- Golden Bear Insurance Company (Stockton, CA)
- Description We're Hiring: Claims Consultant - General Liability & Excess Coverage Are you a seasoned claims professional with a sharp eye for detail and a ... liability matters? Golden Bear Insurance is looking for a Claims Consultant to manage high-exposure General Liability...based out of Stockton, CA. What You'll Do: Own complex claims from intake to closure-evaluate, negotiate,… more
- Frost Bank (Dallas, TX)
- …best claims service available Responsible for oversight of all lawsuits and complex claims for FIA client policy holders Always taking action using ... and have a goal-orientated mindset? If so, the FIA Claims Manager could be for you! At Frost, it's...and perform claim reviews and act as a trusted consultant . You love details and get excited about outlining… more
- University Health (San Antonio, TX)
- …claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff on complex claim issue resolutions. Work ... POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other...diploma or GED equivalent is required. Five years HMO/PPO claims experience are required. Amisys claims processing… more
- UnitedHealth Group (Minnetonka, MN)
- …influence individuals at all levels of the organization. The Healthcare Economics Consultant within UHC Medicare & Retirement will perform critical investigation of ... of Medicare Advantage utilization and cost data. The Healthcare Economics Consultant will proactively identify, communicate, and lead organizational dialogue related… more
- Deloitte (Atlanta, GA)
- …our clients, combining strategic thinking with deep industry knowledge to solve complex business problems in a team-based environment. We architect operating models ... and real estate companies. Work you'll do As an OTT Insurance Transformation Consultant , you will bring considerable insurance domain and functional expertise in the… 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
- 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
- Metropolitan St. Louis Sewer District (St. Louis, MO)
- …documents Evaluate/review change orders requests, contractor submittals and contractor claims Prepare technical reports concerning complex construction and ... for the construction of District projects OR as part of a consultant contract management team responsible for coordinating the plans and specifications for… more
- Massachusetts School Building Authority (Boston, MA)
- …Project Manager manages the funding aspect of multiple building projects involving complex and varying technical problems through the stages of design development, ... document review, cost estimating, contract compliance monitoring, commissioning, and claims processing. The Senior Project Manager is responsible for the… more
- King County, WA (Seattle, WA)
- … public works construction contracts. Experience navigating construction claims /litigation. Additional experience in alternative construction delivery methods ... right-of-way/property, project control, administrative support, construction management and design consultant staff. Ensures compliance with plan and specification requirements,… more
- NFP (Simi Valley, CA)
- …difficult lines. This role requires the employee to take on the role of lead consultant and primary point of contact for clients. The Senior Account Manager may work ... on large, complex accounts with large premiums and multifaceted coverages. Essential...carriers on behalf of NFP's clients. Works with the Claims Department on relevant claims for assigned… more
- Integration Appliance, Inc. (New York, NY)
- …candidate be viewed by customers as a credible executive-level advisor and consultant as well as a business development executive. DealCloud is revolutionizing the ... and execute the development, delivery and presentation of proposals. Deal with complex negotiations at the executive level through a multi-constituent sales process.… more
- City of Boise, ID (Boise, ID)
- …planning, direction and coordination for various multi-phase, simple to complex and unique individual construction projects. Monitors individual construction project ... compliance with construction plans and specifications. Reviews and mitigates potential claims against the city by contractors. Negotiates, prepares, reviews and… more
- Howard Brown Health (Chicago, IL)
- …problems based on the specialty area. The health conditions include common, complex , or advanced diseases needing intensive medical supervision of the prescribed ... of new healthcare personnel, interns, residents, and volunteers. Serving as a consultant in specialized populations to other health care providers and community… more
- Gpac (Woburn, 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
- RZS Recruitment (Reading, PA)
- …provides subject matter expertise as well as clinical oversight of Occupational Claims for Workers Compensation. Serves as the System Medical Director for enterprise ... Occupational Claims , including fiscal oversight. Acts as medical subject matter...Delivers clinical care to employees, particularly in difficult or complex cases. Assumes a lead role in resolving patient… 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
- 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
