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CLevelCrossing
Atlanta, GA, United States
u003cpu003eI am working with an exciting TPA insurance organization who are owned and backed by a well known top commercial carrier. u003c/pu003eu003cpu003eWe are looking for an AVP, Casualty to manage the entire casualty claims operation at the TPA. This would include the oversight and management of about a 60 person claims department. u003c/pu003
Job Source: CLevelCrossingHumana Inc.
Atlanta, GA, United States
Posted on May 12, 2021 Apply for this job your email: upload resume: Profile Description Seeking a nationally-renown health services researcher to lead Humana Healthcare Research (HHR). The goal of HHR is to conduct rigorous studies to guide the learning and dissemination of innovative clinical and payment interventions. As Humana pivots to deli
Job Source: Humana Inc.CLevelCrossing
Atlanta, GA, United States
u003cpu003eOliver James is working with a global insurance organisation that is looking to hire an u003cstrongu003eAVP of Workers Compensation Claimsu003c/strongu003e. This is a leadership role and you will be responsible for managing up to 5 workers compensation claims adjusters, to ensure team development and an excellent claims service at all ti
Job Source: CLevelCrossingZelis Healthcare
Atlanta, GA, United States
Position Overview At Zelis, the Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR product umbrella. This includes Itemized Bill Review, Clinical Chart Review, Dialysis Savings Solution and DRG Validation solutions. In this role, you will work as part of the Product team to
Job Source: Zelis HealthcareCigna Health and Life Insurance Company
Atlanta, GA, United States
AVP, Provider Contracting - Atlanta, GA market - Cigna Healthcare page is loaded AVP, Provider Contracting - Atlanta, GA market - Cigna Healthcare Apply remote type Hybrid locations Atlanta, GA time type Full time posted on Posted 30 Days Ago job requisition id 23018181 LOCATION: HYBRID position ali
Job Source: Cigna Health and Life Insurance CompanyCigna
Atlanta, GA, United States
LOCATION: HYBRID position aligned to the Atlanta, GA market. Must reside in Atlanta area. Will require a weekly schedule of several days per week working in Office or Local Travel to in-person meetings with Providers AND several days at Home The AVP, Provider Contract Network Management serves as an integral member of the Network Management & A
Job Source: CignaWellstar Cobb Hospital
Austell, GA, United States
ID: 60767843 Shift: day - 5x8 Description: Orientation hours are non-billable. Non-Billable Hours = 36Wellstar will not accept more than 3 days of RTOWorkday JR-16722Job Summary: The Surgical Technologist Certified functions under the direction of the registered professional nurse. Assists the health care team in providing safe, age appropriate a
Job Source: Wellstar Cobb HospitalWellStar Kennestone Hospital
Marietta, GA, United States
ID: 60998793 Shift: day - 5x8 Description: Orientation hours are non-billable. Non-Billable Hours = 36Wellstar will not accept more than 3 days of RTOJob Summary:Must be flexible with work hours to meet department needs. Must be dependable, accountable and cooperative. Assists with providing safe, age appropriate care to the patient by performing
Job Source: WellStar Kennestone HospitalAtlanta, GA, United States
Job Type:
Contractor
Build a brilliant future with Hiscox
The AVP, Team Manager - Allied Healthcare (AHC) is a first line manager responsible for assisting in the delivery of team objectives by developing, managing, and motivating engaged, high-performing claims professionals. This person combines excellent technical claims handling, people management, and leadership skills. AVP's provide managerial support, guidance and mentorship to their assigned team. This person also:
•Drives employee engagement, adjuster development, and team performance and growth
•Drives Key Performance Indicators and adherence to Hiscox USA Best Practices through managerial diary and file audits
•Reviews coverage analyses drafted by team, including denials
•Drives litigation management behaviors within assigned team
•Identifies and provides solutions for key issues and trends to senior claims management
•Allocates new incoming claims, reopened claims, and claims that may need transfer due to severity
•Acts as the escalation point for customer and broker complaints
•Assists VP in preparing and presenting reserve analysis and claims trends
•Takes an active role in the Claims/UW/Actuarial feedback loop
•Plays an active role in recruitment and on-boarding
Person specification:
The US Claims team at Hiscox is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox's strong brand built on a long history of outstanding claims handling.
•10+ years of claims handling experience. A JD from an ABA accredited law school may be considered as a supplement to claims handling experience
•5+ years of Professional Liability claims experience. Allied Healthcare (AHC) Professional Liability claims experience is a must.
•4+ years of Claims management experience
•Leadership and people management skills
•Expert knowledge of claims handling practices to include: coverage analysis, litigation management and negotiation
•Excellent analytical, critical thinking, verbal and written communication skills
•Strong rapport-building and relationship effectiveness skills
Additional Factors Considered:
•Subject matter expertise
•Demonstrated efforts to advance product innovation, improve claims processes and/or develop a greater understanding of other aspects of the business by training, interactions with external/internal shareholders or other relevant projects
•Technical leader with ability to respond to challenges that may arise when asked by direct reports or others inside and outside of the organization
What we offer
•Competitive salary and bonus (based on personal & company performance)
•401(k) with competitive company matching
•Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)
•Company paid group term life, short- term disability and long-term disability coverage
•24 Paid time off days plus 2 Hiscox days,10 paid holidays plus 1 paid floating holiday, and ability to purchase 5 PTO days
•Paid parental leave
•4 week paid sabbatical after every 5 years of service
•Financial Adoption Assistance and Medical Travel Reimbursement Programs
•Annual reimbursement up to $600 for health club membership or fees associated with any fitness program
•Company paid subscription to Headspace to support employees' mental health and wellbeing
•Recipient of 2021 Cigna's Well-Being Award for having a best-in-class health and wellness program
•Dynamic, creative and values-driven culture
•Modern and open office spaces, complimentary drinks
•Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation
Salary Overview
$145,000.00 - $170,000.00
#LI-MD1
Work with amazing people and be part of a unique culture
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Email Alert for AVP Claims - Allied Healthcare jobs in Atlanta, GA, United States
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