Browse Average Salary Ranges for Jobs in the Insurance Industry

Manages the grievance process to review, investigate, document, process, negotiate, and resolve disputed medical, insurance, and other claims. Oversees work activity that is compliant with all regulatory guidelines and policy protocols. Allocates team resources to ensure an effective and balanced case workload. Applies industry standards and uses best practices in the preparation of legal briefs. ... View job details

Conducts the medical review activities needed to resolve and process clinical appeals and claims. Reviews applicable medical records and assesses clinical data to investigate and resolve disputes over the medical necessity for services, approvals, pre-certifications, or other cases. Understands and interprets applicable medical terminology, clinical procedures, regulations and policies. Documents ... View job details

Directs the overall grievance and appeal process operations that encompass the review, investigation, negotiation and processing of disputed medical, insurance, and other claims. Ensures that work activities are compliant with all regulatory guidelines and policy protocols. Allocates resources to ensure an effective and efficient case workload that achieves operational objectives. Provides expert ... View job details

Logs, tracks, and processes appeals and grievances. Sets up and maintains case files for each grievance and collects the information required by organizational policies and applicable regulations. Conducts research and coordination needed to evaluate, process, respond to, and refer or close appeals. May require an associate degree or equivalent. Typically reports to a supervisor. Works independent... View job details

Logs, tracks, and processes appeals and grievances. Sets up and maintains case files for each grievance and collects the information required by organizational policies and applicable regulations. Conducts research and coordination needed to evaluate, process, respond to, and refer or close appeals. May require an associate degree or equivalent. Typically reports to a supervisor. Works under moder... View job details

Supervises a team responsible for the processing of appeals. Assigns and prioritizes cases. Responds to and resolves escalated issues. Coaches and trains team in the utilization of industry standards and best practices. Requires a bachelor's degree. Typically reports to a manager. Supervises a small group of para-professional staff in an organization characterized by highly transactional or repeti... View job details

Directs all activities and develops policies and procedures related to the design, analysis, testing, coding, and implementation of applications. Enhances operations by establishing metrics, analyzing processes, and implementing standard methodologies, tools, and best practices to ensure high-quality deliverables. Oversees review of development proposals, projects, timelines, resources, and costs.... View job details

Manages teams and implements policies and procedures related to the design, analysis, testing, coding, and implementation of applications. Enhances operations by establishing metrics, analyzing processes, and implementing standard methodologies, tools, and best practices to ensure high-quality deliverables. Reviews development proposals, projects, timelines, resources, and costs. Leads feedback pr... View job details

Manages teams and implements policies and procedures related to the design, analysis, testing, coding, and implementation of applications. Enhances operations by establishing metrics, analyzing processes, and implementing standard methodologies, tools, and best practices to ensure high-quality deliverables. Reviews development proposals, projects, timelines, resources, and costs. Leads feedback pr... View job details

Supervises the teams and daily activities needed for the analysis, testing, coding, and implementation of applications. Monitors operational metrics and processes and implements standard methodologies, tools, and best practices to ensure high-quality deliverables. Supports multiple development projects with scheduling, planning, and resource allocation. Conducts feedback processes, including peer ... View job details