- Principal Financial Group (Des Moines, IA)
- **What You'll Do** We're seeking an experienced Underwriting Consultant to join our Workplace Benefits Group Underwriting team. In this role, you'll assess risk at ... both case and block levels, underwriting or reviewing standard to complex group insurance cases to develop strategies that drive profitable growth across markets or… more
- Parexel (Jackson, MS)
- …Labeling Lead** to provide strategic leadership and operational oversight for complex global labeling initiatives. This role is integral to the development, ... Interpret clinical and scientific data to inform labeling content and product claims ; identify strategic risks and opportunities. + Remain current with global… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …of audits and is considered a technical expert. In addition to conducting complex audits, the Quality Specialist III is also responsible for hands-on training to ... all Quality Specialists on audit processes, procedures, and tools. + Conduct complex audits and verifying quality standards for selected inquiries and make decisions… more
- Wipfli LLP (Milwaukee, WI)
- …and strategic support. You'll play a key role in helping clients navigate complex challenges and implement meaningful improvements. Under the direction of a Senior ... Consultant , the Specialist II provides business services independently for the firm's more complex clients, ensuring delivery is timely, accurate and serves the… more
- NetApp (Morrisville, NC)
- …to ensure comprehensive risk management and insurance coverage. + Assist in resolving complex and challenging claims . Work closely with other functional groups ... and financial strategies. + Partner with the business, acting as an internal consultant to advise on shareholder value creation for various activities and analysis,… more
- Ally (Lansing, MI)
- …days in office / 2 days remote) **The Work Itself** * Serves as a consultant to Producers, customer service, and claims personnel, as required. * Works closely ... place insurance coverage within Ally's DOL program(s). * Submits complex or unusual risks or exposures, and risks exceeding...be assigned accounts or territories deemed to be more complex or have a catastrophic risk profile. * Perform… more
- The Hartford (Lake Mary, FL)
- Consultant Claims - CH08CE We're determined...This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty ... (HGS) Claims Division. As a Claims Consultant , you will be responsible for...involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties… more
- Sedgwick (St. Paul, MN)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Consultant (Examiner) | Public Entity | Remote **Are you looking ... CANDIDATE?** If you have 10+ years of experience handling high-exposure, complex claims involving serious injuries and legal inquiries or disputes, and… more
- Sedgwick (Boston, MA)
- …clinical expertise and analytical skills to help evaluate medical-related components of claims . Completion of Legal Nurse Consultant certification or coursework ... Workplaces in Financial Services & Insurance Sr. Professional Liability Consultant - PRN **This PRN Legal Nurse Consultant...is highly preferred.** **PRIMARY PURPOSE** **:** To handle complex or high exposure claim issues; to provide medical… more
- The Hartford (Hartford, CT)
- Consultant Claims - CH08CE We're determined to make... Consultant is a claim handling role within the Complex Claims Unit (CCU). CCU Construction is a ... property damage. Claims in CCU Construction are often associated with complex fact patterns requiring contract analysis, and coverage issues that may involve… more
- Sedgwick (Miami, FL)
- …Health Care Risk Management (CPHRM) preferred. **Experience** Ten (10) years of complex claims management experience or equivalent combination of education and ... executive, professional liability, error and omissions, and liability claims ; to provide resolution of highly complex ...limited to Bachelor of Science in Nursing, Legal Nurse Consultant , Associate in Claims (AIC), Chartered Property… more
- The Hartford (Naperville, IL)
- …Administrator (TPA) Auto/General Liability Consultant is responsible for oversight of claims , including high exposure and complex claims , handled by ... (TPA) partners (ie, The Hartford's unbundled business), and the handling of excess claims . The TPA Consultant is responsible for helping limit The Hartford's… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …healthcare? Bring your true colors to blue. The RoleThe Clinical Business Consultant for Cost and Trend Management is responsible for identification, outreach and ... as strong health care industry knowledge. The Clinical Business Consultant works with a wide variety of stake holders...a wide variety of stake holders to analyze high-cost claims and members, evaluate clinical trends, and formulate business… more
- CareFirst (Baltimore, MD)
- …management department within the Health Services division. The Sr. Business Consultant provides expertise in tailored, strategic, and critical work to help ... a deep understanding of utilization management, the Senor Business Consultant acts as a liaison between the UM clinical...UM clinical teams, the technical support teams, and the claims operations teams. Ensures alignment of authorization to … more
- The Hartford (Hartford, CT)
- …inquiries, market conduct, and EB regulatory reporting + Support complaint response for complex claims as requested by Claim Specialists or legal + Partner ... Consultant Product Delivery - LO07AE We're determined to...accordingly + Partner with clients, underwriting, actuarial, CCST and claims to develop customized solutions including single case filing… more
- AON (Chicago, IL)
- Aon is looking for a Forensic Accounting Risk Consultant - Property Claims Work Style: Hybrid- Chicago, IL Project Fulfillment: Working with forensic accountants, ... to clients. + Assist the claim preparation team in complex property damage and business interruption loss claim preparation...2568673 Aon is looking for a Forensic Accounting Risk Consultant - Property Claims Work Style: Hybrid- Chicago,… more
- Sedgwick (Olympia, WA)
- …**PRIMARY PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, ... such as subrogation, fraud evaluation or case management review to resolve claims . + Establishes and maintains effective relationship with internal and external… more
- The Hartford (Hartford, CT)
- Sr Consultant Perf Analytics - GB07AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... to apply. If uncertain, consider discussing it with your manager. The Claims Liability Performance Analytics team is seeking a Senior Performance Analytics … more
- Highmark Health (Trenton, NJ)
- …coupled with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A ... needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design, develop,… more
- Oracle (Austin, TX)
- …and techniques for delivering functional and technical solutions in complex application and technology implementations. Collaborate with consulting sales team ... to provide domain expertise and resolve complex customer issues by designing and implementing solutions. The...healthcare payer. An Oracle Health Insurance (OHI) Senior Principal Consultant must be proficient in US healthcare domain knowledge… more
