- AIG (Los Angeles, CA)
- …reimagining the way we help customers to manage risk. Join us as a Pre-Injury Consultant - Claims to play your part in that transformation. It's an opportunity ... How you will create an impact As a Pre-Injury Consultant , you are a market differentiating, respected resource known...clients in the return to work process and in medical management coordination. Working with Client Services, Claims… more
- Guardian Life (Charleston, WV)
- …medical reviews and analysis of long-term and or short-term disability claims . The Behavioral Health Clinical Consultant identifies restrictions, limitations ... The **Behavioral Health Clinical Consultant ** serves as a clinical resource for the...**You will** + Review long-term and or short-term disability claims to assess the impact of claimants' medical… more
- The Hartford (MI)
- 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 ... lines Michigan first party no-fault (personal injury protection) and medical payments coverage claims with a focus...(personal injury protection) and medical payments coverage claims with a focus on financial accuracy, appropriate file… more
- Sedgwick (Southfield, MI)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Consultant /Examiner, Pooling (Hybrid) **Are you looking for an impactful ... CANDIDATE?** If you have 10+ years of experience handling high-exposure, complex claims involving serious injuries and legal inquiries or disputes, and developing… more
- The Hartford (Naperville, IL)
- Sr Representative Claims - CH08BESr Representative Clms CA - CH08ANConsultant Claims CA - CH08BNConsultant Claims - CH08CE We're determined to make a ... the future. The General Liability Litigation Senior Claim Representative or Consultant is accountable for delivering superior customer service and successfully… more
- Guardian Life (Des Moines, IA)
- …providing comprehensive medical reviews and analysis of long-term disability claims . The RN Clinical Consultant identifies restrictions, limitations and ... **Candidate Responsibilities** The RN Clinical Consultant reviews long-term disability claims to determine the impact of claimants' medical condition on… more
- OhioHealth (Columbus, OH)
- …**Job Description Summary:** Given that the organization self-insures for professional liability claims , it is essential that the Sr Consultant Risk Management ... subsequently, favorably protect corporate assets. To accomplish this, the Sr Consultant 's primary job focus evolves largely around the following activities; monitor… more
- Sedgwick (Montpelier, VT)
- …Applies jurisdictional and medical knowledge to properly assess the indemnity, medical and expense exposure of assigned claims and appropriately interprets ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Account Consultant - Commercial Property **PRIMARY PURPOSE** **:** To manage claim caseload of… more
- UNUM (Chattanooga, TN)
- …and efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal ... Physical Medicine and Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across… more
- Cambridge Health Alliance (Cambridge, MA)
- Quality Performance Improvement Consultant **Requisition Number:** 9909 **Location:** 1035 Cambridge Street **Work Days:** 8 hour day shifts, may include some ... 40.00 **Union Name:** Non Union **Description:** Quality Performance Improvement Consultant (Cambridge Public Health Commission d/b/a Cambridge Health Alliance;… more
- Sedgwick (Austin, TX)
- …including but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant , Associate in Claims (AIC), Chartered Property and Casualty Underwriter ... + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and...of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and officers, life… more
- Elevance Health (Atlanta, GA)
- …unnecessary financial exposure. + Analyze complex datasets from various sources, including medical claims and managed care operations, to identify growth ... providing guidance to Carelon's sales and growth team. Acts as a primary consultant in performance-based pricing arrangements, medical expense savings and target… 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
- Two95 International Inc. (New York, NY)
- …working knowledge of healthcare data, including data from EMR/EHR and/or from medical and pharmacy administrative claims ; strong preference will be given ... Job Title: Sr. Analytics Consultant Job type : Remote Work Type :...* Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively… more
- The Hartford (Bloomington, MN)
- SIU Major Case Consultant - CF07GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... team as we help shape the future. The SIU Major Case Consultant leads high-exposure, high-profile, and sensitive investigations involving complex organized fraud… more
- Guidehouse (Philadelphia, PA)
- …on commercial and real-world evidence datasets, which include but are not limited to medical and pharmacy claims (open and closed), formulary and managed care ... Will Do** **:** We are looking for a Senior Consultant to join our Life Sciences team, which supports...validation, and implementation), including scaling methodologies for EMR and Claims datasets. + Deliver commercial data projects, which can… more
- Prime Therapeutics (Trenton, NJ)
- …+ Thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical + Self learns new processes / ... and drives every decision we make. **Job Posting Title** Functional Business Consultant - Remote **Job Description** The Functional Business Consultant serves… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH FACILITIES CONSULTANT , DIETETICS AND FOOD SERVICE Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4558506) Apply HEALTH FACILITIES ... CONSULTANT , DIETETICS AND FOOD SERVICE Salary $77,181.84 - $104,006.16...to closure without prior notice. DEFINITION: Consults with administrative, medical , dietetic, food service, and nursing personnel in hospitals,… more
- CVS Health (East Lansing, MI)
- …we do it all with heart, each and every day. The Advanced Eligibility Consultant is responsible for our most complex and highest valued clients. The Advanced ... Eligibility Consultant will also work and resolve complex issues. They... will establish and maintain processes regarding billing and claims processing, insurance verification and authorization, revenue cycle management,… more
- HUB International (Cincinnati, OH)
- …will be responsible for leading and making recommendations based on in-depth analysis on medical and pharmacy claims and utilization to identify trends and key ... **POSITION SUMMARY:** HUB International is seeking to add an experienced Financial Consultant to our growing Data Analytics team in our Cincinnati office! The… more