determination for Alaska's Indigenous peoples. Our work directly contributes to advancing the social, cultural, and economic welfare of over 35,000 Alaska Natives in the Calista Region. What does Brice Pacific...

At Otsuka our mission is to create new products for better health worldwide. Our purpose is to defy limitation so that others can too. In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work cross-functionally across various departments to support implementation of the S&OP (Sales & Operations Planning) process. You will assist in managing a complex portfolio of products with competing priorities that include balancing inventory, managing vendor / supplier relationships, optimizing total delivered cost to meet finished goods demand with focus on delivering value to our patients, our suppliers, and to Otsuka. You will create an environment for proactive communications with cross functional collaborators that will help ensure both internal and external customer demands are consistently met with no laps in supply and availability of products to our patients. Additional facets of the role include coordinating purchase requisitions in the...

The Retail Service Specialist will support the Store Manager and Assistant Managers in areas of sales, customer service, store appearance, and store operations. This position will also assume shift management responsibilities in the absence of Assistant or Store Manager. Bilingual candidates encouraged to apply. ESSENTIAL JOB FUNCTIONS Lead store team members in providing excellent customer service to retail and professional customers. Supervise the customer service levels on the retail showroom to include team member execution on customer service programs (Related sales, Hi5, Rock the Call, Never Say No, Rock the Lot, etc…) Ensure telephone is answered according to company policy. Ensure all buy online/ship to store, hub and store to store transfers, and DC add orders are processed in a timely manner and customers are contacted upon shipment arrivals as needed. Ensure special orders and outside purchases are handled efficiently and according to procedure,...

Company Description At Western Digital, our vision is to power global innovation and push the boundaries of technology to make what you thought was once impossible, possible. At our core, Western Digital is a company of problem solvers. People achieve extraordinary things given the right technology. For decades, we've been doing just that. Our technology helped people put a man on the moon. We are a key partner to some of the largest and highest growth organizations in the world. From energizing the most competitive gaming platforms, to enabling systems to make cities safer and cars smarter and more connected, to powering the data centers behind many of the world's biggest companies and public cloud, Western Digital is fueling a brighter, smarter future. Binge-watch any shows, use social media or shop online lately? You'll find Western Digital supporting the storage infrastructure behind many of these platforms. And, that flash memory card that captures and preserves...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Our Performance Suite Analytics team offers candidates the opportunity to support the evolution of value-based care across all lines of business by collaborating directly with our...

Become a part of our caring community and help us put health first The Grievances & Appeals Representative 2 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request is warranted and then delivers final determination based on trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The Grievances & Appeals Representative 2 assists members, via phone or face to face, further/support quality related goals. Investigates and resolves member and practitioner issues. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work...

Summary This is a Direct-Hire advertisement. Veterans preference is not applicable to this advertisement. Learn more about this authority at: DHA Explore a new career with the BLM - where our people are our most precious resource. This position is located in Fairbanks, AK. Information about the surrounding area may be found by clicking on the location name listed. We expect to fill 4 vacancies at this time; however, additional positions may be filled from this announcement if they become available. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants. Clarification from the agency All U.S. Citizens - No previous federal service is required. This position is being advertised under an OPM government-wide Direct Hire authority. CTAP...

Summary The Vocational Rehabilitation Specialist (VRS) position is located within the Veteran Readiness and Employment (VR&E) program. The VRS is responsible for the provision, supervision, and coordination of the rehabilitation services for Veterans or service members participating in various programs. The VRS is the coordinator of services and liaison between the service providers and the Department of Veterans Affairs. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency All U.S. Citizens. If selected, if the applicants choose a location outside of their commuting area (50 miles or less), they will be responsible for relocation expenses. This position is not remote or virtual. Duties Provide case management services including coordination of all rehabilitation services, employment services, documentation of progress and adjustment, and maintenance of case...

Job Description Fusion Data Intelligence Content Development aims to enable customers to fully leverage their data by offering top-tier out-of-the-box content as well as a very flexible customization framework. Within this organization, our team includes experts of Oracle Analytics and Fusion Data Intelligence committed to troubleshooting customer incidents. We analyze and mitigate production incidents raised to the development team, take a step back to see the overall picture, propose enhancements to the product and incident management process to Reduce the number of incidents Reduce the time to resolution Improve customers capabilities to avoid the issue or find solutions themselves Improve application performance The candidate will collaborate with multiple Oracle development teams as well as Oracle Support. We have a minimum bar for this role to either have or gain security clearance for US Government work. Clearance is a requirement for...

Division of Banking and Securities is recruiting for a Financial Examiner 1/2 Flex positions to join our team. As a Financial Examiner 1 (FE 1), You Will: Review filings by Alaska Native Claims Settlement Act (ANCSA) corporations and shareholders, analyze requests for investigation, and draft enforcement orders with the assistance of a senior examiner. Maintain the ANCSA filing database and assist with public inquiries regarding the database. Learn examination concepts and skills through on-the-job training and formal classroom instruction offered by regulatory agencies/organizations. The position will, under direction of a senior examiner, assist in conducting securities examinations of broker-dealer branches and investment adviser firms, but may conduct examinations of other types of financial institutions as well, and may be required to respond to inquiries from the public and conduct investigations regarding alleged violations in other areas regulated by the...

Summary Vocational Rehabilitation Counselors (VRCs) provide and coordinate a wide range of rehabilitation, counseling, and case management services to disabled veterans and other eligible individuals. The primary emphasis of the Chapter 31 Vocational Rehabilitation Program is to assist Veterans with service-connected disabilities to prepare for, find, and sustain employment. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency All U.S. Citizens. If selected, if the applicants choose a location outside of their commuting area (50 miles or less), they will be responsible for relocation expenses. This position is not remote nor virtual. Duties Perform initial rehabilitation evaluations, entitlement assessments, rehabilitation planning, problem-solving, and adjustment counseling. Provide case management, including the coordination of all rehabilitation services,...

Summary This is a Direct-Hire advertisement. Veterans preference is not applicable to this advertisement. Learn more about this authority at: DHA Explore a new career with the BLM - where our people are our most precious resource. This position is located in Fairbanks, AK. Information about the surrounding area may be found by clicking on the location name listed. We expect to fill 4 vacancies at this time; however, additional positions may be filled from this announcement if they become available. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Career transition (CTAP, ICTAP, RPL) Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants. Clarification from the agency All U.S. Citizens - No previous federal service is required. This position is being advertised under an OPM government-wide Direct Hire authority. CTAP...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions....

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions....

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions....

Brice Marine LLC Regular JOB SUMMARY: The Port Captain position acts as the direct liaison between the boat crews and upper management. The Port Captain coordinates vessel procedures including normal operation and works with other office departments investigating marine incidents. This position is responsible for enforcing company policy through leadership and direction and facilitates information and good company relations with outside vendors and customers. ESSENTIAL FUNCTIONS: Oversee daily operations including traffic information, cargo loading/discharge, fuel/lube/supply requirements, etc. Advise and address crew assignments and personnel issues. Act as a direct conduit between operations, marketing, maintenance, personnel and dispatch. Work with the Human Resource Department to ensure proper crew member allocation to vessel assignments. Responsible for implementation and enforcement of company procedures and policies. Coordinate and investigate...