- Travelers Insurance Company (Lansing, MI)
- …for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling ... case . + Work with Manager on use of Claim Coverage Counsel as needed. + Directly investigate each...and thus the technical expertise to evaluate severe and complex claims . + Able to make independent… more
- Henry Ford Health System (Detroit, MI)
- …reports for audit and actuarial studies. Provide status reports to department chairmen on claims exposure. + Tracks case files and claims information which ... provides period in-service education presentations and prepare periodic file summaries for claim documentation and presentation to HFHS Claims Review and… more
- City of Detroit (Detroit, MI)
- …difficult and specialized professional legal work in preparation for litigation of complex and/or major lawsuits for assigned departments which functions and ... including wrongful termination, discrimination, harassment, unfair labor practices, disability claims , labor arbitrations, workplace safety, whistleblower claims ,… more
- Evolent (Lansing, MI)
- …with value-based care and programs - Preferred + Working knowledge of Medicare claims , episode and condition groupers, case /episode and risk adjustment, patient ... health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek… more
- CDM Smith (Grand Rapids, MI)
- …solicitations, teaming agreements, contracts, subcontracts and other agreements. * Resolving major subcontractor issues, including claims . * Advising division ... budget. * Overseeing the development of cost and pricing proposals for complex projects. * Developing pricing strategy and conducting cost negotiations for … more