Strategic Claims & Risk Advocate
Gallagher
Gallagher is seeking a claims consultant in Jackson, Mississippi. The role involves strategizing claims, analyzing reports, and managing client broker communications. Applicants should possess at least 3 years of claims experience and strong communication skills. Gallagher offers a comprehensive compensation package and benefits that start on day one, including medical and dental plans. #J-18808-Ljbffr
$70k - $95k
...Insurance Office of America is looking for a Claims Advocate in Mississippi. This fully remote role involves managing claims activities, client advocacy, and ensuring service excellence. Ideal candidates should have over 5 years of claims handling experience and a licensed...RiskClaimsWork at officeRemote work- ...At Gallagher, we help clients face risk with confidence because we believe that when businesses... ...Risk Control Team is now the Gallagher Claims and Risk Consulting Team. This new team... ...to move the claims process forward Advocate for clients to maximize results Negotiate...RiskClaimsFull timeLive outWork at officeLocal areaFlexible hours
- ...Ergon, Inc. is looking for a Director of Claims in Flowood, MS, responsible for overseeing the enterprise claims function, including litigation strategy, third-party oversight, and analytics. The ideal candidate will have 7 to 10 years of experience in claims or litigation...RiskClaims
$143.62k - $229.79k
...Job Description The Director, Strategic Communications is a key leader within the Communications... ...organizational purpose. Reputation, Risk & Environmental Conditioning... ...individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield...RiskClaimsLocal area- ...an insurance defense law firm delivering strategic, results-driven representation backed by... ...distinctive advantage to complex and high-risk matters, combining legal advocacy with investigative... ...and court appearances Analyze complex claims and develop strategic case evaluations...RiskClaims
- ...initiatives for a specific Line of Business or claims domain. This role partners directly with... ...execution plans. This role combines strategic initiative shaping with hands-on backlog... ..., customer friction points, regulatory risks, and client performance commitments. They...RiskClaimsRemote work
- ...Director of Claims-Ergon, Inc. Ergon, Inc. is seeking a Director of Claims and is responsible... ...with a focus on reducing total cost of risk and improving outcomes across the... ...of growing but growing carefully and strategically. Respectful Relationships: Together,...RiskClaimsContract workTemporary work
- ...insights to Executive Leadership Team to support strategic and operational decisions. Formulate and investigate... ...that can influence decisions around pricing, risk selection, target marketing, distribution strategy, claims handling, and customer experience. Work cross-...RiskClaimsFull timeHome office
$110k - $145k
...Description Job Description: Title: Risk Manager - Insurance Fully Remote:... ...financing programs. This role acts as a strategic advisor to clients or internal... ...compliance, cost efficiency, and effective claims management. Key Responsibilities:...RiskClaimsWork at officeRemote work$40k - $250k
...Specialty Job Location : USA, Mexico, Brazil and strategic locations globally Job Type : Permanent... ..., you are a leader in the industry, or a claims management expert looking for a new... ...Property, Casualty, Technical and Special Risks and Marine. As we expand our operations,...RiskClaimsPermanent employmentFlexible hours$132.8k - $219.1k
...where you do it. Job Category Risk Control Compensation Overview The... ...needs. Help define and execute the strategic roadmap for cyber risk services.... ...vulnerabilities, and what causes cyber attacks and claims. Exceptional analytical and problem...RiskClaimsLocal area$143.62k - $229.79k
...Description As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role... ...of work Provide proactive and strategic thought leadership of ways to improve processes... ..., organizations, and internet sites claiming to represent Blue Cross and Blue Shield of...RiskClaimsLocal area$200k - $260k
...delivers must-have answers for critical strategic and commercial decision-making. Together... ...stakeholders, guiding how RWD (Open Claims, Closed Claims, EMR) can inform commercial... ...selection and analytics approaches Lead risk management and escalation resolution across...RiskClaimsFull timeTemporary workLocal areaRemote workFlexible hours- ...com/locations About the Role Responsible for the strategic coordination and execution of client marketing, servicing, risk management, and/or sales activities. Manage a... ...account activities, policy administration, billing, claims, and more. Policy Management: Manage policy...RiskClaimsRemote work
$27.02 per hour
...analyzes Individual and/or Group medical risk factors for new enrollment, yearly renewals... ...of employee groups, or past claim experience to determine what benefits can... ...Actively participates in system enhancement and strategic planning to meet corporate goals. # Support...RiskClaimsFor contractorsWork at officeLocal area$118.69k - $189.91k
..., and can identify and react to nuanced risks and opportunities. This particular role... ...quality of work Provide proactive and strategic thought leadership of ways to improve... ...individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield...RiskClaimsLocal area$40k - $250k
...A leading risk and claims administration partner is seeking a Specialty Loss Adjuster. This role offers the chance to manage complex cases with a supportive team, and flexible work arrangements. Ideal candidates should have experience in insurance claims and possess strong...RiskClaimsFlexible hours- ...Commercial Management Lead in identifying risks associated with new work during the... ...correspondence to support reporting, contract audit, claims and litigations, and contract close out... ...ability in formulating and delivering strategic goals As part of the commercial...RiskClaimsContract workFor contractorsFor subcontractorWork at office
$111.3k - $215.1k
...internal audits, and client claims Recommend and execute process... ...to subject matter experts, risk management, independence, and... ...tactical plans that support strategic objectives and establish credibility... ...leadership Capability to advocate for leading contract...RiskClaimsContract workH1bWork at officeLocal area$118.69k - $189.91k
...data into clear, actionable recommendations that guide strategic decisions. By identifying emerging risks and opportunities, you'll help us stay agile in a... ...from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina...RiskClaimsContract workWork at officeLocal area$70k - $100k
...support the performance, optimization, and strategic growth of our Musculoskeletal (MSK) and... ...management programs Experience working with claims data, authorization data, or clinical... ...with value‑based care models, risk adjustment, and cost‑of‑care analytics...RiskClaimsImmediate start$150k - $165k
...delivers must-have answers for critical strategic and commercial decision-making.Together,... ..., operational rigor, RWD knowledge (Open Claims, Closed Claims, EMR data), and team coordination... ....Proactively manage expectations, risks, and dependencies.Lead end-of-engagement...RiskClaimsLocal areaRemote work$145.5k - $205k
...compliance activities while shaping proactive, risk-based approaches to support the business. The role provides strategic and operational leadership across core compliance... ..., including the Anti-Kickback Statute, False Claims Act, Foreign Corrupt Practices Act, Sunshine Act...RiskClaimsWork at officeRemote work$140k
...based care strategies. We are advocates for creating patient value... ...You Will Be Doing: Analyze claims and authorization data to identify... ...Manage organizational risk through forecasting of financial... ...phases, and ensure projects meet strategic objectives and are managed to...RiskClaimsImmediate start$70 - $80 per hour
...consultant will translate evidence and data into strategic recommendations and partner across... ....Conduct payer landscape and access risk assessments across commercial, Medicaid,... ...decision-making pre- and peri-launch.Analyze claims data, coverage policies, and utilization...RiskClaimsHourly payContract workLocal areaRemote work$169.4k - $279.6k
...of AI and Emerging Technology Architecture, you'll be joining a strategic and collaborative team that is passionate about transforming... ...interoperability, and responsible AI design • Help establish governance, risk, and control processes that ensure safe, compliant, and...RiskClaimsTemporary workWork experience placementLocal area$85k - $100k
...Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive... ...cost containment techniques including strategic vendor partnerships to reduce overall... ...other roles. Sedgwick is the world’s leading risk and claims administration partner, which...RiskClaimsWork at officeLocal areaRemote workWork from homeFlexible hours- ...virtual ID Card. • View 15 months of claims history as soon as they are paid. • Find... ...biometric numbers and related health risk levels. • Check wellness and health management... ...assigned test activities are meeting strategic business objectives in accordance with...RiskClaimsContract workWork at officeShift work
$115k - $125k
...and executive stakeholders. Translate strategic goals into actionable product requirements... ...meet end-user needs. Surface project risks, communicate changes to delivery timelines... ...of healthcare data formats (eligibility, claims, authorizations) and compliance standards...RiskClaimsWork at officeImmediate start$87.57k - $189.73k
...and refine cost-effective and high quality strategic provider networks - ensuring... ...providers regarding plan procedures and claims payment policies. • Develops and implements... ...service (FFS), capitation and various forms of risk, ASO, etc. • Previous experience with community...RiskClaimsFull timeContract workWork experience placementWork at office
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