- 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
- Zurich NA (Salem, OR)
- Sr. TPA Specialist, Complex Claims 125068 Zurich Insurance is currently looking for a Sr TPA Specialist. This position will oversee complex Liability ... and industry knowledge and is recognized as a technical consultant and advisor both within and outside the company....+ Ability to determine the scope and exposure for complex claims . + Ability to follow reserving… 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
- Sedgwick (Austin, TX)
- …Health Care Risk Management (CPHRM) preferred. **Experience** Ten (10) years of complex claims management experience or equivalent combination of education and ... Liability (A&E, D&O) **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating and… more
- The Hartford (Columbus, OH)
- Sr. Consultant , Asset Owner - GF07AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... shape the future. Are you ready to lead The Hartford to a digital-first, AI-powered claims workflow? Then this role is perfect for you! A Senior Product Owner plays… 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
- The Hartford (Naperville, IL)
- …issues + Possess the ability to investigate, evaluate and negotiate highly complex claims to appropriate disposition + Possess superior analytical and ... management abilities + Possess the advanced technical knowledge to properly reserve highly complex claims + Properly apply statutory laws and regulations of… 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
- 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
- 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 (Concord, CA)
- …some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Concord, CA (Hybrid 2 Days In-office) Are you looking for… more
- Two95 International Inc. (New York, NY)
- Job Title: Sr. Analytics Consultant Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Job Description: Primary ... * Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively...solving, with the ability to visualize, articulate, and solve complex problems and concepts, make decisions, and take appropriate… more
- Zurich NA (Sacramento, CA)
- National Construction Professional Liability Consultant (AVP OR VP) 122955 Zurich North America is hiring a National Construction Professional Liability ... Consultant (AVP OR VP) to join our Specialties Construction...innovation efforts. Additional responsibilities include analyzing and underwriting highly complex new and renewal business in a referral capacity… more
- Prime Therapeutics (Trenton, NJ)
- …and drives every decision we make. **Job Posting Title** Functional Business Consultant - Remote **Job Description** The Functional Business Consultant serves ... regulatory requirements, process improvement, advanced research, root cause analysis, complex issue research, documentation, communications, client interaction, training, testing,… more
- The Hartford (Bloomington, MN)
- … Consultant leads high-exposure, high-profile, and sensitive investigations involving complex organized fraud with regional and national implications. This role ... SIU Major Case Consultant - CF07GE We're determined to make a...ensuring cases are conducted following laws pertaining to insurance claims , mandated reporting and good-faith investigative practices. * Proactively… more
- Guidehouse (Philadelphia, PA)
- …**:** None **What You Will Do** **:** We are looking for a Senior Consultant to join our Life Sciences team, which supports pharmaceutical and biotech companies with ... and data-driven solution design. As a Life Science Senior Consultant - Data Scientist / Analyst, you will: +...include but are not limited to medical and pharmacy claims (open and closed), formulary and managed care data,… more
- Elevance Health (Atlanta, GA)
- …key findings, and recommendations to mitigate unnecessary financial exposure. + Analyze complex datasets from various sources, including medical claims and ... **Advanced Analytics Consultant - Actuarial Science** **Location:** Chicago, IL; Indianapolis,...+ Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …and group administrators across all product lines. The Account Service Consultant (ASC) handles inquiries received through various channels, including telephone, ... new product lines, and working closely with Operations, Customer Care, Claims , and Finance/Underwriting departments to support group implementations and address… 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