- Daiichi Sankyo, Inc. (Bernards, NJ)
- …employee privacy, state laws on wrongful discharge, wage and hour claims , contingent worker issues, diversity initiatives and workplace environment issues. Supports ... Advises senior management on legal and regulatory issues, leads complex transactions, and supports other agreements. Develops contract templates,...Program, etc.) in an in-house capacity, as a legal consultant , and/or at a law firm in a practice… more
- Equitable (Charlotte, NC)
- Dental Claims Consultant & TPA Liaison- Employee Benefits (Group Insurance Claims Experience Required) ( 2500002G ) **Primary Location** : UNITED ... seeking a dynamic resource to join our Employee Benefits Claims organization. This role will play a critical part... data analysis techniques and tools. Ability to interpret complex data sets to make informed decisions and drive… more
- WTW (Charlotte, NC)
- **Description** The Environmental & Property Claims Consultant provides claim strategy, consulting, and advocacy services to dedicated client. The Consultant ... **The Role** + Advocate for prompt, optimal recovery on claims including payments + Manage workflow from initial intake...necessary to continually improve quality and innovation + Elevate complex cases or special requests as necessary + Evaluate… more
- Sedgwick (Columbus, OH)
- …liability claims ; to provide resolution of said type of highly complex claims ; to coordinate case management within company standards, industry best ... Health Care Risk Management (CPHRM) preferred. **Experience** Ten (10) years of complex claims management experience or equivalent combination of education and… more
- The Hartford (Coral Gables, FL)
- Claims Consultant FL - CV07GE We're determined...- Latin American Financial Lines to handle large and complex claims within our international claims ... Insurance Company. You will ensure the proper servicing and settlement of claims within your designated authority while working in partnership with team colleagues… more
- City of New York (New York, NY)
- …responsibilities may include, but are not limited to, the following: - Reviewing complex construction claims and contract disputes, including breach of contract ... and other high-exposure and high-profile claims ; - Participating in complex settlement conferences and negotiations; - Drafting determinations for contract… more
- The Hartford (Lake Mary, FL)
- …issues + Possess the ability to investigate, evaluate and negotiate highly complex claims to appropriate disposition + Possess superior analytical and ... management abilities + Possess the advanced technical knowledge to properly reserve highly complex claims + Properly apply statutory laws and regulations of… more
- R1 RCM (Denver, CO)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Complex Denials Consultant , you will represent healthcare providers in ... topics. **Here's what you will experience working as a Complex Denials Consultant :** + Assist recovery staff...apply client contract language and rates to resolve denied claims . + Utilize payer-provider and administrative manuals to dispute… more
- Sedgwick (Fort Worth, TX)
- …Account Consultant **PRIMARY PURPOSE** **:** To manage claim caseload of highly complex claims , coverage issues (handling claims against insurance or ... works constructively with client and legal representatives to resolve complex litigated claims . + Ensures compliance and best possible outcomes by minimizing… more
- University of Washington (Seattle, WA)
- …natural beauty. **Department of Emergency Medicine has an outstanding opportunity for Research Consultant .** The University of Washington (UW) is proud to be one of ... King County. This position will be a multifaceted role entailing data management, complex statistical analysis, and reporting of data related to projects within the… more
- Sedgwick (Oklahoma City, OK)
- …**PRIMARY PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, ... such as subrogation, fraud evaluation or case management review to resolve claims . + Establishes and maintains effective relationship with internal and external… more
- MAPFRE Insurance (Webster, MA)
- Claim Consultant , Casualty (Hybrid) Date: Feb 10, 2025 Location: Webster, MA, US Company: MAPFRE At MAPFRE, our commitment to care is not just our purpose; it's the ... Webster or Boston, MA Office or Remote** The Claim Consultant works with a high level of independence handling...with a high level of independence handling high exposure claims and litigation potentially in multiple lines of coverage… more
- Elevance Health (Wilmington, DE)
- **Senior Research Programmer/Analyst (Business Information Developer Consultant Senior)** **Location:** This position will work a hybrid model (remote and in office ... IN or Norfolk, VA. The **Senior Research Programmer/Analyst (Business Information Developer Consultant Senior)** is viewed as an expert in the development and… more
- Prime Therapeutics (Eagan, MN)
- …drives every decision we make. **Job Posting Title** Senior Functional Implementation Consultant - Remote **Job Description** The Functional Business Consultant ... regulatory requirements, process improvement, advanced research, root cause analysis, complex issue research, documentation, advanced communications, client interaction, training,… more
- American Family Insurance - Corporate (Madison, WI)
- …as needed, on files with coverage questions, high risk litigation, high risk exposure claims including complex file handling as well as participating in quality ... technical support to the claim areas on serious and complex liability, damages and coverage issues on claims where a demand is pending. + Assist with special… more
- Two95 International Inc. (New York, NY)
- Job Title: Sr. Analytics Consultant Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Job Description: Primary ... * Lead the discovery of the client's EMR/EHR and/or claims data environment so we can efficiently and effectively...solving, with the ability to visualize, articulate, and solve complex problems and concepts, make decisions, and take appropriate… more
- Elevance Health (Mason, OH)
- **Business Information Consultant - Healthcare Data** **Location:** Richmond, VA; Atlanta, GA; Tampa, FL; Indianapolis, IN; Mason, OH (preferred). Alternate ... miles of one of our Elevance Health PulsePoint locations. The **Business Information Consultant ** is responsible for serving as an expert in data analysis, reporting… more
- CIBC (Chicago, IL)
- …as well as policy and operations. As the Corporate Health & Safety Consultant , you will be accountable for providing proactive, specialized, and strategic health and ... remote._ **How You'll Succeed** + **Health & Safety Consulting** - Handle complex and sensitive workplace issues and solutions, such as work refusals, investigations… more
- ICW Group (CA)
- …opportunities to contribute, develop, and belong. The **Safety/Risk Management Consultant ** will identify and quantify policyholder Workers Compensation, Commercial ... stakeholders in conducting research or accident investigations to sustain claims and underwriting initiatives. + Identifies and quantifies Workers' Compensation… more
- Elevance Health (Richmond, VA)
- **Healthcare Economics Consultant /Cost of Care Senior** **Locations:** This position will work a hybrid model (remote and office). The ideal candidate will live ... Indianapolis, IN; Cincinnati, OH or Louisville, KY. The **Healthcare Economics Consultant /Cost of Care Senior** provides analytic support to the Finance, Clinical,… more
