5 medical case manager i jobs found

The STD/Absence Claims Case Manager I (CM) is responsible for adjudicating and medically managing Short Term and Absence claims involving specific diagnoses or leave types that tend to resolve quickly. The CM will work with employers, employees, and health care providers to administer Short Term disability in conjunction with other paid or unpaid leaves covered by Guardian, including Family and Medical Leave Act (FMLA), State Paid Medical Leave, and/or State Paid Disability. The CM will manage the claim according to the plan provisions, state and federal guidelines, and established protocols. This role requires sound judgment, critical thinking, and problem-solving skills to work independently, interpret contract provisions, analyze medical and claim information, and administer benefits through the appropriate claim duration or return to work. The CM is responsible for meeting key service deliverables such as turnaround times, quality assurance, and overall customer experience....

Job Description At WSFS Bank, we empower our Associates to grow their careers, guide our customers to secure their financial futures, and actively support our Communities so they can fully thrive. Careers with WSFS Bank offer an inclusive and supportive culture, competitive salaries, advancement opportunities, and more. We are the region's locally headquartered bank and wealth management company. We are honored to consistently be named a Top Workplace by our Associates, who make a difference every day for the people, businesses, and Communities we serve. We Stand For Service® is more than part of our name, it’s our mission and our purpose. WSFS Bank's Personal Bankers will be responsible for providing products and services to enhance our Customer relationships. The incumbent will get to know their customers, understand and educate them regarding their financial needs, and recommend the appropriate products and services through in-person interactions and outbound calling...

The Senior   Clinical Consultant   will work in partnership with   Clinical and Vocational   Leaders to provide ongoing coaching and oversight to   Clinical Consultants   and   will serve as clinical subject matter expert in   all   lines of   business   (STD/LTD/ A ppeal s) and   products,   action planning management, and Guardian systems .    T his incumbent will have a strong clinical and client focus to   assist   in ensuring   the fair and   accurate   assessments of medically supported functional abilities .   They   will   assist   in cultivating talent and foster an environment of continuous learning.    They will promote organizational excellence by   demonstrating   leadership, problem-solving behaviors , and   viewing challenges as opportunities .    This individual   will work with the Clinical Team Manager to drive performance and ensure the team meets their goals.  They will...

Job Description At WSFS Bank, we empower our Associates to grow their careers, guide our customers to secure their financial futures, and actively support our Communities so they can fully thrive. Careers with WSFS Bank offer an inclusive and supportive culture, competitive salaries, advancement opportunities, and more. We are the region's locally headquartered bank and wealth management company. We are honored to consistently be named a Top Workplace by our Associates, who make a difference every day for the people, businesses, and Communities we serve. We Stand For Service® is more than part of our name, it’s our mission and our purpose. WSFS Bank is currently seeking a Commercial and Industrial (C&I) focused Senior Credit Officer. This role is responsible for ensuring that C&I loan underwriting is thorough, well-supported and of the highest quality. Utilizing the underwriting analysis as the foundation for credit decisions, the Senior Credit Officer exercises...

You have a clear vision of where your career can go. And we have the leadership to help you get there.  At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.  The Large Loss Director is a technical individual contributor responsible for the oversight, consultation, and resolution of the most complex and catastrophic workers' compensation claims. This individual contributor role provides company-wide influence and leadership in the interpretation of complex policy coverages, litigation management, reserving, claim resolution strategies, regulatory compliance, and large loss methodologies. Working closely with claims leadership, disposition consultants, legal services, customers, brokers, and business partners, the Large Loss Director drives superior claim outcomes, technical excellence, operational effectiveness, and profitable growth while serving...