Senior Complex Claims Leader - Allied Healthcare
Hiscox Insurance Company
Hiscox USA seeks a Senior Complex Claims Specialist - Allied Healthcare to manage high-severity professional liability claims from inception to resolution, covering mental health practices, social services, medical spas, home health, staffing agencies, pharmacies and labs. The role demands advanced litigation, negotiation and investigation skills, along with mentoring abilities and adaptability in a fast-paced, hybrid environment. #J-18808-Ljbffr Hiscox Insurance Company
- Hiscox USA is seeking a Senior Complex Claims Specialist - Allied Healthcare to handle high-severity professional liability claims from inception to resolution, including mental health, social services, medical spas, home health, staffing agencies, pharmacies and testing...Claims
$140k - $170k
Job Type: Permanent Build a brilliant future with Hiscox Our Senior Complex Claims Specialist - Allied Healthcare is an individual contributor role, responsible for the handling of mostly high-severity primary Allied Healthcare Professional Liability claims from inception...ClaimsPermanent employmentTemporary workWork at office$225k - $300k
...building that future. Fractal’s Healthcare & Life Sciences practice supports leading... ..., and GenAI solutions across claims, care management, population health,... ...Role Overview Fractal is seeking a senior technology and AI leader to build and scale the AI Foundations...ClaimsHourly payFull timeLocal area- A healthcare services organization is seeking an RCM Manager to oversee all revenue cycle activities. The role entails supervising team members, ensuring compliance with billing standards, and enhancing operational efficiency while delivering exceptional client service...ClaimsRemote work
- ...Economics & Analytics to support Operations. You will lead a team of analysts, translate complex healthcare datasets into actionable insights, and collaborate with Provider Network, Claims, Contact Center, and Member Experience to drive performance. The role requires 5-7...Claims
$150k - $225k
...time off Vision insurance Senior Health & Welfare External Consulting Leader Optimatum Solutions is... ...operations: Employer-Sponsored Healthcare, Retirement, HR Systems,... ..., and CFOs, translating complex analysis into clear,... ...and benefits documents, claims and financial data,...ClaimsContract workWork at officeFlexible hours$155k - $170k
...Us At Office Ally, we've been revolutionizing healthcare administration since... ...simplifying insurance claims processing for... ...Solutions, Inc, a leader in straight-through... ...Build and maintain senior stakeholder relationships... ..., and interpret complex documents; write clear...ClaimsWork at officeLocal area$170k - $190k
...reality. Our drive to transform healthcare is informed by our blend of... ...for a relationship-driven leader who knows how to navigate client... ...our extended portfolio.Keep senior stakeholders informed on relationship... ...to any unverified sources claiming to be connected to Real...ClaimsWork experience placementWork at officeLocal areaRemote work2 days per week- ...manage a team and ensure efficiency in workflow. Candidates should have a strong background in operations, particularly in healthcare benefits or claims processing. Responsibilities include developing policies, mentoring staff, and overseeing service calls. Strong...ClaimsRemote work
$115k - $130k
...Evoke, you become part of a dynamic global healthcare platform-, agile and innovative.... ...comprehensive offering to solve the most complex of challenges in today's healthcare market... ...pharmaceutical data is strongly preferred: claims, patient-level, referral, Salesforce...ClaimsFlexible hours- ...Job Description Job Description Lead Coordinator - DOE Allied Health Services We are seeking a Lead Coordinator - Related Services... ...experience required. Experience in school based services, healthcare, or education preferred. Associate’s or Bachelor’s degree...Work at office
- Marsh seeks a Senior Healthcare Professional Liability Claim Advocate to join our Claims Advocacy team. This hybrid role requires in-office presence at least... ...supports clients, insurers, and claims handlers in complex claim resolutions and cost-of-risk management. You...ClaimsWork at office3 days per week
- Arch Insurance Group Inc. in the United States seeks an experienced claims professional to oversee large exposure general/auto liability and trucking claims, direct handled by TPAs. The role requires collaboration with CAMs, underwriters and Legal to ensure optimal outcomes...Claims
- ...continuous improvement—engaging patients, healthcare teams, and the broader community in the... ...initiatives like Walk in my Shoes for senior leaders are just a few ways we foster belonging... .... While many organizations make this claim, we back it up with action. We take workforce...ClaimsHourly payFull timePart timeSeasonal workLocal areaFlexible hoursShift work
- Conduent seeks a Senior Business Analyst to lead the Claims module on MMIS health care projects. You will drive the claims process, analyze business requirements, designs and documentation, ensure quality, and coordinate with customers in a team setting. You will work...Claims
$115k - $125k
...[NASDAQ: PGNY] is a leading healthcare company reshaping family building... ..., referrals, surveys, claims, and outcomes.Own and evolve... ...establish clear KPIs and translate complex, nonlinear journeys into... ...Progyny (Nasdaq: PGNY) is a global leader in women’s health and family...ClaimsFull timeSummer workWork at officeFlexible hours3 days per week- ...CitiMed is a unique medical facility that provides exclusive healthcare amenities to our community. The range of medical and rehabilitative... ...met the requirements, we strongly encourage you to apply! Claims Verification Specialist (Entry Level) We're looking for...ClaimsFull time
- ...Health Overview At Tres Health, we transform healthcare with innovative solutions that challenge... ...supplemental products insurance claims to ensure that claims are processed in accordance... ...and process claims. Ability to analyze complex information and make informed decisions....ClaimsFull timeWork at officeRemote workWork from homeHome office
$150k - $180k
We are a technology-led healthcare solutions provider. We are driven... ...functions Drive C-level and senior stakeholder conversations on... ...retrieval-augmented systems) for claims and fact validation, agentic... ...systems, workflow tools) Translate complex technical concepts into clear...ClaimsLocal area$72.7k
...with strong data-testing leadership and healthcare domain expertise who can define strategy... ...activities, guide technical teams, and translate complex data-quality risks into clear business... ...tools. Healthcare expertise Understand claims, membership, provider, and care...ClaimsFor contractorsLocal areaRemote work$35 per hour
...Key Requirements and Technology Experience: At least 2 years of healthcare experience in a managed care, medical office, or healthcare facility setting Knowledge of medical terminology HEDIS knowledge Claims knowledge Our client is a leading Healthcare Industry and we...ClaimsContract workSeasonal workWork at officeLocal areaImmediate startRemote work- ...Independent Review Entity cases and QIO reviews. Work with Claims, Utilization Management, the TPA and Legal to resolve cases.... ...alone do not qualify. ~3+ years of progressive RN experience in healthcare. ~2+ years working directly in grievance and appeals at a health...ClaimsRemote job
- ...Description Our client, a Fortune 500 healthcare company, is hiring an Analytics Solutions... ...• 2+ years of program management for complex, multi-stakeholder initiatives • 2+ years... ...• Familiarity with medical and pharmacy claims data • Demonstrated proficiency in SQL...ClaimsHourly payFull timeTemporary workWork at office2 days per week1 day per week
- Represent plaintiffs in complex litigation matters involving medical malpractice, nursing... ..., wrongful death, and employment law claims. Manage all phases of litigation from case... ...the litigation process. Collaborate with healthcare, economic, vocational, and liability...Claims
- Lawall in Langhorne, PA is seeking a Claims & Denials Analyst to join our in-office team. You will ensure insurance claims are submitted... ...and collaboration, with on-the-job training and growth opportunities in a patient-focused healthcare environment. #J-18808-Ljbffr LawallClaimsWork at office
- Firstsource Healthcare is seeking a Sr. Revenue Cycle Billing Specialist to successfully collect on aging medical insurance claims, in a remote US setting. The role includes researching denials, attaching necessary documentation, and maintaining claim integrity. The ideal...ClaimsRemote work
- Phaxis is seeking a detail-oriented Medical Claims Representative to join our dynamic healthcare team in New York, NY. This role involves accurately reviewing and processing medical insurance claims, maintaining claim tracking and reporting, and ensuring compliance with...Claims
- Manage the complete medical billing cycle from coding and claim submission through payment posting, denial resolution and collections... ...and coding experience Strong ICD-10, CPT and HCPCS knowledge Healthcare billing experience Insurance claim processing knowledge Strong...ClaimsFull timeRemote work
- ...leadership experience. \nCompany Description About RSC Healthcare Launched in 2018, RSC Healthcare is an RSC... ...Assistants Radiology Technicians All skilled medical and allied health professionals As a leader in the healthcare staffing industry, it is our goal is...Temporary work
- ...Job Description Job Description Medical Claims Support - MUST BE GREAT WITH EXCEL Schedule: 3 times a week ina NYC Midtown Office... ...for reviewing, processing, and ensuring the accuracy of healthcare insurance claims and related medical documentation. This role focuses...ClaimsWork at office
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