Clinical Claims Strategist for Complex Risk & Cost Reduction
Lockton Companies
Lockton Companies seeks a Clinical Claims Specialist in our Specialty Practice to improve and reduce severity of complex claims and cost of risk for employer health plans. You will explain disease states and costs, provide cost-of-care estimates, and advise underwriting on medical care strategies. You’ll review claims, monitor savings opportunities, and collaborate across teams to drive patient care improvements and cost reductions. #J-18808-Ljbffr Lockton Companies
- Lockton is seeking a Clinical Claims Specialist in Plano, TX, within our Specialty Practice... ...focuses on reducing severity of complex claims and lowering costs while improving health outcomes for... ...with 5+ years of clinical/risk management experience, and strong communication...RiskClaims
- ...Lockton is currently seeking a Clinical Claims Specialist within our Specialty... ...improve and reduce the severity of complex and catastrophic claims, reduce the cost of risk while improving the health of... ...of care and overall cost reduction. Collaborate with various key...RiskClaims
- ...Lockton is currently seeking a Clinical Claims Specialist within our Specialty... ...improve and reduce the severity of complex and catastrophic claims, reduce the cost of risk while improving the health of... ...of care and overall cost reduction. Collaborate with various key stake...RiskClaims
$121.2k - $225.2k
...strategic legal support to HCSC’s clinical team. In a highly complex and evolving legal and... ...access to high‑quality, cost‑effective health care. The... ...regulatory, legal and business risks. Exercise judgment and... ...care, health insurance, or claim administration field. ~3+...RiskClaimsWork at office3 days per week$121.2k - $225.2k
...strategic legal support to HCSC’s clinical team. In a highly complex and evolving legal and... ...access to high-quality, cost-effective health care. The... ...regulatory, legal and business risks. Exercise judgment and... ...care, health insurance, or claim administration field. Three...RiskClaimsWork at office3 days per week- ...as the bridge between clinical expertise and business... ...facility and provider claims ~ Understand and apply... ...that improve performance, cost efficiency, and service... ...to identify patterns, risks, and opportunities... ...~ Ability to navigate complex issues with professionalism...RiskClaimsFull time
- ...Senior Technical Claims Specialist Liberty Mutual has an immediate... ...professional to join our Complex Energy Team as a Senior Technical... ...shape claims strategy, control cost, and protect our insureds and... ...causation, damages, and venue risk, and to develop effective resolution...RiskClaimsFor contractorsWork at officeImmediate startRemote workHome office
$180k - $210k
...responsible for end-to-end delivery of complex MHE projects, driving schedule, cost, quality, safety and customer... ...project P&L, change orders, claims and supplier performance. Risk & issue management: identify,... ...and schedule growth (%). Reduction in engineering and PM hours...RiskClaimsLocal area$97k - $189k
...you will direct handle and serve as a lead strategist on complex and high-exposure Allied Healthcare Provider professional liability claims. This role is responsible for analyzing... ...resolution, managing complex litigation including risk transfer opportunities, advising...RiskClaimsWork experience placementShift work$72k - $141k
...opportunities and a strong benefits package. We are currently seeking a Complex Claims Consultant in our Financial Lines Claims team. The individual... ...paid timely. Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to...RiskClaimsWork experience placementWork at officeLocal areaShift work- ...potentially acting as the clinical lead representing... ...operations, including how claims adjudicate and how pricing... ...skills, translating complex clinical and contractual... ...patterns, trends, and risk in pharmacy contract, claims... ...impact on the rising cost of healthcare. With...RiskClaimsFull timeContract work
$116k - $165k
...Medical Malpractice Focused Complex Claims Consultant You have a clear vision of where your career can go. And we have the leadership to... ...paid timely. Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to...RiskClaimsWork experience placementWork at officeLocal areaFlexible hoursShift work$116k - $152.25k
...position drives procurement cost savings across company... ...long-term sourcing plans for complex, high-impact, and high-risk categories.What You Will... ...commercial terms, and driving cost reductions through data-backed... ...related issues, including claims, rejections, returns, over...RiskClaimsTemporary work- ...judgment in evaluating complex healthcare data, and have... .... Analyze healthcare claims, utilization, and enrollment data to identify cost drivers, emerging... ..., actuarial, pharmacy, clinical, and client service teams... ...underwriting principles, and risk management concepts....RiskClaimsWork at office
$147k - $241.5k
...their fullest potential. Leads a team of Claims Consultants and Consulting Directors that are responsible for the handling of complex, high exposure mass tort and environmental... ...through change and take appropriate levels of risks. Adaptable and able to effectively lead...RiskClaimsWork experience placementWork at officeLocal area- ...as a key liaison between patients, clinics, and the Revenue Cycle Management team... ...verify insurance coverage, refile claims when appropriate, and resolve complex patient billing concerns with... ...policies. Escalate unusual, high-risk, or compliance-related issues to leadership...RiskClaimsWork at office
- ...address client needs, including risk identification and the... ...underwriting, policy, accounting, and claims issues, ensuring clients... ...preparation of such documents for complex risks. Ensures documents reflect... ...for the scope of service and costs associated with the client...RiskClaimsFull timeContract workWork at office
- The Vice President of Claims leads Aimbridge’s Workers’ Compensation... ...with a focus on strategy, cost control, and stronger claim outcomes... ...drives practices that reduce risk and long‑term insurance costs.... ...outcomes, and manage complex or high‑severity claims. Strong...RiskClaimsDaily paidFull timeTemporary work
- ...factors, including the scope, complexity and location of the role; the... ...offers a wide array of guaranteed-cost products to mid-size... ...independently assess complex risk and sell our products in challenging... ...Have?Four years of underwriting, claim, operations, risk assessment,...RiskClaimsFull timeLocal area
- ...factors, including the scope, complexity and location of the role; the... ...for clients with significant risk with coverages such as Workers... ...customers to provide guaranteed cost and loss sensitive coverage for... ...?Two years of underwriting, claim, operations, risk assessment,...RiskClaimsFull timeLocal area
- ...Supports efforts to reduce material cost and assess/respond to supply risks.Advises the supply chain management... ...the team to ensure contractual claims for SCM related costs are recovered... ...to deliver solutions for their most complex challenges. As a leader in design,...RiskClaimsContract workWork at officeLocal areaRemote work
- Description Casualty Senior Claims Manager — Casualty Specialized... ...Liability, and Emerging Risks.Primary ResponsibilitiesStrategic... ...trends, team capacity, inventory complexity, and future resource needs,... ...business partners to protect loss-cost integrity and drive...RiskClaimsWork experience placementWork at officeLocal area
$116.88k - $148.13k
...Prospecting, Submissions, Loss Cost & Exposure Analysis.Functional Areas... ...Management, Carrier Management, Risk Management Programs, Policy renewals, Reinsurance, Claims and TPA.Broker Integration with... ...are industry experts that lead complex change agendas driven by...RiskClaimsFull timeTemporary workWork experience placement- ...product's key success metrics such as cost, feature and functionality, risk posture, and reliabilitySet and... ...Define Security OAuth2/OIDC, mTLS, JWT claim standards, resolver-level auth for GraphQL... ...working in a highly matrixed, complex organizationChase is a leading financial...RiskClaimsContract work
- ...analyzing protection schemes, managing complex projects, and leading field... ...Utilize Human Performance Error Reduction (HPE) tools to improve reliability and reduce risk.Technical Expertise &... ...agencies, and will not recognize claim to any unsolicited resumes or candidate...RiskClaims
$154.38k - $193.13k
...Prospecting, Submissions, Loss Cost & Exposure Analysis.Functional Areas... ...Management, Carrier Management, Risk Management Programs, Policy renewals, Reinsurance, Claims and TPA.Broker Integration with... ...are industry experts that lead complex change agendas driven by...RiskClaimsFull timeTemporary workWork experience placement- ...beyond standard reporting to lead complex analyses, with AI first... ...stakeholders by translating healthcare claims data into clear, actionable... ...is strategically aligned with clinical and financial objectives.... ...documentation, and proactively identify risks to delivery timelines.Key...RiskClaimsWork at office2 days per week
- ...how they handle your insurance claim, and how they stand behind... ...-lasting roof and a string of costly problems. Understanding that role... ...put you at legal and financial risk. By contrast, a reputable... ...days, depending on the size, complexity, and weather conditions. A trusted...RiskClaimsFor contractorsSummer workLocal areaImmediate startWork from homeNight shift
- ...projects through accurate job cost reporting, revenue recognition... ...bonding requirements, and bid risks.Own job cost integrity, ensuring... ..., change orders, and claims.Oversee billings, collections,... ...PivotTables, VLOOKUP/XLOOKUP, complex formulas, and financial analysis...RiskClaimsContract workWork at office
- ...supplier strategy, negotiate complex service and reseller agreements... ...to move fast while managing cost and risk.You will work closely with IT... ...base opportunities, cost reduction, and competitive advantage. Oversees... ...pursuing any discrimination claim, or cooperating in related...RiskClaimsFull timeContract workWork at officeLocal area2 days per week
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