Claim Counsel - Healthcare/Managed Care
$53.65 - $88.56 per hourThe Travelers Indemnity Company
Who Are We?Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.Job CategoryClaim, LegalCompensation OverviewThe annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.Salary Range$111,600.00 - $184,200.00Target Openings1What Is the Opportunity?Bond & Specialty Insurance (BSI) provides management and professional liability, cyber, crime insurance, and surety bonds to or on behalf of businesses of all sizes. The BSI Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to optimize claim results. Travelers' Program Healthcare Team provides coverage for Healthcare Institutions and Providers, Managed Care Organizations, and Life and Health Underwriters. As a valued member of our team, in addition to claim, you also will provide legal advice to our underwriting colleagues and non-attorney claim colleagues, and participate in BSI claim strategic initiatives.What Will You Do?• Follow operational policies to analyze, investigate, and resolve BSI claims of varying levels of severity with moderate supervision from claims management.• Prepare and present reports for management that accurately reflect loss development, potential/actual financial exposure, reserve adjustments, coverage issues, and claim and recovery strategies.• Retain, monitor, and manage outside counsel actively utilizing litigation management plans and budgets.• Communicate with underwriting on significant claim exposures.• Continue to develop the ability to identify all recovery opportunities and coordinate recovery efforts with the Recovery Management Unit and Claim management.• Travel to and attend mediations, settlement conferences, claim conferences, field office visits, trials and depositions.• Refine policy interpretation/coverage analysis skills including drafting coverage opinions with case law included.• Strengthen the ability to negotiate settlements/resolutions, review releases and settlement agreements, including confidentiality and non-disclosure provisions.• Support underwriting marketing efforts, including participation in broker and account visits and risk mitigation seminars and authoring customer-focused white papers and articles.• Monitor marketplace conditions, conduct research, and draft reference materials to inform claim and underwriting colleagues on law impacting Travelers’ underwriting and claim decisions.• Obtain and maintain required adjusters’ licenses.• Perform other duties as assigned.What Will Our Ideal Candidate Have?Five or more years of relevant legal or claim handling work experience.Demonstrated ability to effectively work through conflict and resolve issues with a professional demeanor. Ability to make sound decisions and negotiate terms and conditions within designated authority limit. Strong verbal and written communication skills with the ability to clearly articulate coverage determinations. Time management skills with the ability to manage multiple priorities with an attention to detail, data and analytics.Ability to build and maintain effective and collaborative relationships with colleagues, customers, and business partners.What is a Must Have?Bachelor’s Degree.Juris Doctorate Degree.Properly licensed, registered or authorized, and in good standing, to practice law in the jurisdiction in which you will be working.Two years of relevant legal experience.What Is in It for You?Health Insurance: Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.Employment PracticesTravelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.Travelers reserves the right to fill this position at a level above or below the level included in this posting.To learn more about our comprehensive benefit programs please visit .SummaryLocation: CT - Hartford; IL - ChicagoType: Full time
- Who Are We?Taking care of our customers, our communities and... ...Specialty Insurance (BSI) provides management and professional liability,... ...of all sizes. The BSI Claim Counsel team conducts thorough investigation... ...results. Travelers' Program Healthcare Team provides coverage for...ClaimsFull timeWork experience placementWork at officeLocal area
- Humana is seeking a Care Coordinator to support Illinois HealthChoice Medicaid Managed Care. You will assess members, develop personalized care plans, and connect... ...services, addressing barriers to care, and guiding enrollees through the healthcare #J-18808-Ljbffr HumanaSuggestedLocal areaRemote workMonday to Friday
$171k - $260k
...dreams big, moves fast, and cares deeply about the craft and about... ...of your career.As Senior Counsel, GTM Legal, you'll serve as a... ...revenue while appropriately managing legal risk. You'll also play... ...gong.io domain. Any outreach claiming to be from Gong via other sources...ClaimsRemote workWork from homeFlexible hours$169.3k - $253.9k
...and a leading AI platform for managing people, money, and agents, we’... ...challenges with bold ideas and genuine care. We look for curious minds and... ...RoleAs a Senior Employment Counsel, you will be a key advisor to... ...disputes, administrative claims, and litigation, including managing...ClaimsFull timeWork at officeRemote workHome officeFlexible hours$120k - $150k
...and protection for the digital age. With 98% of cyber insurance claims in the past five years coming from small and mid-size businesses... ...with revenue under $2B, providing an integrated solution to help manage risk is more critical than ever.At-Bay helps its 40,000+...Claims- ...the Chicago area. Our Counseling Center is seeking an organized... ...Assistant to manage our front-end client systems... ...Cycle Management Claims Submission: Submit... .... Client Intakes & Care Coordination... ...experience working with healthcare software; prior experience...ClaimsPart time
$42.54 - $65.94 per hour
...Position: Clinical Risk Manager Location: Evanston,... ...and works closely with Claims Management to identify... ...insurance providers and legal counsel as needed Other... ...is a fully integrated healthcare delivery system committed... ..., community-connected care, serving an area of...ClaimsHourly payFull timePart timeFor contractorsMonday to FridayFlexible hours$125k - $175k
...Sompo has a unique opportunity for a Sr. Claims Counsel, EPL in our US Employment Practices... ...Liability claims involving Commercial Management Liability and Financial Institutions Insureds... ...and childrenVision benefitsHealth Care & Dependent Care Flexible Spending AccountsCompany...ClaimsFull timeWorldwideFlexible hours- ...Patient Care Coordinator Brand: TeamVision Location: Chicago... ...patient care, ocular disease management, routine comprehensive eye exams... ..., and expedites third-party claims. Maintains business office... ...: Experience in healthcare Familiarity with in-store...ClaimsFull timeWork at officeLocal areaFlexible hoursWeekend workAfternoon shift
- ...TVG-Medulla, LLC is a multi-site healthcare management organization, with an emphasis on providing... ...seeking an Accounts Receivable (A/R) Claims Specialist to join our Revenue Cycle team... ...benefits ~ Complimentary chiropractic care for you and eligible family members ~...ClaimsFull timeTemporary workWork at officeLocal area
- A leading liability insurance provider in Chicago is seeking an Associate Claims Counsel to manage low to moderate severity claims while receiving mentorship. The role requires an active law license and strong communication skills, with responsibilities including claims...ClaimsRemote job
$136.84k - $235.24k
...acknowledged technical expert in Markel Claims, responsible for resolving claims posing... ...leader and resource to other examiners and managers in the Casualty Claims division and will... ...coverage litigationProactively manage outside counsel to control legal strategy and expense...ClaimsFull timeWork at officeLocal areaWork from home- State Farm seeks an In-House Litigation Counsel to manage complex insurance and financial services disputes while providing strategic legal... ...negotiation, and resolution. You will collaborate closely with claims, underwriting, and business leaders to evaluate legal risk,...Claims
$97k - $189k
...a market leader in insuring Healthcare providers and entities including... ...professional liability claims. This role is responsible for... ...matters, driving claim resolution, managing complex litigation including... ...Healthcare Provider matters.Counsel claim leadership regarding legal...ClaimsFull timeWork experience placementShift work- ...SUMMARY In support of Managed Care Case Management perform the duties of triaging daily referral requests for all Commercial, MMAI, and... ...Experience working in a skilled nursing facility Understanding of how claims are paid under Commercial and Medicare Advantage plans for...Claims
- ...has provided superior patient care in our community and we are... ...patient care, ocular disease management, routine comprehensive eye exams... ..., and expedites third-party claims. Maintains business office... ...Qualifications Experience in healthcare Familiarity with in-store technology...ClaimsMinimum wageFull timeWork at officeLocal areaFlexible hoursWeekend workAfternoon shift
$97k - $189k
...all employees are used to their fullest potential. The Managing Director Strategic Claim Oversight leads the Severity & Excess Accounts team that... ...directly handles and oversees the highest exposure claims in Healthcare. Ensures the effective execution of claims handling...ClaimsFull timeWork experience placementWork at office- ...Business Development Director - US Healthcare Location: Chicago, IL (... ...record of closing large outsourcing, managed services, or BPaaS deals ($10M+... ...operations solutions including claims, provider management, customer service, care management, revenue cycle, and payment...ClaimsFull timeContract work
- ...build the future of the healthcare and the life sciences... ...but also who care deeply about EVERSANA,... ...compliance. As Privacy Counsel, you will report into... ...policies, notices, consent management strategies, and internal... ...or even text messages claiming to be a legitimate company...ClaimsWork at officeLocal areaRemote workMonday to FridayShift work
- A healthcare provider is seeking a Registered Nurse (RN) in Westchester, Illinois. The RN will deliver direct nursing care to residents, supervise nursing assistants, and ensure compliance with regulations. Responsibilities include administering medications and supporting...Part time
- ...About the Company Innovative healthcare technology (HealthTech)... ...Industry Hospital & Health Care Type Privately Held... ...to supplemental networks claim cost repricer healthcare cost... ...models in medical claims cost management. As the VP of Technology Operations...Claims
$125k - $175k
...Sompo has a unique opportunity for a Sr. Claims Counsel, Lawyers Professional Liability in our... ...impact, our opportunity:What you’ll be doing:Manage a full caseload of Professional... ...adults and childrenVision benefitsHealth Care & Dependent Care Flexible Spending AccountsCompany...ClaimsFull timeWorldwideFlexible hours- ...will collaborate with product counsel and other legal teams to... ...AStrong organizational and time management skills with the ability to manage... ...requirementsFamiliarity with healthcare payments and health... ...include comprehensive health care coverage, on-site health and...Contract work
$200k
...dreams big, moves fast, and cares deeply about the craft and about... ...new customers within the healthcare industry. Being a champion of... ...within a greenfield territory, managing prospects from lead generation... ...gong.io domain. Any outreach claiming to be from Gong via other...ClaimsRemote workWork from homeFlexible hours$150k - $400k
...firm with deep roots in the healthcare industry, the firm has built... ...combines sophisticated legal counsel with practical business... ...organizations, health plans, managed care organizations, healthcare providers... ...experience handling False Claims Act (FCA) investigations,...ClaimsWork at officeLocal areaFlexible hours$175k - $225k
...patients and strong legacy of innovation in healthcare are the foundation of our future. If you... ...seeking a talented and driven Corporate Counsel - Securities to join our legal team.... ...Directors support, and global subsidiary management. The ideal candidate will bring strong...Full timeLocal areaRemote workWorldwide$100k - $120k
...PT Status:Full TimeJob Title: Claims CounselLocation: Oak Brook ILAbout... ...is built upon five values: Caring, Attitude, Respect, Empathy... ...personnel.Key Responsibilities:Claims Counsel: Serve as internal claims... ....Litigation oversight: manage outside counsel in litigated matters...ClaimsFull timePart timeRemote work- ...precision medicine and advancing the healthcare industry?Recent advancements... ...for AI to impact clinical care in a meaningful way. Tempus'... ...biostatistics. Demonstrated management skills; ability to manage the... ...of RWD studies (e.g. using claims, EHR or registry data sources...ClaimsFull timeWork experience placementRemote work
- ...forms and collaborate with Underwriting, Claims, Compliance, and Actuarial teams, where necessary... ...and collaborate with Underwriters, Managers, Claims Professionals, Third-party... ...Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available...ClaimsFull timeTemporary workRemote work
- Who Are We?Taking care of our customers, our communities and each... ...litigation arising from claims asserted against policyholders... ...through trial and appeal. As a Counsel with Travelers you will be responsible... ...available technology, case management system and automation.Travel...ClaimsFull timeLocal areaFlexible hours
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