- Trustmark (Denver, CO)
- …colleagues, clients and communities. Responsible for reviewing and processing claims including, identifying irregularities and reviewing for accuracy, and ... Care (LTC), Disability and Critical Care. Key Accountabilities + Identifies claims that need additional reviews, initiates and implements the appropriate reviews.… more
- Sedgwick (Denver, CO)
- …and Casualty Underwriter (CPCU), Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional in Health Care Risk Management ... limited to Bachelor of Science in Nursing, Legal Nurse Consultant , Associate in Claims (AIC), Chartered Property...applicable to line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical… more
- Deloitte (Denver, CO)
- Senior Consultant , Operations & Technology Transformation, Insurance , Guidewire Integration & Configuration What we do Operations and Technology Transformation ... development of junior staff. Your role As a Senior Consultant you will bring considerable technical expertise to deliver...working in one of the following sub service areas: Insurance Products, Underwriting, Claims , Billing & Payments,… more
- R1 RCM (Denver, CO)
- …AI, intelligent automation, and workflow orchestration. As our Complex Denials Consultant , you will represent healthcare providers in their disputes with medical ... insurance carriers and managed care organizations at all stages...what you will experience working as a Complex Denials Consultant :** + Assist recovery staff in pursuing appeals, including… more
- CVS Health (Denver, CO)
- …to make health care more personal, convenient and affordable. The Senior Analytic Consultant position is a 100% remote, work from home position. The candidate can ... flexibility for meetings which will occur during 8am-5pm EST. The Senior Analytic Consultant is responsible for the analyzing issues related to appeals and related… more
- Deloitte (Denver, CO)
- …this role ends on January 31, 2025 Work you'll do As an OTT Insurance Transformation Senior Consultant , you will bring technical expertise to deliver effective ... Senior Consultant , Operations and Technology Transformation, Guidewire Application Java...years of experience working in one of the following Insurance sub service areas: User experience, Integration, Claims… more
- The Hartford (Greenwood Village, CO)
- Sr Consultant Risk Engineering - KR08DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and ... meaningful work at The Hartford. As a Risk Engineering Consultant at The Hartford, your primary role will be...effective. + Complete surveys related to all lines of insurance business coverage. + Make recommendations based on knowledge… more
- Stantec (Denver, CO)
- Consultant , Leave of Absence Administration - ( 2500006R ) **Description** Grow with the best. Join a smart, creative, and inspired team that works to support ... position is ideal for a self-motivated individual with demonstrated disability claims experience, return to work/stay at work experience, critical thinking skills,… more
- Sedgwick (Denver, CO)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Litigation Consultant **PRIMARY PURPOSE** : To address and handle high end cases with ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
- Lincoln Financial Group (Denver, CO)
- …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...and solutions across four core businesses - annuities, life insurance , group protection and retirement plan services. As of… more
- MetLife (Greenwood Village, CO)
- …on issues and potential escalations . Understand benefit offerings to group insurance accounts to provide enrollment material and client communications . Primary ... and legal requirements . Partner with sales, marketing, underwriting, billing, eligibility, claims and customer service teams . Project Management & tracking .… more
- Evolent (Denver, CO)
- …SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Using analytical tools to integrate various data sources to ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Travelers Insurance Company (Denver, CO)
- …and providing expertise in adjusting large, complex Boiler and Machinery first party claims both in the United States and on occasion, internationally. In addition, ... marketing and communication activities with a variety of groups including, primary insurance carriers and in some cases, their large customers. **What Will You… more
- Prime Therapeutics (Denver, CO)
- …of work experience in an insurance broker position + Must be a Certified Insurance Consultant (CIC) with the state of Connecticut + Must be eligible to work ... and costs, and assist in selecting the most suitable insurance plan. They also handle policy renewal, claims... insurance plan. They also handle policy renewal, claims , and provide ongoing support and advice to ensure… more
- Sedgwick (Denver, CO)
- …Medicare Set- Asides (MSA) and future medical cost projections. + Serves as a consultant to Medicare Compliance Nurses on claims . + Applies clinical knowledge ... documentation of the findings and analysis of medical records. + Utilizes claims , legal, and/or nursing knowledge to analyze medical records and identify future… more
- HUB International (Denver, CO)
- **About HUB:** HUB International is the 5th largest global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, ... responsibility for retaining the account, acting as the account advocate and broker- consultant . + Ensure Sales Executives are fully informed about and prepared for… more
- State of Colorado (Denver, CO)
- …and contracting to facilitate the timely resolution of vendor and customer claims and disputes, to develop (for assigned commodities) purchasing and contracting ... + Work with project managers from CDOT, Local Agencies, vendors, and consultant community to develop Statements of Work for Personal Services Contracts. +… more
- Nelnet (Centennial, CO)
- …of the Nelnet Associate Handbook. 10. To be the HR business consultant for assigned business segments, proactively consulting and partnering with other HR ... relations matters including: harassment investigations, escalations, law suits, EEOC claims . 14. Proactively consult with management on raising associate engagement… more