- Trustmark (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …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...cost containment principles + Extensive knowledge and comprehension of insurance coverage + Claims expertise in errors… more
- R1 RCM (Salt Lake City, UT)
- …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
- Sedgwick (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …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
- Evolent (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …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 (Salt Lake City, UT)
- …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