insurance claims supervisor

Interactive Insurance Brokers LLC

An insurance brokerage firm in Dubai is seeking a Claims Operations Supervisor for Pet Insurance to manage claims processing and oversee departmental operations. The ideal candidate will have veterinary clinic experience, excellent communication skills, and a strong customer service orientation. Responsibilities include educating pet owners, managing the claims process, and training sales teams on pet insurance products.

Pet Insurance Claims Operations Leader - Dubai

GEICO

<div>At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers&rsquo; expectations while making a real impact for our company through our shared purpose.
When you join our company, we want you to feel valued, supported and proud to work here. That&rsquo;s why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers.
Manages unit of assigned FPM Litigation Supervisors. Responsible for workflow, administration, developing employee technical skills, and evaluating performance of FPM Supervisors. Provides high-level technical advice and supervision on litigated cases.
We offer a flexible work environment that requires an individual to be in the office 4 days per week.
Role Responsibilities:<ul><li>
Manages a team of claims professionals who handle PIP billing for treatment arising out Auto insurance.</li><li>
Manages workflow and ensures quality control.</li><li>
Reviews case authority and reserves on claims.</li><li>
Accountable for reviewing, auditing, and approving legal expenses and fees.</li><li>
Responsible for hiring, employee development, performance evaluation, counseling, and all manager related administrative functions.</li><li>
Responsible for ensuring claim documentation records are current and complete across the team.</li><li>
Ensures that all policies and procedures, including compliance, regulatory, performance and customer service standards are met or exceeded.</li><li>
Within authority limit, independently analyzes, and helps support, investigate, negotiate and resolve claims/litigation.</li><li>
Builds and oversees a team of employees for assigned functional area through ongoing execution of recruiting, development, retention, coaching and support, performance management, and managerial activities.</li><li>
Accountable to deliver on department goals.</li><li>
Collaborates with counsel on litigation if necessary.</li></ul>
Minimum Qualifications:<ul><li>
Claims supervisor experience required</li><li>
Bachelor's degree; OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.</li><li>
Demonstrated ability to drive results.</li><li>
Excellent verbal and written communication skills.</li></ul>
Preferred Qualifications:<ul><li>
2+ years of PIP/MP claims handling experience and/or experience handling complex litigation claims preferred</li></ul> 
Annual Salary
$101,475.00 - $189,625.00
The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate&rsquo;s work experience, education and training, the work location as well as market and business considerations. 

At this time, GEICO will not sponsor a new applicant for employment authorization for this position. 
The GEICO Pledge:
Great Company: At GEICO, we help our customers through life&rsquo;s twists and turns. Our mission is to protect people when they need it most and we&rsquo;re constantly evolving to stay ahead of their needs.
We&rsquo;re an iconic brand that thrives on innovation, exceeding our customers&rsquo; expectations and enabling our collective success. From day one, you&rsquo;ll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people&rsquo;s lives.
Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career &ndash; and your potential &ndash; in mind. You&rsquo;ll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels.
Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose.
As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers.
Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future.<ul><li>
Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family&rsquo;s overall well-being.</li><li>
Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance.</li><li>
Access to additional benefits like mental healthcare as well as fertility and adoption assistance.</li><li>
Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year.</li></ul>
The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.</div>

FPM Litigation Manager

Mace

<div>
 Mace combines construction expertise with consultancy to unlock potential in every person or project and redefine the boundaries of ambition. Our values shape the way we consult and define the people we want to join us on our journey.
 
 
 
 The Project
 
 
 
 This is a unique opportunity to contribute to the successful delivery of world-class assets supporting major sporting events, including the development of multiple stadiums. Mace is at the forefront of this landmark program with a highly motivated client organisation and seeks results-driven professionals to join our exceptional teams, driving excellence at every stage of these high-profile projects.
 
 
 
 You&rsquo;ll Be Responsible For
 
 
 
 <ul>
 <li>
 Directs preparation of the contract documents, warranties, bonds and licenses to achieve formal execution by appropriate parties.
 </li>
 <li>
 Manages a large team (or several terms) of direct reports, driving the appropriate behaviours to achieve success &amp; key performance indicators (KPIs), including a continuous improvement culture.
 </li>
 <li>
 Drives measurement of valuations to ensure cost control and reporting services are enforced.
 </li>
 <li>
 Directs the production of monthly post-contract cost reports and presenting them to the client.
 </li>
 <li>
 Proactively identifies costing associated with design changes, contract awards, construction activities and client charges.
 </li>
 <li>
 Oversees the evaluation of claims for delay and additional costs made by the contractor and any nominated subcontractors/suppliers.
 </li>
 <li>
 Directs issuing of certificates of practical completion to ensure final sign off on accounts.
 </li>
 <li>
 Advises on issue of certificate of making good defects and final completion in accordance with completion, submissions and approval requirements.
 </li>
 <li>
 Leads Cost Consultants to identify and execute opportunities that improve cost management procedures, templates and products to enhance services provided to stakeholders.
 </li>
 <li>
 Delivers continuous improvements in processes through application of best practices and lessons learned. Drives transformational change.
 </li>
 <li>
 Works collaboratively towards the common goal of net zero carbon transition and share responsibility for the proactive identification and management of the associated carbon emissions and reductions during the delivery of work.
 
 
 </li>
 </ul>
 
 You&rsquo;ll Need To Have
 
 
 
 <ul>
 <li>
 Degree qualification in the relevant subject essential.
 </li>
 <li>
 15+ years postgraduate professional experience is essential.
 </li>
 <li>
 Stadium, Events or Sports venue experience is an advantage.
 </li>
 <li>
 Chartered or professional membership is an advantage.
 
 
 </li>
 </ul>
 
 Our values
 
 
 
 
 Safety first - Going home safe and well:
 
 You will champion a safe, diverse and inclusive working environment, understanding the importance of wellbeing in your team and local health and safety rules or regulations of the work you&rsquo;re involved with.
 
 
 
 Client focus - Deliver on our promise:
 
 You will lead on the cost management services including estimating, procurement and cost planning, owning the quality of deliverables, strategic outcomes and building long term relationships with your clients.
 
 
 
 Integrity - Always do the right thing:
 
 You will lead operations that are fiscally and ethically viable, influencing the achievement of business objectives that align with business and legislative compliance obligations.
 
 
 
 Create opportunity - For our people to excel:
 
 You will mentor, coach, and develop teams, demonstrating effective leadership to ensure excellence in delivery against plans, championing a continuous improvement culture throughout all activities.
 
 
 Mace is an inclusive employer and welcomes interest from a diverse range of candidates. Even if you feel you do not fulfil all the criteria, please apply as you may still be the best candidate for this role or another role within our organisation.
 
 
</div>

Associate Director - Claims

NeighborHealth

<div><div>Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!
As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.</div><div>
Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly &mdash; every role at NeighborHealth is vital. Together, we&rsquo;re advancing medicine and delivering the best care experience for our patients and community!</div><div><div><div>
Interested in this position? Apply online and create a personal candidate account!</div></div></div>
Current Employees of NeighborHealth- Please use our internal careers portal to apply for positions.
To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page.
Time Type:
Full time
Department:
PACE Health Plan Management
All Locations:
300 Ocean Avenue &ndash; Revere
Position Summary:
Position Summary:
 
The Claims Analyst, under the direction of the Manager of PACE Claims, is responsible for the overall claims adjudication and insurance validation process. This includes:<div>
Claims Department: 
<ul><li>Maintaining up-to-date knowledge of fee schedules for both Medicare and MassHealth.</li><li>Ensuring the fee schedules are updated and are priced correctly in the Tapestry module.</li><li>Auditing adjudicated claims to ensure payments are made in accordance with their contracts.</li><li>Analyzing claims data to ensure accruals are reported to Finance in a timely and accurate manner.</li><li>Ensuring accuracy of claims-related cost reports.</li><li>Analyzing claims data for trends (e.g., referral matching).</li><li>Reporting any findings to PACE leadership.</li><li>Coordinating with IT to enhance and refine the claims adjudication process.</li><li>Coordinating with the Manager of PACE Claims to proactively review referrals and claims-related data in an effort to provide utilization reports to other departments.</li></ul></div><div>
Insurance Department: 
<ul><li>Must maintain up-to-date knowledge of Coordination of Benefits.</li><li>In conjunction with the Supervisor of Business Services, responsible for assisting with and developing workflows to maintain overall compliance of the Insurance Department.</li></ul></div>
Schedule: Monday - Friday 8:00am - 5:00pm
Insurance Department<ul><li>
Serves as the department Medicare expert. This includes auditing enrollment files to ensure compliance with the Part D requirements: EOBs, COB follow-up is completed timely and accurately, as well as documentation in EPIC regarding MSP surveys and TrOOP.</li><li>
Ensures primary insurance coverage is documented in EPIC and that insurance billing is appropriate.</li><li>
Responsible for the timely completion and documentation of CMS Part D reports: COB, MSP.</li><li>
Serves as back-up for Business Services Supervisor.</li></ul>
Expense Management/Claims<ul><li>
Monitors monthly expense reports to ensure that all expenses are correctly categorized and reported.</li><li>
Oversees the referral authorization process as it relates to timely and accurate claims payment and improvements to utilization management.</li><li>
Responsible for maintaining up-to-date knowledge of fee schedules and works with IT to ensure timely upload into Tapestry.</li><li>
Coordinates with the Manager of PACE Claims in an effort to improve the processes to manage claims payment and expenses based on trends analysis.</li><li>
Acts as the department claims expert regarding adjudication.</li><li>
Audits claims work queues to ensure timely and appropriate payment to vendors; suggests process improvements (e.g., referral matching table edits).</li><li>
Coordinates with Finance to ensure appropriate accruals on a monthly basis. Reviews IBNR data with Finance in an effort to ensure all claims are received.</li><li>
Works closely with the Contracts Department to review reimbursement.</li></ul>
Information Technology<ul><li>
Serves as a liaison with IT, specifically regarding Tapestry (fee schedule development, claims processing, referrals) and reports and workflows related to ESP (Elder Service Plan) Business Office processes.</li></ul>
Other Duties<ul><li>
Regularly reports to work on time and follows attendance and call-in procedures.</li><li>
Works cooperatively and respectfully with others at all levels of the organization.</li><li>
Takes the initiative to perform a wide variety of activities and be flexible in terms of work assignments based on operational needs, contributing to the smooth functioning of the department.</li><li>
Displays outstanding customer service skills when interacting with all NH customers according to the PACE model.</li><li>
Creates and/or revises policies and procedures, workflows, and guidelines, as appropriate, in any respective areas under the Business Office or as requested by Manager.</li><li>
Other duties as required.</li></ul>
PACE AND GENERAL REQUIREMENTS: KNOWLEDGE, SKILLS AND ATTITUDES (This section not applicable to initial assessment; all ESP employees and contractors attain these competencies through participation in PACE and TJC orientation programs.)<ul><li>
Demonstrates commitment to the PACE mission by actively promoting the autonomy and dignity of PACE program participants.</li><li>
Demonstrates commitment to a holistic approach to care by actively engaging in interdisciplinary team planning and communication processes.</li><li>
Demonstrates commitment to participant-centered care by actively engaging participants and/or Health Care Proxies in discussion about self-management goals.</li><li>
Understands ESP&rsquo;s organizational structure. Actively participates in NH programs and committees.</li><li>
Demonstrates the ability to communicate effectively and respectfully through verbal and written skills. Documents in accordance with protocol.</li><li>
Demonstrates knowledge of Participant Rights by:</li><li>
actively protecting rights to privacy;</li><li>
always treating participants with respect;</li><li>
encouraging and assisting participants in filing of complaints and grievances;</li><li>
helping to maintain a clean and safe environment;</li><li>
helping to ensure that restraint and involuntary seclusion are never used as a means of coercion, discipline, punishment, retaliation, or for the convenience of staff; and that those restraints, when required by extraordinary circumstance, are always applied and monitored in accordance with policy/procedure.</li><li>
Promotes a sense of &ldquo;teamwork&rdquo; through demonstration of self-direction and self-motivation. Solves problems independently or knows when to seek consultation. Provides leadership to other support staff on the practice team. Works cooperatively and respectfully with others at all levels of the organization.</li><li>
All ESP employees participate in the orientation, training, and mentoring of new employees and in providing input for continuous improvement.</li><li>
Displays outstanding customer service skills when interacting with ESP participants, family members, outside providers, potential ESP members, referral sources, or others.</li><li>
Interacts with participants in a professional and respectful manner that reflects the needs and concerns of the individual. Maintains a positive attitude. Uses communication devices appropriately.</li><li>
Demonstrates commitment to performance improvement by reporting incidents and other data used in ESP Performance Improvement activities, and by actively participating in one or more performance improvement committees or making a minimum of two suggestions for program or other improvements over the course of the year.</li><li>
Responsible for continued professional growth and development.</li></ul>
Pay Range: Starting at $26/hr up to $39/hr based on experience
EEO &amp; Accommodation Statement:
NeighborHealth is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to HRrecruit@NeighborHealth.com or call 617-568-4480 to let us know the nature of your request
Federal Trade Commission Statement: 
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or &ldquo;apps.&rdquo; Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
E-Verify Program Participation Statement:
NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.</div>

Analyst, Claims

Speak Viral

The Medical Billing Supervisor is responsible for overseeing and executing the end-to-end medical billing process, ensuring accuracy, compliance, and timeliness in claims submission, payment posting, and account reconciliation. This role requires strong analytical skills, attention to detail, and extensive knowledge of healthcare billing regulations and payer requirements. The Senior Executive will also mentor junior team members and collaborate with internal departments to optimize revenue cycle performance.Key Responsibilities:<ul><li>Preparing and submitting billing data and medical claims to insurance companies.</li><li>Ensuring the patient&rsquo;s medical information is accurate and up to date.</li><li>Preparing bills and invoices, and documenting amounts due for medical procedures and services.</li><li>Collecting and reviewing referrals and pre-authorizations.</li><li>Monitoring and recording late payments.</li><li>Following up on missed payments and resolving financial discrepancies.</li><li>Examining patient bills for accuracy and requesting any missing information.</li><li>Investigating and appealing denied claims.</li><li>Helping patients develop patient payment plans.</li><li>Maintaining billing software by updating rate change, cash spreadsheets, and current collection reports.</li></ul>Qualifications:<ul><li>Bachelor&rsquo;s degree in business, health care administration, accounting, or a relevant field.</li><li>A minimum of 4 years of experience as a medical biller or similar role.</li><li>Solid understanding of billing software and electronic medical records.</li><li>Must have the ability to multitask and manage time effectively.</li><li>Excellent written and verbal communication skills.</li><li>Outstanding problem-solving and organizational abilities.</li></ul>Job Type: Full-timePay: Rs60,000.00 - Rs100,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(7pm to 4am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

Medical Billing Supervisor

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