Hybrid Health & Risk Claims Leader
Sustainable World, Inc.
Sun Life U.S. is a leading benefits provider pursuing a hybrid work model across contiguous states plus AK. The Health and Risk Solutions Senior Claim Analyst leads complex claim evaluation, investigation, negotiation, and settlement while ensuring accurate payments and strong stakeholder relationships. You will mentor analysts, coach training, and contribute to policy development while supporting internal and external partners. #J-18808-Ljbffr Sustainable World, Inc.
$74.9k
...Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse portfolio... ...portfolio, which spans both special risk and medical solutions, A&H works on an international... ...with: Underwriting, Actuarial, Claims, Compliance, IT, and externally with Occupational...RiskClaimsRemote jobFlexible hours$36k
...superior customer service platform. Our claims and risk engineering services are recognized as among... ...Since 2000, Crum & Forster’s Accident & Health division (A&H) has offered a diverse... ...and goals of the organization. This is a hybrid role based in the greater Hartford/...RiskClaimsFor contractorsWork experience placementInternshipWork at officeFlexible hours- ...to join its growing transaction liability practice in either New York or Hartford on a hybrid basis. You will review policies, analyze claims arising from M&A and contingent risks, and support negotiations and coverage determinations. Candidates should have 3+ years of...RiskClaims
$100k - $231.54k
We're building a world of health around every individual - shaping... ...functional stakeholders. This leader will address current gaps in ownership... ...-related funding decisions, risk acceptance, issue resolution,... ...resolution of high-cost claim issues, and improved predictability...RiskClaimsHourly payFull timeTemporary workLocal area$100k - $231.54k
We're building a world of health around every individual - shaping a more connected, convenient... .... Position Summary The Lead Director, Claim Management for Provider Digital Operations... ...reviews with vendors. Compliance & Risk Management Ensure ongoing compliance through...RiskClaimsHourly payFull timeTemporary workLocal area- AXA XL, the P&C and specialty risk division of AXA, seeks a Claims Manager for North America to lead a reinsurance claims team in Stamford, CT. You will drive technical direction, ensure high-quality claim handling, and collaborate with underwriters, actuaries and management...RiskClaims
- CVS Health’s Actuarial Development Program is a full-time, 4½ year program designed... ...level actuarial students into future leaders. Rotations focus on risk assessment, rate filing, reserve... ...CT is among the locations; flexible hybrid work is offered. #J-18808-Ljbffr CVSHealthRiskFull timeRelocationFlexible hours
$68.2k - $102.3k
...management, life, supplemental health, medical stop-loss... ...colleagues and empowering leaders who support your growth and... ...communities. Sun Life embraces a hybrid work model that balances in... ...opportunity The Health and Risk Solutions Senior Claim Analyst serves as the...RiskClaimsContract workWork at officeLocal areaFlexible hours- Women’s Health Connecticut is seeking a Full-time Insurance Collector to join our Revenue Cycle team. Hybrid schedule: 2-3 days onsite, 40 hours weekly, Monday through Friday, 8:00am-5:00pm. You will resolve insurance claims processed incorrectly or rejected, and identify...ClaimsFull timeMonday to Friday
- Leading approximately 7 General Liability Litigation Claim Handlers with corresponding claim inventories Effectively training, coaching... ...indemnification In-depth understanding of coverage and risk transfer heading toward the development of a strong coverage acumen...RiskClaimsContract work
- ...shape long-term technology strategy across underwriting, claims, operations, and finance in a hybrid, multi-location setup in Hartford/Farmington/... ...adoption while collaborating with executives to balance risk and growth. The role requires 12+ years in IT architecture...RiskClaims
$115.69k - $128.54k
...work-life balance by offering hybrid schedules for certain roles. Eligibility... ...for managing and mitigating risk to the projects’ scope,... ...communications with municipal leaders in order to identify... ...resolution through the corporate Claims process.Technical Knowledge/Skill...RiskClaimsFull timeFor contractorsH1bWork at officeLocal areaRemote work$185k - $200k
...world’s preeminent specialty risk underwriting organizations. Designed... ...service, both pre‑ and post‑claims. We embed artificial... ...position is in‑office with a hybrid schedule. Responsibilities Own... ...discretionary rewards. Company Benefits Health and welfare benefits: medical...RiskClaimsTemporary workWork at officeFlexible hours- Job Title: US Underwriting Management Leader - Small Business Division: Cyber Risks Reports To: Head of Underwriting Management, Cyber Risks Key Relationships... ...Risks; Cyber Risks Leadership; Brokers; Underwriters; Claims; Cyber Services; Actuarial Job Summary: Underwriting...RiskClaims
$309k - $383k
...company in Connecticut. This is a hybrid position. Position Summary... ...policy, business opportunity, risk, and mitigation strategies.... ...safety Providing legal counsel on health care laws, including the... ...Kickback Statute, FDCA, False Claims Act, PhRMA Code, FTC, HIPAA, CAN...RiskClaimsFixed term contractCurrently hiringFlexible hours$60k - $70k
...Underwriting AnalystBerkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges... ...stop loss characteristics such as benefits, census, large claim information and aggregate claim assessment into David Young...RiskClaimsFull timeContract work- Sun Life U.S. is seeking a Senior Consultant, Supplemental Health Claims to process and adjudicate claims in line with policies and regulatory... ...mentor to the team to uphold high service levels for Clients. Hybrid work model enables a balance of in-office collaboration and...ClaimsWork at officeRelocation
- Travelers Canada in Hartford, CT is seeking an AVP, Complex Claim Liability Specialist to manage severe claims with coverage of $2 million or greater. The role involves comprehensive claim handling, including investigation, evaluation and negotiation while providing superior...Claims
- ...Co. (AJG) is seeking a candidate to lead a Workers Compensation claims team in East Hartford, CT. This role requires a minimum of 10 years... ...service quality. This position offers a competitive salary, a hybrid schedule, and a comprehensive benefits package starting from day...Claims
- ...License Position Purpose The Risk Manager is responsible for... ...examiner reports. Inform leaders of occurrences, findings,... ...coordinate investigations, manage claims against the facility, and interface... ...care operations, Public Health Code regulations, Joint Commission...RiskClaimsFull timeLocal areaMonday to FridayShift workDay shift
$66.33k - $145.86k
...Compliance Manager We're building a world of health around every individual — shaping a more... ...is responsible for overseeing All Payer Claims Database (APCD) reporting and compliance... ..., IT teams, and leadership. Escalate risks, issues, and compliance concerns when...RiskClaimsHourly payFull timeWork experience placementWork at office- ...brokers to identify opportunities where Sun Life Health Care Capabilities can support members, improve access... ...across Distribution, Client Services, Product, Claims, Operations, vendor partners, and other Health and Risk Solutions teams to support a coordinated service model...RiskClaims
$74k
...re building a world of health around every individual... ...-3 days in the office (hybrid arrangement). These locations... ...to support business leaders with critical thought... ...specialize in managing risk. As an Actuary within... ...Reserve Analysis: Analyze claim data and monitor...RiskClaimsFull timeWork experience placementInternshipWork at officeLocal areaWork from homeRelocationRelocation packageFlexible hours$18 - $32 per hour
...challenges.Optum Insight is improving the flow of health data and information to create a more... ...reduce costs while improving risk management, quality and revenue growth. Ready... ...Responsibilities:Review open AR and analyze unpaid claim balancesResearch and resolve government...RiskClaimsHourly payMinimum wageFull timeWork experience placementLive inLocal areaRemote workMonday to FridayShift work- ...flexible work arrangements. This hire may be hybrid or 100% remote, anywhere in the US (... ...solutions that help Hanover’s customers manage risk. Demonstrates a thorough understanding of... ...sales process. Effectively utilize Claims and Loss Control to display service and/or...RiskClaimsFull timeRemote workFlexible hours
$66.33k - $145.86k
...We're building a world of health around every individual - shaping a more connected, convenient... ...is responsible for overseeing All Payer Claims Database (APCD) reporting and compliance... ..., IT teams, and leadership. Escalate risks, issues, and compliance concerns when...RiskClaimsHourly payFull timeTemporary workWork experience placementWork at officeLocal area- ...totaling about $5 billion in assets. Based in Hartford, CT, this role combines portfolio management, security selection, underwriting, and risk oversight with a focus on Agency and Non-Agency CMBS. You will mentor a team of three investment professionals, collaborate with the...RiskRemote job
- ...to our Travel and Accident & Health business units, partnering closely... ...distribution, marketing, and claims; Key role in enabling Arch’s... ...AccountabilitiesWork cross‑functionally with leaders in compliance, operations,... ...the ability to balance legal risk with operational and strategic...RiskClaimsFull timeTemporary workWork at office
- ...customized solutions, backed by targeted risk control and claims services. Our employees are passionate... ..., CT; Canton, MA; Salem, VA offices hybrid. A member of an Agile Development team... ...key stakeholders, including business leaders, customers, and development teams. Conduct...RiskClaims
$225k - $263k
...solutions, backed by targeted risk control and claims services. Our employees are... ...or Raleigh, NC offices on a hybrid schedule. This role is... ...architecture, operations, and delivery leaders to evolve legacy... ...of annual salary ~ Mental health support programs, life and disability...RiskClaimsFull timeWork at officeFlexible hours
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