Talent.com
No longer accepting applications
Claims Resolution Manager

Claims Resolution Manager

VirtualVocationsSanta Clara, California, United States
30+ days ago
Job type
  • Full-time
Job description

A company is looking for a Senior Resolution Manager to manage claims and provide exceptional service to clients and claimants.

Key Responsibilities

Analyze claims exposure and litigation to determine the appropriate course of action for resolution

Engage with various parties involved in the claims process to ensure effective communication and resolution

Document and communicate claim activity in a timely manner to support claim outcomes

Required Qualifications

High School Diploma

Minimum of 5 years related claims experience

Active Adjusters' licenses in applicable states

Knowledge of industry standards and practices

Computer experience with claims and business software

Create a job alert for this search

Claim Manager • Santa Clara, California, United States

Related jobs
  • Promoted
Claims Director

Claims Director

Central California Alliance for HealthSanta Cruz, CA, United States
Full-time +1
Join Us in Strengthening Care in Our Communities! Bring your vision and innovation to claims processing and help transform care for over 400,000 neighbors in five counties.We welcome applicants fro...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Claims Technician I (Temporary)

Claims Technician I (Temporary)

Central California Alliance for HealthScotts Valley, CA, United States
Full-time +2
This is a temporary position and the length of the assignment is estimated to go through 2026.The length of the assignment is always dependent on business need and dates may change.While the assign...Show moreLast updated: 4 hours ago
  • Promoted
Claims Specialist

Claims Specialist

LHHSan Francisco, CA, US
Full-time
Claims Processor | Leading Healthcare Administration Firm.This role is ideal for someone with experience in healthcare billing or financial services who enjoys detailed work and wants to grow withi...Show moreLast updated: 4 days ago
  • Promoted
Claims Director

Claims Director

Central California Alliance for Health (Remote)Santa Cruz, CA, US
Full-time +1
Join us in strengthening care in our communities! Bring your vision and innovation to claims processing and help transform care for over 400,000 neighbors in five counties.We welcome applicants fro...Show moreLast updated: 30+ days ago
  • Promoted
Claims Examiner-Fremont, CA

Claims Examiner-Fremont, CA

StaffingFremont, CA, US
Full-time
Claims Examiner-Workers Compensation.Location : Fremont, CA Duration : 4 Months Visa : GC or USC.Major Duties and Responsibilities : Duties include but are not limited to : Under limited supervision, re...Show moreLast updated: 3 days ago
  • Promoted
Risk Manager - Insurance and Claims Management 100 Montgomery Street, Suite 2000, San Francisco[...]

Risk Manager - Insurance and Claims Management 100 Montgomery Street, Suite 2000, San Francisco[...]

EPIC Insurance Brokers & ConsultantsSan Francisco, CA, United States
Full-time
Risk Manager - Insurance and Claims Management (Construction & Development).Location : HYBRID – ideally 3 days per week in one of : Chicago, IL. Dallas, TX; New York City, NY; or San Francisco, CA.EP...Show moreLast updated: 22 days ago
  • Promoted
Senior Associate, Scheduling / Claims

Senior Associate, Scheduling / Claims

SwinertonSan Francisco, CA, US
Full-time
Consult with project teams to review and analyze entitlement positions with regards to schedule delays, productivity impacts, and review subcontractor claim positions, as well as develop schedules ...Show moreLast updated: 30+ days ago
  • Promoted
Supervisor, Claims Processing

Supervisor, Claims Processing

San Francisco Health PlanSan Francisco, CA, United States
Full-time
Reporting to the Director of Claims, the Supervisor, Claims Processing organizes and supervises the work of Claims staff and leads daily operations according to industry and SFHP standards.The Supe...Show moreLast updated: 30+ days ago
  • Promoted
Claims Adjuster-Fremont, CA

Claims Adjuster-Fremont, CA

StaffingFremont, CA, US
Full-time
Summary : The main function of a Claims Adjuster is to investigate, analyze, and determine the extent of insurance company's liability to determine how much compensation is needed / required.Job Respo...Show moreLast updated: 30+ days ago
  • Promoted
Claims Representative II

Claims Representative II

SoleraSan Jose, CA, US
Full-time
Claims Admin Support II - Virtual US.Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience....Show moreLast updated: 30+ days ago
  • Promoted
Risk Manager - Insurance and Claims Management

Risk Manager - Insurance and Claims Management

EPIC Insurance Brokers & ConsultantsSan Francisco, CA, United States
Full-time
Risk Manager - Insurance and Claims Management.This is an exciting opportunity to be a fully dedicated Risk Management resource to DWS Group / RREEF America LLC ("RREEF") via EPIC.RREEF is a real e...Show moreLast updated: 26 days ago
  • Promoted
Claims Specialist - Crop

Claims Specialist - Crop

QBE InsuranceSan Francisco, CA, US
Full-time +1
At QBE, we are always looking to connect with top talent for current vacancies as well as for future opportunities.It is our aim to continuously build a strong candidate pipeline across all our bu...Show moreLast updated: 30+ days ago
  • Promoted
Scheduling / Claims Associate

Scheduling / Claims Associate

SwinertonSan Francisco, CA, US
Full-time
Job Description Summary : Consult with Project Teams to review and analyze entitlement positions with regards to schedule delays, productivity impacts, and review subcontractor claim positions, as w...Show moreLast updated: 30+ days ago
  • Promoted
Claim Specialist - Property Field Inspection

Claim Specialist - Property Field Inspection

State FarmOakland, CA, United States
Full-time
US-CA-Oakland;US-CA-Antioch;US-CA-Brentwood;US-CA-Concord;US-CA-Walnut Creek;US-CA-Pleasant Hill;US-CA-Crockett;US-CA-Hayward. US-CA-Martinez;US-CA-Oakley;US-CA-Pittsburg;.Being good neighbors - hel...Show moreLast updated: 22 days ago
  • Promoted
Risk Manager - Insurance and Claims Management

Risk Manager - Insurance and Claims Management

EPIC BrokersSan Francisco, CA, United States
Full-time
Risk Manager - Insurance and Claims Management (Construction & Development) role at EPIC Insurance Brokers & Consultants. Headquartered in San Francisco and founded in 2007, EPIC has over 3,000 empl...Show moreLast updated: 28 days ago
  • Promoted
Full Risk Claims Specialist - Remote (Multiple Positions) - 25-171

Full Risk Claims Specialist - Remote (Multiple Positions) - 25-171

Hill Physicians Medical GroupSan Ramon, CA, US
Remote
Full-time
At Hill Physicians Medical Group, we're shaping the healthcare of the future : actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our me...Show moreLast updated: 30+ days ago
  • Promoted
Regional Closing Manager

Regional Closing Manager

City National BankSan Francisco, CA, United States
Full-time
The Regional Closing Manager (RCM) is the leader in the closing of the deal and a key member of the client team.They will coordinate due diligence activities within Loan Administration and will dir...Show moreLast updated: 30+ days ago
  • Promoted
Full Risk Claims Specialist - Remote (Multiple Positions) - 25-172

Full Risk Claims Specialist - Remote (Multiple Positions) - 25-172

Hill Physicians Medical GroupSan Ramon, CA, US
Remote
Full-time
We're delighted you're considering joining us! At Hill Physicians Medical Group, we're shaping the healthcare of the future : actively managed care that prevents disease, supports those with chronic...Show moreLast updated: 5 days ago
  • Promoted
Claims Manager-Construction

Claims Manager-Construction

Mountain Cascade,Inc.Livermore, CA, US
Full-time
We are seeking an experienced Senior Construction Claims Manager to lead the preparation, analysis, and negotiation of construction claims, change orders, and disputes. This role is critical in prot...Show moreLast updated: 1 day ago
  • Promoted
Provider Dispute Resolution Specialist

Provider Dispute Resolution Specialist

North East Medical ServicesBurlingame, CA, United States
Full-time
The MSO department seeks a PDR Specialist with strong verbal and written communication skills to handle provider disputes and appeals related to claims payments. This role involves researching, eval...Show moreLast updated: 23 days ago