- CCC Intelligent Solutions, Inc. (Chicago, IL)
- …We're pushing boundaries with innovative AI solutions that simplify and enhance the claims and repair journey. Through purposeful innovation and the strength of its ... (ROI formulation) We are looking for a Senior Business Consultant to join our Subrogation Solutions and Consulting Team....subject matter expertise. Deep expertise in evaluation of subrogation claims at an insurer as an adjuster or manager;… more
- KAI Partners, Inc. (Roseville, CA)
- …C2C will not be considered at this time. Pharmacy Benefits Operation Consultant KAI Partners, Inc. (KAIP) is currently seeking Pharmacy Benefits Operations ... Consultants may also coordinate validation of pharmacy business rules and claims adjudication processes, review test cases, and confirm that proper… more
- Genpact (New York, NY)
- …large-scale models to agentic AI, our breakthrough solutions tackle companies' most complex challenges. If you thrive in a fast-moving, tech-driven environment, love ... role of Assistant Vice President - ServiceNow FSO and Property & Casualty (P&C) Consultant In this role We are seeking a highly skilled ServiceNow FSO and Property… more
- UnitedHealth Group (Eden Prairie, MN)
- …company to deliver unique research opportunities. We are searching for a Principal Consultant , HEOR (Health Economics and Outcomes Research) to join our VES team. ... and completion Experience with secondary data assets for research: administrative claims databases or electronic medical record data Experience in business… more
- Cobb County, GA (Marietta, GA)
- …and quality of work); and provides technical expertise and assistance with complex /problem situations. Coordinates and participates in the programming phase of the ... and/or specifications pertaining to assigned projects: performs or requests the consultant to provide modeling, testing, planning, and engineering studies in support… more
- Port of Houston Recruitment (Houston, TX)
- …Serve as a Construction Manager on assigned projects for small to large complex and diverse construction projects Coordinate all aspects of a construction project, ... construction managers in the oversight of field inspectors (both staff and consultant ) and contractors to assure completed project meets scope, schedule, and budget… more
- FM (Johnston, RI)
- …and support services, tailored risk transfer capabilities, superior financial strength and a world- claims service. To do so, we rely on a dynamic, culturally diverse ... variety of challenging roles. We are seeking a Senior Program and Change Consultant who excels in leading large-scale programs with both strategic vision and… more
- UnitedHealth Group (Minnetonka, MN)
- …as a subject matter expert in pharmacy and medical claims data and a consultant in meeting complex analytical needs. If you are located in MN, you will ... on some tough challenges. Primary Responsibilities: Query pharmacy and medical claims /eligibility data from various UHG data sources Work closely with stakeholders… more
- AA Inclusion (Los Angeles, CA)
- …PERFORM HIGHLY SPECIALIZED DUTIES IN ASSIGNMENTS SUCH AS THE FOLLOWING: Conducts complex major investigations in such areas as homicide, arson, and fraud, requiring ... record may be reviewed by the Occupational Health Program's Service Consultant for final determination of qualifications. Additional Information WORK CONDITIONS The… more
- Gpac (Framingham, MA)
- …insurance professional with a passion for client service and a knack for managing complex accounts? Join our dynamic team and make a significant impact in the ... inquiries promptly. Policy Administration: Process renewals, endorsements, certificates, and claims with precision and efficiency. Risk Assessment: Analyze and… more
- The Hartford (Lake Mary, FL)
- Consultant Claims - CH08CEConsultant Claims...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
- The Hartford (Hartford, CT)
- Consultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... join our claims team as a Marine Claims Consultant . The Marine Claims ...and Transport. Proactively investigate, negotiate, and resolve high exposure claims , involving complex issues and/or litigation. Responsibilities:… more
- Wells Fargo (Charlotte, NC)
- **About this role:** Wells Fargo is seeking a Lead Analytics Consultant within Fraud & Claims Management (FCM) as part of Consumer and Small Business Banking ... ACH and on-us check victim fraud space + Consult and perform complex analyses involving data mining from multiple sources and/or predictive modeling,… more
- R1 RCM (Detroit, MI)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Complex Denials Consultant , you will represent healthcare providers in ... topics. **Here's what you will experience working as a Complex Denials Consultant :** + Assist recovery staff...apply client contract language and rates to resolve denied claims . + Utilize payer-provider and administrative manuals to dispute… more
- The Hartford (San Antonio, TX)
- Consultant Claims - CH08CESr Representative ...Consultant is a claim handling role within the Complex Claims Unit (CCU). CCU Construction is ... Join our team as we help shape the future. COMPLEX CLAIMS UNIT CONSTRUCTION DEFECT- SR. CLAIM... UNIT CONSTRUCTION DEFECT- SR. CLAIM REPRESENTATIVE / CLAIM CONSULTANT This role will be filled as a Sr.… more
- Zurich NA (Chicago, IL)
- AVP, Customer Risk Insights Consultant 122606 Zurich is seeking an AVP, Customer Risk Insights Consultant to join our Customer Risk Insights team in Schaumburg ... IL. This is the highest-level senior consultant leading projects and insights work focused on the...risk management strategies working with account team, and communicating complex information effectively to clients and internal stakeholders. The… more
- Sedgwick (Montpelier, VT)
- …**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
- Prime Therapeutics (Denver, CO)
- …drives every decision we make. **Job Posting Title** Sr. Functional Bus Consultant (Compliance) - Remote **Job Description** The Senior Functional Business ... Consultant The Functional Business Consultant serves as...regulatory requirements, process improvement, advanced research, root cause analysis, complex issue research, documentation, advanced communications, client interaction, training,… more
- American Water (Camden, NJ)
- …at all levels in an organization. * Prior experience leading and managing a complex claims unit, including deep familiarity with products-liability claims , ... components of payment and reimbursement. o Coordinate aspects of complex , sensitive, and non-traditional claims (ie, Employment...firm is highly desirable. * Experience as an insurance claims consultant or a corporate in-house litigation… more
- The County of Los Angeles (Los Angeles, CA)
- LAW ENFORCEMENT CONSULTANT , LICENSED PSYCHOLOGIST (INDUSTRIAL/ORGANIZATIONAL CONSULTANT , SHERIFF) Print ... LAW ENFORCEMENT CONSULTANT , LICENSED PSYCHOLOGIST (INDUSTRIAL/ORGANIZATIONAL CONSULTANT , SHERIFF) Salary $135,075.36 - $182,042.16 Annually Location Los… more
