- Sedgwick (Jefferson City, MO)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr . Claims Specialist , Professional Liability (Cyber) **PRIMARY ... **:** To analyze complex or technically difficult Cyber and other Professional Liability claims ; to provide resolution of medium to highly complex nature … more
- Elevance Health (St. Louis, MO)
- ** Senior Implementation Specialist ** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live ... Louis, MO, Wallingford, CT, Grand Prairie, TX or Louisville, KY. The ** Senior ** **Implementation Specialist ** will be responsible for implementing payment… more
- Burns & McDonnell (Kansas City, MO)
- **Description** The Senior Insurance Administrator is responsible for managing the requirements and execution of Burns & McDonnell's insurance program. This position ... the firm, the insurance brokers, adjusters and attorneys involved on insurance claims . + Consult with various individuals internal and external to the company… more
- Children's Mercy Kansas City (Kansas City, MO)
- …children beyond the walls of our hospital. Overview The Legal and Risk Specialist provides professional support to the Attorneys, Insurance Program Manager, ... other departments involved in physician hiring by providing an application for professional liability insurance certification. Support work of Senior Counsel and… more
- Travelers Insurance Company (Jefferson City, MO)
- …for improvement. + Manages losses assigned to independent adjusters, quota share claims , and litigated files. + Produces professional , quality Large Loss ... in adjusting large, complex Boiler and Machinery first party claims both in the United States and on occasion,...may not result in presenting on said losses to senior management in Claim and Business Insurance Partners. +… more
- GEHA (Lee's Summit, MO)
- …as relevant to clinical and business need. + Coordinates, reviews and investigates claims to determine the medical necessity and appropriateness of the care + ... of contractual benefits after investigation is complete + Escalates complex cases to senior team member. **REQUIREMENTS** + Requires two years (60 credit hours) of… more
- Centene Corporation (Jefferson City, MO)
- …State and Federal standards for HEDIS. + Under general guidance form Senior Quality Practice Advisors and management, educates community physician and small provider ... improve provider performance in areas of Quality, Risk Adjustment and Operations ( claims and encounters). + Assists in delivering provider specific metrics and… more