Claims Manager Jobs in Missouri

349 jobs

Responsible for regionally Risk and Claims Management activities which include, but may not be limited to, management of events with harm, identification and management of potentially compensable events (PCEs) including write-offs, determination of waived billing, and other related discounted services to patient/family per Mercy Policy. The Risk and Claims Manager works with Legal, Risk, Quality, ...

At Gallagher Bassett (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000 companies thro...

At Gallagher Bassett (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000 companies thro...

At Gallagher Bassett Services, Inc. (GB) we are constantly seeking skilled professionals who are up for a challenge and take exceptional performance to heart. The professionals we hire help us maintain our reputation as one of the most progressive property/casualty third party claims service organizations in our industry and throughout the world. Gallagher Bassett provides services to Fortune 1000...

Join Accenture and help transform leading organizations and communities around the world. The sheer scale of our capabilities and client engagements and the way we collaborate, operate and deliver value provides an unparalleled opportunity to grow and advance. Choose Accenture, and make delivering innovative work part of your extraordinary career. People in our Client Delivery & Operations career...

Advance your career with the company that makes it easier for people to choose better health. Express Scripts is a leading healthcare company serving tens of millions of consumers. We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes. Join the company that Fortune magazine ranked as one of the "Most...

Schedule: Full-time Job ID: 150003WF JOB SUMMARY: • Provide leadership and management to supervisory staff of Manual Claims teams primary in the Commercial, Pharmacy and Workers’ Compensation lines of business • Provide leadership for special operational projects within Manual Claims including six sigma/efficiency initiatives, systems enhancements and upgrades. • Partner collaboratively with A...

Who we are: Headquartered in Fenton, Missouri, a suburb of St. Louis, Vanliner Insurance Company is a subsidiary of National Interstate Insurance Company (NASDAQ: NATL) and a leading provider of transportation insurance. We’ve been providing customized insurance products to the moving and storage industry since 1978. Our success is driven by the expertise, innovation and commitment to customer se...

Position Purpose: Oversee the operation of the Contract Implementation Analyst and Claims Liaison teams Oversee the claims operation function, including contracting and configuration Monitor staff performance to identify any process or quality gaps and develop/implement business solutions to correct issues Provide management with necessary data to expedite resolution of claims issues and suppor...

FastPath Claims Manager( Job Number: 306252) Description ACE Group is one of the world’s largest multiline property and casualty insurers. With operations in 54 countries, ACE provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. ACE Limited, the parent company of ACE ...

This job is responsible for assisting the Manager in overseeing the daily management for the Dental Benefit Center. This position supervises the daily workflow of calls/ claims for the employees within their team. Works under the direction of the Manager to ensure all claim/call goals. This position is responsible for ensuring staff meet criteria of company, department and service strategy. Prima...

SUPV, DENTAL CLAIMS-42864 Description This job is responsible for assisting the Manager in overseeing the daily management for the Dental Benefit Center. This position supervises the daily workflow of calls/ claims for the employees within their team. Works under the direction of the Manager to ensure all claim/call goals. This position is responsible for ensuring staff meet criteria of company,...

Description This job is responsible for assisting the Manager in overseeing the daily management for the Dental Benefit Center. This position supervises the daily workflow of calls/ claims for the employees within their team. Works under the direction of the Manager to ensure all claim/call goals. This position is responsible for ensuring staff meet criteria of company, department and service str...

Job Summary Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management. Conducts coverage investigation and analysis, outside liability investigation and analysis, evaluation of bodily injury and property damage claim...

This position is responsible for completing accounts receivable audit activities for the central business office (CBO). The Claims Review Specialist (STL) services all accounts receivable activities and reports to the Manager – Claims Processing and Billing (STL). Requires High School diploma or equivalent, one year experience and type 35 words per minute....

This position is responsible for providing leadership and supervising staff and daily operations of the HBP third party follow-up and claims processing functions for professional fee services within the SSM Tri-State area. The supervisor services all non-Wisconsin accounts and reports directly to the Manager – HBP Claims processing and 3 rd Party Collections, Tri-State CBO. Minimum Professional E...

DESCRIPTION/RESPONSIBILITIES: Summary:The Unemployment Claim Specialist functions as the state expert for screening claims and responding to state documents for our clients.This position acts as a liaison between our customers and state unemployment agencies and is responsible for analyzing and responding to claim-related documents within pre-determined time limits.Essential Duties and Responsibi...

General Information Location ST. LOUIS, MO Employee Type Non-Exempt Industry Customer Service, Construction, Restoration Required Degree High School Manage Others No Contact Information Name Annmarie Hart Phone 314-884-6627 Email ***** Description ESSENTIAL FUNCTIONS Assist in general office duties associated with the Administration and Customer Service departments Take incomin...

JOB SUMMARY: Review and document overage, shortage and damage intents. Determine if intents are valid or invalid claims. Communicate claim decisions to customers and vendors and negotiate claim resolutions. ESSENTIAL JOB FUNCTIONS: Enter incidents, notice of intent and cargo claims into claims database Analyze information from customers, shippers, consignees and carriers relating to cargo loss i...

This position performs various audits by reviewing medical record documentation and patient bills; resolves inquiries and settles accounts. Assumes responsibility for contacting various departments to facilitate change to improve revenue cycle. Also responsible for performing job duties in accordance with the values of the SSM Health Care System and principles of CQI. The Clinical Review Specialis...