- Elevance Health (Columbus, OH)
- …50 miles one of our Pulse Point locations. The **Provider Contract/Cost of Care Consultant ** will provide analytical support to the Cost of Care and/or Provider ... **Provider Contract/Cost of Care Consultant ** **We are offering a $5,000 sign-on bonus...will make an impact:** * Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- Zurich NA (Columbus, OH)
- Crop Product Development Consultant 116424 This **Crop Product Development Consultant ** has been created to support the RCIS Growth Strategy. This role is ... stakeholders to drive new product direction, product innovation, and various product support services. This role is also responsible for research, development of… 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 ... you will be responsible for handling a caseload of claims -made, Private and Non-Profit D&O Claims , from...defense counsel is required. Responsibilities include all aspects of claim file management from assignment to conclusion including: +… 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)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... files at all levels of complexity and value. This position may additionally support other Lines of Business. This includes coordinating the sale of salvage assets… 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
- 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...and in medical management coordination. Working with Client Services, Claims and Underwriting, you support and educate… more
- HUB International (Columbus, OH)
- …the block of business organically (sales), as well as mentor and develop their support team. The Benefits Consultant accomplishes this by bringing a consultative ... helps local businesses in the community** + **Strong community support and involvement through HUB Gives** **ESSENTIAL DUTIES AND...Care Reform + Lead and develop strategy based on claims data analytics + Listen and counsel on key… more
- DXC Technology (Baton Rouge, LA)
- …This position is a for a Senior Business Analyst to join our Assure Claims Delivery team and work directly with delivery teams and clients to achieve client's ... business objectives as they implement the Assure Claims software. The candidate must become a subject matter...Plans, designs and recommends business processes to improve and support business activities. + Analyzes and documents client's business… 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
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva is ... journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process...to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to ensure… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 59984 **Who we are** Teva is a ... journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process...to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to 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
- Sedgwick (Orlando, FL)
- …Account Consultant - Subrogation Experience Preferred **PRIMARY PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted ... table discussions within the assigned team. + Investigates, evaluates and resolves claims ; identifies potential problems/trends in claim files and takes… 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
- Commonwealth of Pennsylvania (PA)
- Mechanical Engineer Consultant Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4792046) Apply Mechanical Engineer Consultant Salary ... Corrections (DOC), Bureau of Operations as a Mechanical Engineer Consultant will provide you with a rewarding and challenging..., you will utilize your expertise to provide technical support for a range of mechanical engineering projects within… 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
- Chenega Corporation (San Antonio, TX)
- …processing systems, quality and integration of medical consultant assessments, all support functions, and basic claim adjudication processes. + Assist in ... (eg, claim processing operations) to correct problems. + Review claims returned by federal components (Office of Disability Operations/Disability Quality Board)… more