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Claims auditor Empleos en Raleigh nc

Última actualización: hace 1 día
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Director, Claims

Director, Claims

CuriRaleigh, NC, United States
A tiempo completo
Remote - covering NC, VA and PA.Curi is a full-service advisory firm that serves physicians and medical practices.Equal parts fierce physician advocates, smart business leaders, and thoughtful part...Mostrar másÚltima actualización: hace 9 días
  • Oferta promocionada
Claims Manager

Claims Manager

JobotCary, NC, US
100.000,00 US$–120.000,00 US$ anual
A tiempo completo
Hiring a Claims Manager for a growing insurance company!.This Jobot Job is hosted by : Brooke Mitchell.Are you a fit? Easy Apply now by clicking the "Apply Now" buttonand sending us your r...Mostrar másÚltima actualización: hace 9 días
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Internal Auditor

Internal Auditor

CiscoRaleigh, NC, United States
A tiempo completo
Members of the Finance organization at select locations will generally be expected to follow a hybrid work model, which includes two days of in-office attendance each week, with limited exceptions....Mostrar másÚltima actualización: hace 1 día
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AUDITOR / INVESTIGATOR

AUDITOR / INVESTIGATOR

North Carolina Real Estate CommissionRaleigh, NC, United States
A tiempo completo
Performs difficult and responsible work auditing and inspecting records of licensed real estate .Investigates cases related to the . Distinguishing Features of the Class.An employee in this class pe...Mostrar másÚltima actualización: hace 7 días
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Claims Assistant III

Claims Assistant III

North Carolina League of MunicipalitiesRaleigh, NC, US
A tiempo completo
The North Carolina League of Municipalities (NCLM) is seeking a Claims Assistant III.This position is part of the Claims Administration team. This role provides administrative support in the day-to-...Mostrar másÚltima actualización: hace 17 días
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Claims Representative, Auto

Claims Representative, Auto

SedgwickRaleigh, NC, United States
50.000,00 US$–60.000,00 US$ anual
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague.A career at Sedgwick means experiencing our culture of caring.It means having fle...Mostrar másÚltima actualización: hace más de 30 días
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Senior GCP Auditor

Senior GCP Auditor

ChiesiCary, NC, United States
A tiempo completo
Based in Parma, Italy, Chiesi is an international research-focused pharmaceuticals and healthcare group with over 85 years' experience, operating in 30 countries with more than 6,000 employees (Chi...Mostrar másÚltima actualización: hace 2 días
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Claims Specialist

Claims Specialist

James River Management CompanyRaleigh, NC, United States
A tiempo completo
Raleigh, NC, USA • Richmond, VA, USA • Scottsdale, AZ, USA • Virtual.Come grow with James River Insurance!.James River Insurance is an excess and surplus lines segment of James River Group Holdings...Mostrar másÚltima actualización: hace 2 días
Claims Manager

Claims Manager

jobbotCary, NC
100.000,00 US$–120.000,00 US$ anual
Commercial Insurance for small and medium sized businesses.We have been voted 4 years in a row by Great Place to Work and Fortune as one of the best places to work in the Financial Services & Insur...Mostrar másÚltima actualización: hace más de 30 días
Claims Facilitator

Claims Facilitator

Erie Insurance GroupCary, North Carolina, United States
A tiempo completo
This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location...Mostrar másÚltima actualización: hace 4 días
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Night Auditor

Night Auditor

Aimbridge HospitalityRaleigh, NC, United States
Join Our Team as a Night Auditor!.At Aimbridge Hospitality we deliver exceptional guest experiences.As a Night Auditor you'll ensure our guests have a seamless hotel stay.If you're a night owl with...Mostrar másÚltima actualización: hace 12 días
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Internal Auditor

Internal Auditor

Cisco Systems, Inc.Raleigh, NC, United States
A tiempo completo
Members of the Finance organization at select locations will generally be expected to follow a hybrid work model, which includes two days of in-office attendance each week, with limited exceptions....Mostrar másÚltima actualización: hace 3 días
  • Oferta promocionada
Inside Claims Representative

Inside Claims Representative

Erie InsuranceCary, NC, United States
44.055,00 US$–70.372,00 US$ anual
This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location...Mostrar másÚltima actualización: hace 8 días
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Senior IT Auditor

Senior IT Auditor

MetLifeCary, NC, United States
Internal Audit (IA) is an independent global organization that plays an important role in partnering with the business to ensure that management anticipates, recognizes, and appropriately manages r...Mostrar másÚltima actualización: hace 22 días
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Senior Auditor - Wealth

Senior Auditor - Wealth

First Citizens BankRaleigh, NC, United States
68.000,00 US$–117.000,00 US$ anual
A tiempo completo
This is a hybrid role (if located in Raleigh, NC) with the expectation that time working will regularly take place inside and outside of a company office. Open to remote in several markets for highl...Mostrar másÚltima actualización: hace 1 día
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Internal Auditor

Internal Auditor

Cornerstone Building BrandsCary, NC, US
A tiempo completo
Cornerstone Building Brands, Inc.Cornerstone”), is a holding company that owns subsidiaries engaged in the external building products industries (collectively, with its subsidiaries, “w...Mostrar másÚltima actualización: hace 11 días
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California Licensed Claims Auditor

California Licensed Claims Auditor

VirtualVocationsRaleigh, North Carolina, United States
A tiempo completo
A company is looking for a Claims Auditor (Managed Care) - Remote.Key ResponsibilitiesEnsure accuracy of claims processing in compliance with department policies and regulationsConduct detailed aud...Mostrar másÚltima actualización: hace 4 días
Claims / QC Auditor

Claims / QC Auditor

CHUBBRaleigh, NC, United States
Essential Job Duties and Responsibilities : .Performs claims auditing functions, including but not limited to : Opening claims, assigning claim numbers, entering claims data into computer, etc.Checkin...Mostrar másÚltima actualización: hace más de 30 días
Director, Claims

Director, Claims

CuriRaleigh, NC, United States
Hace 9 días
Tipo de contrato
  • A tiempo completo
Descripción del trabajo

Title

Director, Claims

Location

Remote - covering NC, VA and PA

About Us

Curi is a full-service advisory firm that serves physicians and medical practices. Equal parts fierce physician advocates, smart business leaders, and thoughtful partners, Curi's advisory, capital, and insurance offerings deliver valued advice that is grounded in client priorities and elevated by their outcomes. From data-driven advisory services to private wealth offerings to tailored medical malpractice insurance solutions and beyond, we deliver performance that is time-tested and trusted-in medicine, business, and life.

The Role

We are looking for a self-motivated individual with strong management skills to work on our team as a Director of Claims for North Carolina, Virginia and Pennsylvania. In this role, you will report to the Vice President of Claims and be responsible for the supervision of senior claims examiners and claims examiners, including, but not limited to, reviewing files, providing input on strategy for case handling and negotiating, attending Claims Review Committee meetings and various monthly manager meetings, providing input on employee development and succession planning.

Key Result Areas

  • Handle a reduced caseload of select cases
  • Audit files and provide guidance to staff consistent with best practices, claims handling, litigation, and billing guidelines
  • Analyze coverage issues and coordinate interaction with coverage counsel
  • Assure direct reports perform timely reserving of files
  • Assist direct reports with negotiation strategy
  • Attend and participate in Claims Review Committee meetings to provide strategy on claims file management
  • Monitor examiner caseloads to ensure adequate staffing
  • Complete performance reviews and provide feedback to direct reports regarding goals and performance at review time and when potential issues are identified
  • Up to 25% travel (some overnight) is anticipated for this position

Key Skills

  • Strong management skills
  • Proficiency in policy review and coverage analysis
  • Strong organizational skills and ability to manage multiple tasks simultaneously
  • Effective written and oral communication skill
  • Ability to think critically and resolve problems of varying complexity
  • Strong work ethic and self-motivated
  • Excellent customer service skills
  • Strong computer skills - experience with eOasis and OnBase is a plus.
  • Proficiency with Microsoft Office Suite
  • Alignment with Company's core values : accountability, curiosity, inclusivity, service heart and teamwork
  • Qualifications

  • Bachelor's Degree and / or JD with a minimum of 10 years of claims and / or medical malpractice defense experience
  • Must obtain applicable adjusters license(s) as required by state within three months of start date
  • Prior supervisory experience preferred
  • Benefits

    Curi offers eligible team members and their dependents comprehensive health benefits, including medical, dental, vision, and life insurance.Other benefits for eligible team members include education assistance, 401(k) and employer match, short-term disability, long-term disability, flexible time off, and 13 paid holidays annually.