- Sedgwick (Orlando, FL)
- …Loved Workplace(R) Forbes Best-in-State Employer Account Consultant - Subrogation Experience Preferred **PRIMARY PURPOSE** **:** To manage claim caseload of ... table discussions within the assigned team. + Investigates, evaluates and resolves claims ; identifies potential problems/trends in claim files and takes… more
- Sedgwick (Los Angeles, CA)
- …& Licensing** Bachelor's degree from an accredited college or university preferred . Successeful completion of Vale Certified Building Consultant program ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Building Consultant - (Remote in San Francisco or Los Angeles) **This role is open… more
- The Hartford (Lake Mary, FL)
- …team as we help shape the future. The General Liability Litigation Senior Claim Representative or Consultant is accountable for delivering superior customer ... and successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and… more
- The Hartford (Naperville, IL)
- Claims Consultant FL - CV07GE We're...The Hartford Global Financial Lines Directors and Officers (D&O) Claims Group currently has an open claim ... and present at various industry events each year on risk management and claims topics Qualifications: + Juris Doctorate degree preferred , Bachelor's Degree… more
- The Hartford (Hartford, CT)
- …Employment Practices Liability ("EPL") Claims Group currently has an open Claim Consultant /Professional position. As an EPL Claims Professional, you ... Claims Consultant FL - CV07GE We're...defense counsel is required. Responsibilities include all aspects of claim file management from assignment to conclusion including: +… more
- Travelers Insurance Company (Hartford, CT)
- …as assigned. **What Will Our Ideal Candidate Have?** + Background in Property/Inland Marine claims and salvage - Preferred . + Customer Service experience - ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...+ Analyze, and evaluate damages - Advanced + Resolve claims within settlement authority - Advanced + Strong project… more
- Guardian Life (Columbus, OH)
- …by providing comprehensive medical reviews and analysis of long-term disability claims . The RN Clinical Consultant identifies restrictions, limitations and ... based on medical data, to assist the Claim Managers in determining claim liability. The RN Clinical Consultant collaborates with treating providers to assist… more
- The Hartford (Lake Mary, FL)
- 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 ... Claims Unit (CCU) Hartford Global Specialty (HGS) Claims Division. As a Claims Consultant...trials and mediations as necessary. + Contributing to broader claim and enterprise goals by participating in audits, projects… more
- MTA (New York, NY)
- …MTA Station and Force Account Liability Insurance Program. As an integral member of the claims unit this role will supervise Claim Agents and Senior Claim ... of a claim /lawsuit. + Prepare correspondence and memoranda relating to claims , such as case summaries, Requests for Authority, letters, memos, and emails. When… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent work experience Experience Preferred : + Minimum of 2+ ... Medicaid Claims Analyst Date: Jan 22, 2025 Location: Parsippany,...to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to ensure… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent work experience Experience Preferred : + Minimum of 2+ ... Medicaid Claims Analyst Date: Jan 6, 2025 Location: Parsippany,...to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to ensure… more
- Sedgwick (Columbus, OH)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...limited to Bachelor of Science in Nursing, Legal Nurse Consultant , Associate in Claims (AIC), Chartered Property… more
- MyFlorida (Fort Lauderdale, FL)
- …Excel. At least 1 year experience auditing or conducting monitoring of medical claims activities related to a healthcare program. PREFERRED : A Bachelor's Degree ... 68048394 - GOVERNMENT OPERATIONS CONSULTANT II Date: Jan 17, 2025 The State...This position is responsible for reviewing Medicaid managed care claim complaints and determining managed care compliance with the… more
- Sedgwick (Richfield, MN)
- …timely resolution by investigating and gathering information to determine the exposure on the claim . + Reporting claims to the excess carrier and responding to ... + Managing claim recoveries if applicable. + Negotiating settlement of claims within designated authority. + Referring cases as appropriate to supervisor and… more
- AON (TN)
- …benchmarks for compliance both with company programs and DOT requirements (25%) + Analyze claim data and develop programs to prevent claims from occurring. (10%) ... Aon is looking a candidate to fill our Safety/Risk Consultant role Hybrid in Brentwood, TN! **This hybrid position...with company programs and DOT requirements (25%) + Analyze claim data and develop programs to prevent claims… more
- HealthEdge Software Inc (Columbus, OH)
- …provisions. + Experience with configuration and maintenance of provider rate and/or claim editing provisions in a claims adjudication system and/or third-party ... **Overview** **Overview:** The Business Consultant leads and mentors the Service Delivery team in all Tier 1 (Basic) and Tier 2 (Intermediate) consulting… more
- The Hartford (Alpharetta, GA)
- …in a business or insurance environment working with Third Party Administrators or vendors preferred . + Minimum of two years of Claim Audit experience and strong ... Consultant Ext Partnerships - WC08BEAD Ext Partnerships -...knowledge of medical claim coding preferred . + Candidate must be well organized, have strong… more
- Lincoln Financial Group (Columbus, OH)
- …Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for reviewing, ... analyzing, and interpreting medical information available for disability claims . In this role you will act as a clinical resource for Group Protection benefit… more
- Elevance Health (Overland Park, KS)
- **Network Relations Consultant , LTSS Provider Representative** **Location:** Kansas. This is a field based position servicing providers. The **Network Relations ... Consultant , LTSS Provider Representative** develops and maintains positive provider...Researches, analyzes and recommends resolution for contract dispute, non-routine claim issues, billing questions and other practices. + May… more
- UNUM (Portland, ME)
- …considered for non-campus adjacent candidates. As the Vocational Rehabilitation Consultant , you are responsible for reviewing, analyzing, and interpreting vocational ... and medical information. In this role, you will work collaboratively with claims professionals and other resources in multiple settings to assess vocational… more