Senior Medical Risk Strategist - Claims & Underwriting
Jobtailor
Jobtailor is seeking a registered nurse with strong clinical risk management and data analysis skills to review large claims and renewals in a Massachusetts setting. The role requires delivering clear reports and serving as the subject matter expert on risk management related to claims and underwriting. The ideal candidate holds an RN license and a Bachelor's degree (or equivalent) with proven experience in clinical risk assessment, reporting, and presenting risk insights to stakeholders for #J-18808-Ljbffr Jobtailor
$79.4k - $175.3k
...Role Overview Make underwriting recommendations and decisions to protect... ..., classify, and rate each risk to determine acceptability, coverage... .... Demonstrated expertise in Medical Stop Loss underwriting.... ...benefits, bid specifications, claim reports, and procedural manuals...SeniorRiskMedicalClaimsWork at officeLocal area- ...confidently through our “Mind Over Risk” philosophy. More than an... ...minimal supervision, reviews underwriting proposals for high-dollar... ...audits on cases with aggregate claims in excess of determined percentage... ...advancement Comprehensive medical, vision, and dental coverage,...SeniorRiskMedicalClaimsWork experience placementWork at officeLocal area
$92.48k - $160.29k
...anywhere you want to go. The Senior Underwriting Consultant is responsible... ...appeal reviews and contestable claim review. Audit applications... ...and policies. Audit medical record summaries to ensure documentation... ...projects pertaining to risk assessment. Process formal...SeniorRiskMedicalClaimsTemporary workLocal areaRemote workFlexible hours- ...partnerships while providing strategic risk management guidance. How You Will Contribute... ...with internal teams, including underwriters, claims adjusters, and other specialists, to ensure... ..., including: Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability...SeniorRiskMedicalClaimsHourly payWork at office
- ...Senior Vice President, Benefits About the Company Global risk management firm helping clients navigate complex risks with creative... ...strategic risk analytics claims advocacy bermuda market... ...Significant experience in the medical stop loss, self-funding, or benefits...SeniorRiskMedicalClaims
$158k - $236k
...powered Resolution Platform, AI Success Strategists shape and deliver long‑term AI success for... ...activities, identify and elevate risks early, and ensure the right technical, product... ..., sexual orientation, marital status, medical condition, ancestry, disability, military...SeniorRiskMedicalRemote work- ...Position Description The Senior Project Manager leads the project... ...plans, client negotiations, risk management, cost estimation,... ...as-builts, change orders and claims. Works to beat the labor and... ...offers great benefits. We provide medical, dental and vision on the...SeniorRiskMedicalClaimsContract workFor subcontractorWorldwideRelocationWeekend work
- ...monitor stop-loss performance Review utilization, claims, pharmacy, financial, and large claimant reporting to identify trends, risks, and cost drivers Translate complex... ...funded clients Strong knowledge of self-funded medical plans, ASO arrangements, provider networks,...SeniorRiskMedicalClaimsContract workWork at officeNight shift
- ...Overview Join to apply for the Senior Software Engineer, Full Stack role at Cambridge... ...from CMT's platform to power risk assessment, safety, claims, and driver improvement programs. Headquartered... ...of Restricted Stock Units (RSUs) Medical, Dental, Vision and Life Insurance,...SeniorRiskMedicalClaimsTemporary workWork from homeFlexible hours
$97.3k - $121.7k
...function and reporting to the Senior Manager of FP&A, the FP&A analyst... ...— understanding and reducing risk, detecting crashes, and... ...Restricted Stock Units (RSUs) Medical, Dental, Vision and Life Insurance... ...saving assistance, and streamline claims. Headquartered in Cambridge,...SeniorRiskMedicalClaimsTemporary workWork experience placementSummer workWork from homeWorldwideFlexible hours- ...Perform new business and renewal large claims reviews and disclosure assessments through... ...evaluation to identify and quantify risks. Provide concise, detailed, and accurate... ...the subject matter expert for claims and underwriting related to risk management. Provide clinical...RiskMedicalClaimsWork experience placement
- ...crafted Commercial Insurance and Risk Management, Private Insurance... ...for errors and omissions claims while demonstrating strong organizational... ...the insurance industry and underwriting criteria for insurance... ...colleagues who need them for medical or religious reasons....RiskMedicalClaimsContract workWork at officeLocal area
- Position Summary The Employee Benefits Risk Advisor is responsible for driving new business... ...employee benefits solutions, including medical, dental, vision, life, disability,... ...Collaborate with internal account management, underwriting, and carrier partners to develop...SeniorRiskMedical
$62.7k
...condition, and other characteristics to assess risk for a book of business consisting of... ...clients in conformance with established underwriting policies, practices, and standards. May prepare... ...accordingly to cover questionable claim patterns or unusual situations not otherwise...RiskClaimsContract workFor contractorsWork at officeLocal area- ...stream from quoting through claims — will capture significant five... ...examiners, case managers, underwriters, and enrollment teams work alongside... ...managing scope and delivery risk, and owning the quality of... ...suite of benefits including medical, dental, vision, life, and long...RiskMedicalClaimsFull timeLive inWork at officeLocal areaShift work
- ...Commercial lines operations - Underwriting, and Claims—using domain depth, data... ...a Transformation Manager / Senior Manager, you’ll lead cross functional... ...business, technology, and risk/compliance functions. How... ...suite of benefits including medical, dental, vision, life, and...RiskMedicalClaimsFull timeLive inWork at officeLocal area
- ...crafted Commercial Insurance and Risk Management, Private Insurance... ...for errors and omissions claims while demonstrating strong organizational... ...the insurance industry and underwriting criteria for insurance... ...colleagues who need them for medical or religious reasons....RiskMedicalClaimsContract workWork at officeLocal area
$250.6k - $384.6k
...seeking a hands‑on technical senior manager with extensive experience... ...Safety Case, including key claims, sufficiency criteria, and recommended... ..., defining safety strategies, risk assessments, validation... ...programs. Benefit options include medical, dental, vision, Health...SeniorRiskMedicalClaimsOdd jobPermanent employmentFull timeLocal areaRemote workWork from homeFlexible hours- Tokio Marine HCC is seeking an experienced Underwriter to review high-dollar proposals and guide regional teams. Under minimal supervision, you will assess risk, set rates, and ensure decisions protect the company’s financial assets. This role requires a bachelor’s degree...SeniorRisk
$100k
...Argo Group Argo Group is an underwriter of specialty insurance products... ...meet the unique coverage and claims-handling needs of businesses.... ...Business Title(s): Senior Construction Defect Technical... ...restrictions), denial of family and medical care leave, disability (mental...SeniorMedicalClaimsFull timeLocal areaRemote work- Responsibilities Review, analyze, accept, and decline inland marine risks to ensure profitability for Markel Communicate with underwriting management on individual accounts, current and proposed producers Underwrite and select new business that will produce an underwriting...SeniorRiskFlexible hours
$118.5k - $148.1k
...understanding and reducing risk, detecting crashes, and... ...technical solutions for underwriting product(s) and/or automobile claims Experience with designing... ...GitHub functionalities) Senior-level professional certification... ...Stock Units (RSUs) Medical, Dental, Vision and Life...RiskMedicalClaimsTemporary workWork experience placementWork at officeWork from homeWorldwideFlexible hours- ..., and promote strong community relations while delivering superior customer service. Responsibilities include business development, risk controls, coaching, scheduling, audits, and ensuring compliance with state and federal regulations; a bachelor’s degree or equivalent...SeniorRisk
- ...requirements.Proactively identify risks related to integration... ...experience, including New Business & Underwriting, Policy Administration, Servicing, Billing & Payments, Claims, Illustrations & Quotes,... ...competitive suite of benefits including medical, dental, vision, life, and...RiskMedicalClaimsFull timeWork experience placementLive inWork at officeLocal area
- ...A growing claims management firm in Oklahoma City is seeking a Senior Subrogation Claims Specialist to manage high-value claims and total loss cases. The role... ...work flexibility with competitive benefits including medical, dental, and retirement plans. #J-18808-Ljbffr...SeniorMedicalClaims
$5,000 per month
...coverage with knowledge of carrier underwriting guidelines. Prepare... ...needed. Assist clients with claims reporting. Adhere to company... ...delivers to clients a robust set of risk management and benefit... ...financial benefits including medical, wellness, dental and vision,...RiskMedicalClaimsTemporary workWork at officeLocal areaFlexible hours- Koniag Information Security Services, LLC is hiring a Medical Records Biller V-Supervisor in Oklahoma City, OK. This leadership role oversees... ...candidate has significant experience in medical billing and claims processing, with strong technical and leadership skills. We...SeniorMedicalClaims
$109.3k - $180.2k
...loving what you do and where you do it. Job Category Underwriting Compensation Overview The annual base salary range provided... ...groups (i.e., Product Management, Actuarial, Operations, Risk Control, Claim, etc.). Serve as a subject matter expert for the...RiskClaimsWork at officeLocal area$63k - $95k
...(*Comscore, Total Visits, March 2025) Day to Day The Senior Strategist I position is part of the broader Global Client Insights team... ...Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are...SeniorMedicalWork experience placementLocal area$171.6k - $392.1k
...critical "hot spot" alongside claims, underwriting, policy, and billing. Our... ...while building and sustaining senior client relationships and... ...budgets, roadmaps, governance, risk management, vendor coordination... ...Rewards package includes medical and dental coverage, pension...SeniorRiskClaimsWork experience placementSummer holidayFlexible hours
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