Senior Health & Risk Claims Expert
Sun Life
Sun Life U.S. is a leading benefits provider with a hybrid work model across the contiguous states plus AK. The Senior Claim Analyst leads complex claims evaluation, negotiation, and settlement, ensuring legitimate claims are paid accurately while balancing policy owners and company interests. You will coach analysts, support training, and collaborate with brokers, vendors, and internal partners, shaping claims policies and best practices. #J-18808-Ljbffr Sun Life
- ...governed by Federally Qualified Health Centers (FQHCs). Our mission... ...center partners. Job SummaryThe Senior Healthcare Analyst plays a... ...focuses on analyzing healthcare claims, quality measures, utilization... ..., and helps ensure success in risk-based and shared savings arrangements...SeniorRiskClaims
$92k - $127k
...lead to better outcomes.Job PurposeThe Senior Health, Safety, Security & Environment (HSSE) Specialist... ..., procedures, and facilities to assess risk and adherence policies and regulations.... ...causes and handle worker’s compensation claims.Recommend solutions to issues,...SeniorRiskClaimsShift work$146k - $236k
...across the ecosystem in human health, sustainability, and beyond.About... .... They will also serve as an expert test user for the Applied AI... ...what-if analyses): decompose claims into testable components, evaluate... ...one company’s translational risk is relevant to another...SeniorRiskClaims$85k - $90k
...a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth... ...have an opportunity for an Senior Benefit Analyst. Overview : Responsible... ...forms. Produce Monthly client claims reports. Prepare termination letters...SeniorRiskClaimsWork at officeLocal area$127.5k - $195k
...new solutions to transform human health. Our incredible customers... ...makes everything possible.The Senior Product Manager, Validation Services... ...establish milestones, owners, risks, dependencies, and performance measures that protect claims, timelines, customer commitments...SeniorRiskClaimsFull time$100k - $165k
...Senior Property Underwriter The Senior Property Underwriter will... ...with the underwriting process, risk analysis, and work effectively... ...accident and supplemental health insurance, reinsurance, and life... ...underwriting excellence, superior claims handling expertise and local...SeniorRiskClaimsWork at officeLocal area$170.4k - $255.6k
...Mission to alleviate pain, restore health, and extend life. Our 95,000... ...Texas• Memphis, TennesseeThe Senior Principal Cybersecurity... ...reducing human-related cyber risk through education, behavior change... ...receive a suspicious message claiming to be from Medtronic, do not respond...SeniorRiskClaimsFull timeH1bWork at officeLocal areaImmediate startFlexible hours$160.5k
...solutions that solve serious health issues today and... ...Description The role of Senior Counsel, Global... ...regulatory complexity, assess risk, and influence business... ...approach and provide expert counsel on decisions impacting... ...FDA regulations, False Claims Act, Anti-Kickback...SeniorRiskClaimsLocal areaShift work3 days per week$110k - $135k
...impact.The OpportunityThe Senior Clinical Trial Manager... ...the Clinical Science Experts and Clinical Scientists... ...timelinesProactively identify potential risks and develop & implement... ...site and sponsor health authority inspections,... ...individuals falsely claiming to represent our Human...SeniorRiskClaimsFull timeContract workTemporary workWork experience placementWork at officeLocal areaWorldwide$212.99k - $319.49k
...sponsorship) to make it real. As Senior Director, Multimodal AI &... ..., real-world electronic health records and claims, and longitudinal patient signals... ...trajectory, improving risk stratification, guiding treatment... ...team members, providing expert guidance on precision medicine...SeniorRiskClaimsFull timeTemporary workWork at officeRemote workFlexible hours3 days per week$68.2k - $102.3k
...absence management, life, supplemental health, medical stop-loss insurance, and... ...plus AK. The opportunity The Health and Risk Solutions Senior Claim Analyst serves as the highest level of... ...departmental leader and subject matter expert, including participating in field visits...SeniorRiskClaimsContract workWork at officeLocal areaFlexible hours$67.9k - $199.14k
...re building a world of health around every individual... ...Position Summary The Senior Manager - Business Consulting... ...and performance of our claim editing vendors,... ...mitigate all issues and risks, engaging required parties... ...for resources Expert problem-solver who is an...SeniorRiskClaimsHourly payFull timeTemporary workWork experience placementLocal area$150k - $175k
...SENIOR MANAGER, TAX Billerica, MA (HYBRID) Quanterix is a... ...decisions, and improved human health. Its mission is to make biology... ...reconciliations, payments, refund claims, and related indirect tax... ...interest of Quanterix. Take measured risks and learn from their success...SeniorRiskClaimsWork at officeLocal area3 days per week$119k - $203k
...Join athenahealth as a Senior Software Engineer on the... ...software that supports claims processing, billing... ...that reduce operational risk. Mentor junior engineers... ...offer IT solutions and expert services that eliminate... ...do for you: Along with health and financial benefits,...SeniorRiskClaimsFull timeTemporary workWork at office- ...Professional and Management Department: Risk Management Job Type: Full... ...Patient Safety Officer, the Senior Director of Risk Management... ...of safety across Cambridge Health Alliance (CHA), ensuring the organization... ...CRICO regarding malpractice claims and regulatory agencies for...SeniorRiskClaimsHourly payFull timeLocal areaWork from homeMonday to FridayShift workWeekend work
- A top accounting and advisory firm in Boston is seeking a Senior Assurance Director to oversee complex technical assurance and risk management functions. The role involves reviewing work of junior staff, applying advanced GAAP and GAAS knowledge, and ensuring compliance...SeniorRisk
- Sompo is seeking a Sr. Claims Counsel, EPL for its US Employment Practices Liability Claims team. The role focuses on US EPL claims, providing legal review and policy drafting support to Underwriting, with insight on high exposure matters. The position offers base salary...SeniorClaims
$64.7k - $97.1k
...management, life, supplemental health, medical stop-loss insurance, and... ..., financial accuracy, risk mitigation, and adherence to service commitments. The Senior Manager provides direction, coaching... ...Management, Underwriting, Billing, Claims, Sales, Technology, Finance,...SeniorRiskClaimsLocal areaFlexible hours- ...Treasury Audit, Vice President to provide independent assurance over the Bank's risk management practices, with emphasis on IRRBB and ALM. You will lead audits, assess controls, and report to senior management and regulators, translating complex Treasury concepts into clear...SeniorRisk
$310k - $380k
...and program teams for assigned products and studies, providing expert guidance regarding safety matters and issues.Provide timely and... ...signals, in accordance with signal detection practices.Participate in Risk Management Strategy.Other activities, as needed or as requested...SeniorRiskFull time$68.2k - $102.3k
...vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare... ...in the contiguous states plus AK. The opportunity: The Senior Manager, Stop Loss and Health Claims leads our dynamic claims unit. In this critical role,...SeniorClaimsWork at officeLocal areaFlexible hours- ...Global Treasury Audit in Boston to provide independent assurance over IRRBB and ALM risk management. You will guide audit scope, execute complex reviews, challenge controls, and report to senior leadership and regulators. The role requires deep Treasury risk knowledge,...SeniorRisk
- BJ’s Wholesale Club, Inc. is seeking an experienced risk management professional to lead the General Liability claims program. You will supervise an in-house team and a third-party administrator, ensuring accurate reserves and cost-effective settlements across jurisdictions...SeniorRiskClaims
- ...oversee MPL, GL, Property, Cyber, D&O, WC and Auto insurance programs. You will lead renewals, assess risk, collaborate with brokers and internal teams, and manage claims, budgets, and compliance to support the institution's mission. The role requires a Bachelor's in a...SeniorRiskClaims
- BCG Attorney Search in Boston, MA seeks an experienced mid-to-senior level attorney to join the Professional Consulting Practice Group. You will provide risk management and claims monitoring services, and offer strategic advice to architects, engineers, and their professional...SeniorRiskClaimsRemote job
- ...the largest and most complex Construction risks to deliver Primary Casualty (WC, GL, Auto... ....Job Responsibilities:Provides expert technical underwriting assistance and formal... ...stakeholders and partners (e.g., UW Support, Claims, Actuarial, NA Product Teams). Qualifications...SeniorRiskClaimsFor contractorsLocal area
- Engle Martin and Associates, LLC. is seeking a Senior Property Adjuster in Boston, Massachusetts to determine and communicate the extent of loss or damage associated with commercial property claims. The role involves investigating claims in various settings and requires...SeniorClaims
- BDO USA is seeking an Assurance Senior Manager to enhance client internal controls and advise on regulatory risks. This leadership role requires managing audit teams, supervising projects, and maintaining client relationships. The ideal candidate will have over seven years...SeniorRisk
$72.5k - $108.8k
...management, life, supplemental health, medical stop-loss insurance,... ...at least 2 days per week. The Senior Case Manager I, LTD conducts... ...management of long-term disability claims. The Senior Case Manager I,... ...appropriate medical and risk resources, adhering to referral...SeniorRiskClaimsContract workWork experience placementWork at officeLocal areaFlexible hours2 days per week- ...representing the Authority before the Department of Industrial Accidents and in court, and collaborating with Human Resources and risk management on claims management and compliance. The candidate must have a Juris Doctorate, at least seven years of relevant experience, and MA...SeniorRiskClaims
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