- The Hartford (Lake Mary, FL)
- Consultant Claims - CH08CE We're determined...This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty ... (HGS) Claims Division. As a Claims Consultant , you will be responsible for...involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties… more
- Henry Ford Health System (Detroit, MI)
- …costs and management of System reputation Will work under the guidance of Senior Claims Managers, Senior Claims Consultant , Director of Insurance, and Vice ... in-service education presentations and prepare periodic file summaries for claim documentation and presentation to HFHS Claims ...of services - from primary and preventative care to complex and specialty care, health insurance, a full suite… more
- Sedgwick (St. Paul, MN)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Consultant (Examiner) | Public Entity | Remote **Are you looking ... AN IDEAL CANDIDATE?** If you have 10+ years of experience handling high-exposure, complex claims involving serious injuries and legal inquiries or disputes, and… more
- The Hartford (Hartford, CT)
- …our team as we help shape the future. The Claim Consultant is a claim handling role within the Complex Claims Unit (CCU). CCU Construction is a ... Consultant Claims - CH08CE We're determined...manage and can involve higher exposures. RESPONSIBILITIES : The Claim Consultant will demonstrate the ability to… more
- Sedgwick (Miami, FL)
- …Health Care Risk Management (CPHRM) preferred. **Experience** Ten (10) years of complex claims management experience or equivalent combination of education and ... executive, professional liability, error and omissions, and liability claims ; to provide resolution of highly complex ...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- The Hartford (Naperville, IL)
- …Administrator (TPA) Auto/General Liability Consultant is responsible for oversight of claims , including high exposure and complex claims , handled by ... The Hartford's unbundled business), and the handling of excess claims . The TPA Consultant is responsible for...trials and mediations as necessary + Contribute to broader claim and enterprise goals by participating in audits, projects… more
- Sedgwick (Orlando, FL)
- …PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, along ... table discussions within the assigned team. + Investigates, evaluates and resolves claims ; identifies potential problems/trends in claim files and takes… more
- AON (Chicago, IL)
- Aon is looking for a Forensic Accounting Risk Consultant - Property Claims Work Style: Hybrid- Chicago, IL Project Fulfillment: Working with forensic accountants, ... the workbooks for presentation to clients. + Assist the claim preparation team in complex property damage...2568673 Aon is looking for a Forensic Accounting Risk Consultant - Property Claims Work Style: Hybrid- Chicago,… more
- Southern Company (Atlanta, GA)
- …environment. + Goal-oriented and accountable for work product. + Capable of managing complex claims from inception through trial when necessary. + Dedicated to ... **Disability Leave Management Consultant ** **(FMLA)** **Job Summary:** The Disability Leave Management...Medical Leave Act (FMLA), sick pay, and Short-Term Disability claims . This position works closely with the Southern Company… more
- The Hartford (Hartford, CT)
- …regulator inquiries, market conduct, and EB regulatory reporting + Support complaint response for complex claims as requested by Claim Specialists or legal ... Consultant Product Delivery - LO07AE We're determined to...accordingly + Partner with clients, underwriting, actuarial, CCST and claims to develop customized solutions including single case filing… more
- WellSense (NH)
- …for our members, no matter their circumstances. **Job Summary:** The Provider Relations Consultant - NH will act as the primary liaison between Provider Relations ... Consultants and internal Plan departments such as Claims , Benefits, Audit, Member and Provider Enrollment and Clinical...Enrollment and Clinical Services to effectively identify and resolve claim issues. This individual will also work closely with… more
- The Hartford (Hartford, CT)
- Sr Consultant Perf Analytics - GB07AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... to apply. If uncertain, consider discussing it with your manager. The Claims Liability Performance Analytics team is seeking a Senior Performance Analytics … more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** This Senior Consultant , Enterprise Rule & Edits position reports to our Enterprise Rules & Edits Manager and has the responsibility for ... The goal of the position is to ensure implementation clients exceed clean claim targets and report high satisfaction with Waystar edit processes and content. This… more
- CareFirst (Baltimore, MD)
- …management department within the Health Services division. The Sr. Business Consultant provides expertise in tailored, strategic, and critical work to help ... a deep understanding of utilization management, the Senor Business Consultant acts as a liaison between the UM clinical...UM clinical teams, the technical support teams, and the claims operations teams. Ensures alignment of authorization to … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …healthcare? Bring your true colors to blue. The RoleThe Clinical Business Consultant for Cost and Trend Management is responsible for identification, outreach and ... as strong health care industry knowledge. The Clinical Business Consultant works with a wide variety of stake holders...a wide variety of stake holders to analyze high-cost claims and members, evaluate clinical trends, and formulate business… more
- The Hartford (Hartford, CT)
- KR08PE - Sr. Forensic Consultant - KR08PEKR07TE - Executive Forensic Consultant - KR07TEForensic Consultant - KR08NE We're determined to make a difference ... for providing consultation and coordination of laboratory services for forensic claim investigations in The Hartford's brand-new state of the art Forensic… more
- FirstBank PR (San Juan, PR)
- …employees regarding their rights and responsibilities as related to disciplinary actions and claims . The ER Consultant performs all his/her duties within the ... EMPLOYEE RELATIONS CONSULTANT Our Company At FirstBank PR, we strive...Corporation on HR programs, policies and procedures related to claims ' investigations as well as disciplinary actions and the… more
- Huron Consulting Group (Chicago, IL)
- …+ Experience in Charging including Rev Guardian, Charge Router, CDM Maintenance & Claim Attachments + Previous experience in claims , RMC Actions, Late ... strategies and achieve measurable clinical and financial improvements. As a Management Consultant , you will work with a team of technical and project management… more
- Sedgwick (Houston, TX)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigation Consultant **PRIMARY PURPOSE** : To address and handle high end cases with ... serious injuries, complex coverage scenarios and legal inquiries or disputes; to...years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and… more
- Highmark Health (Trenton, NJ)
- …coupled with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A ... needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design, develop,… more