- CRC Insurance Services, Inc. (TN)
- …job description:** This role is focused on technical claim handling of complex general liability claims , both litigated and non-litigated. This role requires ... affecting primary and excess policies in a fast-paced E&S Claim remote environment 2. Independently evaluating information...and underwriters in the handling and adjudication of all claims 10. Handling complex claims … more
- Lincoln Financial Group (Nashville, TN)
- …You will oversee and ensure the fair, ethical and timely management of more complex claims . If you are passionate about Supplemental Health Claims , ... the processing and administration of all aspects of more complex claims for their assigned area(s) of... claim management. + Approves and makes more complex claim management related financial decisions consistent… more
- Zurich NA (Nashville, TN)
- …+ Understands, analyzes, and applies the component parts of an insurance policy for complex claims . + Ability to follow reserving process for indemnity and ... claims at the highest authority levels on commercial claim assignments reflecting the highest degree of technical complexity,...expense in analyzing the potential exposure of complex claims . + Ability to determine the… more
- Prime Therapeutics (Nashville, TN)
- …we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of value ... or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses, and provide consultation and analytic insight to… more
- Prime Therapeutics (Nashville, TN)
- …drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides analyses, consults and ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Prime Therapeutics (Nashville, TN)
- …**Job Posting Title** PBM Sr Business Intelligence Data Visual Consultant - Remote **Job Description** The Senior Data Visualization Consultant is responsible for ... new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to… more
- Prime Therapeutics (Nashville, TN)
- …Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing analyses of moderately complex external claims ... and drives every decision we make. **Job Posting Title** Underwriter - Remote **Job Description** The Underwriter is responsible for assisting in the development… more
- Prime Therapeutics (Nashville, TN)
- …we make. **Job Posting Title** Senior Business Integration Consultant - Remote **Job Description** The Senior Business Integration Consultant is responsible for ... leading multiple complex small to mid-sized client and/or product implementations, projects,...Proficiency in one or more of the following areas: claims , eligibility, prior authorization, accumulators, and/or benefits + Previous… more
- UNUM (Chattanooga, TN)
- …and join Team Unum today! **General Summary:** The Home Office National Client Manager (HO NCM) is responsible for maintaining a consultative relationship with ... complex group, VB, and integrated customers with 2,000 or...one single large client on the west coast. Existing remote or field office employees are eligible to apply.… more
- Humana (Nashville, TN)
- …part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. ... The Manager , Fraud and Waste works within specific guidelines and...and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives… more
- HUB International (Brentwood, TN)
- …under which our subsidiaries reside: + Avant Underwriters (AU + Avant Specialty Claims (ASC) + Avant Brokerage (AB) + Avant Supermarket Group (ASG) + SafeHerb ... one-stop source for insurance solutions **Job Summary** The UW Manager acts is responsible for the execution of Underwriting...stretch assignment for UW team. + Provide basic and complex system admin for issue resolution and problem solving… more
- Elevance Health (Nashville, TN)
- …bonus for this position.** **Location:** This position will work a hybrid I model ( remote and in office 1-2 days per week). Candidates must live within 50 miles ... will make an impact:** * Focuses efforts on lowering claims costs, improving the quality of care, and increasing...of contract arrangements and pricing mechanisms. * Works on complex enterprise-wide initiatives and acts as project lead. *… more
- Zurich NA (Nashville, TN)
- …Construction team in Zurich's Philadelphia office. We are also open to hiring remote talent. This role will be filled at either the Senior Construction Professional ... or AVP, Construction Property Underwriter (Leve IV). The hiring manager will determine the appropriate level based upon the...Level III or AVP Level IV) you will handle complex new and renewal domestic Construction Professional Liability accounts… more
- Zurich NA (Nashville, TN)
- …the marketplace to meet with our agents and brokers. You will partner with your manager to set a flexible work schedule that supports you, our customers, and our ... Underwriter or Senior Middle Market Underwriter level. The hiring manager will determine the appropriate level based upon the...Mid-Senior or Senior Middle Markets Underwriter you will handle complex new and renewal Middle Markets business. As a… more
- Elevance Health (Nashville, TN)
- **Pharmacy Internal Auditor** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 miles of one of our ... processes and processes related to enrollment and billing and claims processing, as well as customer service written and...acts as auditor in charge on small and less complex audits. + Participates in pre and post implementation… more
- ReSource Pro (Nashville, TN)
- …you a strategic thinker with a passion for technology and a knack for solving complex problems? Join our team as a Principal Solutions Consultant and help shape the ... preferred. + Demonstrated expertise in designing and implementing solutions for complex business challenges. + Solutions design and/or implementation preferred. +… more
- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- …close prior to the closing date. Applications will be sent to the hiring manager every two weeks. VA offers a comprehensive total rewards package. VHA Physician ... The Radiation Oncology Service is part of a large, complex , VA Medical Center with consults and referrals from...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more
- Warner Music Group (TN)
- …remaining focused on upcoming deadlines, and proactively communicate anticipated hurdles to your manager + Handling large volumes of complex , financial data, you ... perform reconciliations, update cash forecasts and budgets, investigate audit issues and claims , perform tasks as part of the overall close process (includes… more
- Highmark Health (Nashville, TN)
- …to perform a certain level of production each month, as determined by the manager to ensure compliance with DLP changes. This role will be required to support ... level of production each month as determined by the manager . + Other duties as assigned or requested. **EXPERIENCE**...procedures and terminology + 3 years of Health Care claims , Health Insurance and Benefit Administration **SKILLS** +… more
- Medtronic (Memphis, TN)
- …and geographies resulting in unique ability to 1) advise businesses on complex legal regulatory questions, 2) identify common and conflicting legal issues and ... MN or one of our other US Medtronic office locations, or alternate ( remote ) location to be discussed. Responsibilities for this position include: + Acting as… more