Complex Claims Strategist Healthcare
CNA Surety
CNA Insurance is seeking an experienced claims professional to manage highly complex healthcare claims with significant exposure. This individual contributor role involves coordinating resolution activities, interaction with customers and insureds, and ensuring compliance with company protocols. You will lead investigations, establish reserves, negotiate settlements, and mentor junior staff within a fast-paced environment. #J-18808-Ljbffr CNA Insurance
$97k - $189k
...potential. CNA is a market leader in insuring Healthcare providers and entities including Allied... ...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...ClaimsFull timeWork experience placementShift work- ...is seeking a Health and Risk Solutions Senior Claim Analyst to lead the evaluation, negotiation, and settlement of complex claims. This senior role focuses on ensuring... ...complex claim practices, legal precedents, and healthcare legislation, with strong communication and...Claims
- ...the United States seeks a seasoned professional to direct handle and lead strategy on high-exposure Allied Healthcare Provider claims, including analyzing complex coverage, liability, and damages. You will develop litigation management strategies, negotiate settlements,...Claims
- ...Netsmart, we build technology that helps healthcare organizations simplify access to care,... ...and care teams. We are seeking a Solution Strategist who can blend healthcare workflow... ...revenue cycle workflows.Enjoys translating complex healthcare processes into clear, actionable...SuggestedFull timeFor contractorsRemote work
$97k - $189k
...potential. The Managing Director Strategic Claim Oversight leads the Severity & Excess... ...oversees the highest exposure claims in Healthcare. Ensures the effective execution of claims... ...personnel actions. Oversees the most complex investigations of claims, liability and...ClaimsFull timeWork experience placementWork at office- Crawford & Company is seeking a Sr Claim Examiner- WC (Finance) to investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. The role reviews coverages, determines liability and compensability, secures information, and...Claims
- Blue Cross and Blue Shield of Kansas City is seeking a Claims Examiner to assess claim information, reference contracts, and perform... ...calculations to process and pay health insurance claims of a highly complex nature. The role involves inter-department collaboration,...ClaimsWork at office
- First Chicago Insurance Company is seeking an experienced Litigation Specialist to handle litigated and complex injury claims from Personal Auto and Commercial Auto Liability policies. The role emphasizes thorough investigations, negotiation, and strategic coordination...Claims
- CNA Insurance in Overland Park, KS, is seeking a Complex Claims Consultant focused on Large Law claims, with responsibility for evaluating coverage, setting reserves, negotiating settlements, and guiding litigation. The role requires extensive claims experience, strong...ClaimsWork at officeFlexible hours
- ...Managing Director, Strategic Claims Oversight, Healthcare Severity About the Company Top provider of insurance products & related services... ...directing the work activities of the Severity Team, overseeing complex claim investigations, and determining claim strategies....Claims
$72k - $141k
...fullest potential. CNA is one of the premier providers of professional liability insurance. CNA Financial Lines has an opening for a Complex Claims Consultant handling Employment Practice Liability, Private and NFP D&O claims. This individual will work with insureds,...ClaimsFull timeWork experience placementWork at officeLocal areaRemote workShift work- ...to our communities and being a part of our caring culture, you belong here. Lockton is currently seeking a results-orientated Complex Claims Coordinator who thrives in a fast pace environment and constantly strives to improve the client experience. ESSENTIAL JOB DUTIES...ClaimsImmediate start
- ...Employment Type: Full-Time, Exempt Industry: Healthcare Technology & Business Services Company... ..., while our operational solutions span claims administration, member enrollment,... ...and MDI's operational solutions to solve complex business challenges. Maintain an accurate...ClaimsFull timeContract workRemote work
- We are currently looking for an experienced Complex Claims Examiner I to join our growing Claims team! Key Responsibilities Reviewing and investigating the company’s contractual liability under contestable life claims Preparing prompt, comprehensive and accurate correspondence...ClaimsWork at officeFlexible hours
- ...Overland Park, KS 66213 Position Summary: Business Assistant Healthcare Related Experience Deer Creek Family Dental is looking for... ...for multiple providers in the office File patient insurance claims and follow up on outstanding claims, verification of benefits...ClaimsDaily paidWork at officeLocal area
- ...history and risk data to assess potential claim exposure and risk adjustments.... ...document risk rationales. Investigate complex claims and support senior underwriting decision... ...for clients and candidates across the healthcare, scientific, technology, and government...ClaimsMinimum wageTemporary workLocal area
$112.7k - $193.2k
...approaches to solve some of health care's most complex challenges. Your contributions here have... ...on health plan capabilities such as claims, member, clinical, provider, X12... ...Medicare, managed care, health plan, or healthcare operations experience2+ years of experience...ClaimsMinimum wageFull timeWork experience placementLocal areaRemote work- The University of Kansas Health System is seeking a Senior Clinical Communications Liaison to develop and execute comprehensive communication plans for clinical audiences. This role involves managing communications support, developing materials, and ensuring alignment with...Full time
- ...passion! For more than 50 years, we’ve been a healthcare software company developing technology... ...environment. ResponsibilitiesComplete complex system configuration and assist with... ...outpatient services.Experience with 837P/837I claims, and clearinghouse workflows.Knowledge...ClaimsFull timeFor contractorsWork experience placementWork at officeRemote work
- ...management educational programs; investigating complex clinical patient complaints/ethical... ...facility-wide educational programs on healthcare risk management and related subjects for... ...loss or assets. Collaborates with the claims and insurance team regarding actual or...ClaimsFull timeLocal areaWork from homeFlexible hours
$262.9k - $404.2k
...Travelers Claim Medical Initiatives Lead Taking care of our customers, our communities... ...number of factors, including the scope, complexity and location of the role; the skills,... ...research and analysis related to medical and healthcare trends. This includes the physical and...ClaimsLocal area- ...projects across transportation, energy, water, healthcare, and more. Learn more about the benefits... ...fire events, and other property‑related claims. Responsibilities Conduct forensic... ...teams. Proven ability to manage complexity, mentor others, and deliver technically...ClaimsWork at officeLocal areaNight shift
$68.2k - $102.3k
...supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400... ...: The Senior Manager, Stop Loss and Health Claims leads our dynamic claims unit. In this critical role, you'll oversee complex claims operations, manage a high-performing...ClaimsWork at officeLocal areaFlexible hours$2,500 per month
...user efficiency and shape the future of healthcare. Because we operate across multiple business... ...exciting challenges - from modernizing complex legacy applications to building brand-... ...(FHIR, HL7, HIPAA, EMR), medical claims, or payroll accounting.Job Expectations:...ClaimsFull timeWork experience placement- ...calls from clients and carriers regarding insurance coverage, claims, oradministrative problems. Complies with request and/or refers... ...Ability to communicate orally and in writing with others to explain complex issues,ability to receive and interpret complex information,...ClaimsWork at office
- ...SUMMARYTheCommercial Lines Account Executiveoversees the daily operations of complex and key customeraccounts, as well as middle market accounts.... ...calls from clients and carriers regarding insurance coverage, claims, oradministrative issues, complies with requests or refers them...ClaimsContract workWork at office
$85.6k - $141.2k
Travelers is hiring a Technical Specialist in Overland Park, Kansas to manage complex insurance claims, especially in construction. The role requires five years of relevant experience and offers a minimum salary range from $85,600 to $141,200 annually based on expertise...Claims- Travelers is seeking a Sr Technical Specialist to handle complex claims in Overland Park, Kansas. You will leverage your expertise in insurance claims management to ensure fair resolution and guide customers through challenges. The ideal candidate has at least 7 years...ClaimsRelocation package
$26.49 - $40.99 per hour
...damages for 1st and 3rd party material damage claims in either the auto or specialty lines... ...documents all activities in the most complex of files across multiple lines Evaluates... ...VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing,...ClaimsWork at officeWork from homeVisa sponsorshipWork visa- ...supports the safe and effective use of healthcare products by providing timely, evidence-based... ...to interpret, edit, and summarize complex scientific data accurately for diverse audiences... ...e-mails, or even text messages claiming to be a legitimate company. Some of these...ClaimsFull timeLocal areaHome officeFlexible hours
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