- Aerojet Rocketdyne (Huntsville, AL)
- …management of the supply chain for program requirements. Acts as consultant /liaison with customers on all matters affecting contractual agreements. Essential ... divisions to ensure fulfillment of contract requirements. Monitors and reviews claims for completeness, accuracy and conformance with Federal and Defense procurement… more
- The Hartford (San Antonio, TX)
- …we help shape the future. The Claim Consultant is a claim handling role within Complex Claims Unit- Construction (Bodily Injury/Property Damage). CCU is ... Consultant Claims - CH08CEConsultant Claims...reserves and financial transactions; QUALIFICATIONS : + Bachelor's degree preferred : + 5+ years commercial general liability claim… more
- ManpowerGroup (WI)
- The Claims and LOA Specialist will be responsible for coordinating and supporting complex Claims and LOA processes. This individual will coordinate and co-manage ... + 5-years as an STD case manager with additional FMLA/LOA background is preferred + Maintain information/documentation in case management system to track and ensure… 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
- 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 ... 68048395 - GOVERNMENT OPERATIONS CONSULTANT II Date: Jul 1, 2024 Location: FT...This position is responsible for reviewing Medicaid managed care claim complaints and determining managed care compliance with the… more
- The Hartford (Hartford, CT)
- Specialist Claims - CH07DE We're determined to make a...team as we help shape the future. As a Claim Consultant for Complex Liability Solutions in ... be responsible for handling a caseload of bodily injury and non-bodily injury claims that involve complex coverage and liability issues. Many of our CLS insureds… more
- Sedgwick (Sacramento, CA)
- …as a Litigation Consultant in public sector employment liability matters and claims , we are looking for someone with your level of expertise. This role will ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Litigation Consultant - Pooling (Hybrid) **Are you looking for an...maintain claim files and interface with stakeholders on public sector… more
- HUB International (San Diego, CA)
- **Summary:** The Financial Consultant / Underwriter identifies, reviews, evaluates and prices risk for clients and prospects based in HUB International's California ... specific information including financial condition, employee demographics and previous claim experience to determine risk, potential benefit features and premium… more
- Sedgwick (Concord, CA)
- … Consultant | Hybrid from any California Office | Concord, CA or Roseville Preferred **Must have** **5 years Claims Handling Experience** **5 years Claims ... resolution to appropriate parties. + Responsible for litigation process on litigated claims and follow defense counsel guidelines and service expectations + Responds… more
- The Cigna Group (Denver, CO)
- Engagement Consultant is responsible for driving consistent wellness program development, guidelines, and delivery to Cigna Select Buyer Group Clients. In working ... improvement goals. In partnership with the account management team, Engagement Consultant recommends the appropriate delivery and coordination of wellness programs,… more
- The Cigna Group (Chicago, IL)
- …Wednesday, and Thursday. Monday and Friday will be WAH. The Engagement Consultant is responsible for driving consistent wellness program development, guidelines, and ... improvement goals. In partnership with the account management team, Engagement Consultant recommends the appropriate delivery and coordination of wellness programs,… more
- Penn Medicine (Philadelphia, PA)
- …(Mostly Remote with some onsite requirements)** **Summary** : + **The Lead Consultant , Market Capture Strategic Decision Support** operates in targeted areas of Penn ... analytics strategy and capabilities to achieve critical organizational goals. The Lead Consultant will analyze and interpret provider, market, and population data to… more
- The Hartford (Lake Mary, FL)
- …As a key stakeholder within the Strategy & Optimization organization, the Business Consultant shall support our Group Benefit Claims organization. This group ... approach to identify, quantify, design, test, implement, and sustain claim process implementation considering process only, Artificial Intelligence and traditional… more
- Motion Recruitment Partners (Atlanta, GA)
- All-Payer Claims Database Product Manager Atlanta, GA **Open to Remote** Contract $125/hr - $125/hr Our client is seeking support from a consultant with ... in the management and analysis of databases that collect health insurance claims information from all health care payers into a statewide information repository.… more
- Sedgwick (Memphis, TN)
- …of education and experience required. Experience with an insurance company, broker or consultant preferred . **Skills & Knowledge** + Excellent oral and written ... including preparing correspondence and reports, processing invoices, opening legal claims , filing, and other general legal department support activities. **ESSENTIAL… more
- Immigration and Customs Enforcement (IN)
- …Healthcare Compliance, Office of Health Plan Management. The Senior Utilization Review Consultant will report directly to the IHSC Regional Utilization Manager with ... DUTIES AND RESPONSIBILITIES: Serves in the capacity of Senior Utilization Review Consultant and subject matter expert in program activities and policies related to… more
- CVS Health (Plymouth, MN)
- …to manage high work volume and oversee a variety of incoming work flows Preferred Qualifications + Experience as an Eligibility Consultant + Industry knowledge, ... convenient and affordable. Position Summary In this role as a Senior Eligibility Consultant you will: + Process accurate and timely policy and eligibility data… more
- Robert Half Management Resources (Oakland, CA)
- …leadership. The position is expected to pay between $80-$90/hr. depending on consultant location. Responsibilities: * Oversee the entire claims management ... client in Oakland is seeking an interim Director of claims for a 3+ month engagement This role involves...Health Administration, or related field is required, advanced degree preferred . Robert Half is the world's first and largest… more
- HUB International (Nashville, TN)
- …of experts who will help them reach their goals through risk services, claims management and compliance support. This give HUB clients the_ **_peace of mind_** ... the latest, this seems outdated **About the Position** The **Senior Risk Consultant ** will develop and implement safety, regulatory and best practice risk reduction… more
- Access Dubuque (Dubuque, IA)
- Risk Services Consultant (Remote in Iowa) **Sedgwick** 1 Positions ID: R51475 Posted On 06/24/2024 **Job Overview** Taking care of people is at the heart of ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Risk Services Consultant (Remote in Iowa) **Are you looking for an impactful job where… more
