- EY (Austin, TX)
- …working world for all.Location: Austin.The opportunityEY's Insurance and Federal Claims Services practice specializes in assisting policyholders to prepare, present, ... and resolve complex insurance claims resulting from events like fires, floods, hurricanes, tornadoes,...team offers a unique combination of accountants with prior claims experience, former insurance adjusters with engineering backgrounds, former… more
- Insmed Incorporated (Bridgewater, NJ)
- …Best Workplaces in New York™, and Best Workplaces for Millennials™ lists.OverviewThe Senior Manager, Commercial Analytics, Respiratory will be a key member of the ... skills with SQLAbility to understand different data sets (marketing data, sales, claims , access etc.) to utilize in building models to answer key business… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …proceedings (IPRs and PGRs) involving marketed and pipeline products; inputs to senior management (US and Tokyo) on settlement options, and negotiates directly with ... marketed products, in order to manage/process patent term extensions, Orange Book listings, claims for regulatory exclusivity, as well as ensure that any new patent… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …diseases and immune disorders. Summary The Global Team Leader, is a senior , cross-functional leader in Daiichi Sankyo's Global R&D organization. At Daiichi Sankyo, ... Integrated Product Development Plans, Target Product Profiles and Target Product Claims , and presentation of product development plans and budget to internal… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …Effectiveness, Clinical Operations and Marketing Effectiveness. Strong collaborations with senior leaders from Legal, Finance, Operations and Market Access as ... functional knowledge and understanding of the Anti-kickback Statute, the False Claims Act, FDA rules and regulations regarding the promotion of pharmaceuticals,… more
- EY (Dallas, TX)
- …for all.IT Advisor, Technology Consulting, Life Insurance - Financial Services Office ( Senior ) (Multiple Positions)(1492743), Ernst & Young US LLP, Dallas, TX. Work ... with one or a combination of the following new business, claims , and underwriting systems: Limelight Health, FINEOS AdminSuite, iPipeline, nbaccelerator, Concentrix,… more
- EY (Dallas, TX)
- …clients with strategic growth, business transformation, and commercial excellence. This senior role within our Consulting practice will have the opportunity to ... Familiarity with pharmaceutical datasets (eg pricing databases, prescription and claims databases, etc.) Experience with commercial operations and analytics… more
- Elevance Health (Columbus, OH)
- **Rating/ Claims System Senior Advisor** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles ... OH; Mason, OH; Indianapolis, IN; Chicago, IL; Manchester, NH; Boston, MA.** The **Rating/ Claims System Senior Advisor** leads the activities for India based… more
- Axis (Red Bank, NJ)
- …for candidates taking part in the selection process. Job Description: AXIS is seeking a Senior Claims Specialist - Excess Claims to join our North America ... as well as reporting and presenting about same to senior management * In-depth knowledge of claims ,...to senior management * In-depth knowledge of claims , litigation, arbitration, and trial processes as well as… more
- AIG (Alpharetta, GA)
- Senior Claims Analyst Join us as a Senior Claims Analyst to take on key responsibilities within a world-class claims function. Make your mark in ... Claims Our Claims teams are the proven problem solvers of choice...claims expert and thought leader. + As a senior member of the team, you will act as… more
- Axis (New York, NY)
- … Claims and Underwriting. * Makes effective recommendations for settlement/disposition of claims ; works successfully with senior Claims and Underwriting ... directly reviewing primary and excess Financial Institutions and Transactional Liability claims to determine nature of loss, coverage provided, and scope of… more
- Providence (Mission Hills, CA)
- **Description** The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per ... diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate… more
- Humana (Tulsa, OK)
- **Become a part of our caring community and help us put health first** The Senior Claims Research & Resolution Professional manages claims operations that ... all claim settlements both for and against the organization. The Senior Claims Research & Resolution Professional work assignments involve moderately complex to… more
- Sedgwick (Brea, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Claims Examiner - Workers Compensation - Hybrid **PRIMARY PURPOSE** ... : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- HUB International (Summit, NJ)
- …leading success in mergers and acquisitions. Hub International Northeast is seeking a Senior Claims Advocate for our Specialty Lines and Healthcare Divisions. ... This person will perform a full range of claims support activities with new and existing clients including...but are not limited to:** * Delivery of our claims value proposition to our customers and relationships *… more
- Sedgwick (Ontario, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Claims Examiner Workers Compensation - Hybrid - Ontario, CA Are ... your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**ARE YOU AN IDEAL CANDIDATE?** To analyze Workers Compensation claims on behalf of our valued clients to determine… more
- Zurich NA (Columbus, OH)
- Surety Senior Claims Professional Attorney 113292 Zurich North America is hiring an Surety Senior Claims Professional (Attorney) to join our team! **We ... manage a caseload of moderate to high complexity Surety claims from start through settlement and resolution, and within...and within specific authority limits. You will ensure that claims are handled in the most efficient and effective… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …Ward's Top 50 and rated A++ by AM Best. Duties We are looking for a Senior Claims Specialist - Professional Liability to join our team. Summary - Investigate, ... and settle more complex first and third party insurance claims . A typical day will include the following: Evaluates...appropriate. Investigates circumstances of routine as well as complex claims to determine if and to what extent coverage… more
- Crawford & Company (Lake Zurich, IL)
- …Under the general direction of the Claims Data Operations Manager, the Senior Claims Analyst provides a variety of critical operational support services to ... the Claim Department, its business partners and its clients related to the handling of returned checks, processing of refunds, escheatment review, paying of invoices and fees, and analysis of Control request. Responsibilities + Provides subject matter… more
- Universal Health Services (Reno, NV)
- …enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Senior Claims Manager will oversee and ensure the efficiency and ... accuracy of healthcare claims operations. This position oversees the claims ...exceptional service standards for both members and providers. The Senior Manager will spearhead implementation efforts and advocate for… more
