Senior Complex Claims Specialist — Health Plan Risk & Cost
Lockton
Lockton is seeking a Clinical Claims Specialist in Plano, TX, within our Specialty Practice unit. The role focuses on reducing severity of complex claims and lowering costs while improving health outcomes for employer plans. You will explain disease states, estimate costs, and advise underwriting on clinical care approaches. Ideal candidates hold RN licensure or a Bachelor's in Healthcare Management with 5+ years of clinical/risk management experience, and strong communication and analytical #J-18808-Ljbffr Lockton
- ...currently seeking a Clinical Claims Specialist within our Specialty Practice... ...improve and reduce the severity of complex and catastrophic claims, reduce the cost of risk while improving the health of our employer client’s employee health plan. Provide explanation of...RiskHealth Insurance
- ...currently seeking a Clinical Claims Specialist within our Specialty Practice... ...improve and reduce the severity of complex and catastrophic claims, reduce the cost of risk while improving the health of our employer client’s employee health plan. Provide explanation of...RiskHealth Insurance
- Lockton Companies seeks a Clinical Claims Specialist in our Specialty Practice to improve and reduce severity of complex claims and cost of risk for employer health plans. You will explain disease states and costs, provide cost-of-care estimates, and advise underwriting...RiskHealth Insurance
$70.1k - $83.54k
...State Farm Injury Claims Position Being good neighbors... ...claim characteristics, complexity, and severity. This... ...including legal, medical, and risk assessment, to ensure... ...you and your family's health with our robust health... ...multiple healthcare plan options, including a high...RiskHealth InsuranceWork at officeWork from homeFlexible hours- ...execution of the Provider Partners Health Plan (PPHP) Model of Care (MOC)... ...Coordinator will promote quality, cost-effective outcomes, including care coordination for complex and multiple chronic conditions... ...Case identification/risk stratification to establish needs...RiskHealth Insurance
- ...Senior Technical Claims Specialist Liberty Mutual has an immediate opening... ...professional to join our Complex Energy Team as a... ...claims strategy, control cost, and protect our... ...; develop litigation plans and settlement strategies... ..., damages, and venue risk, and to develop...RiskFor contractorsWork at officeImmediate startRemote workHome office
$86.8k - $165.2k
...difference solving the world’s most complex problems. With our three... ...time-phased integrated budgets, cost accounting and financial... ...internal/external reporting, risk management, and overall financial... ...accumulationAssist with manpower planning, forecasting, and reporting...RiskHealth InsuranceContract workTemporary workWork experience placementWork at officeRemote workFlexible hours$109.3k - $180.2k
...Indemnity Company is seeking a Major Case Specialist to join our Strategic Resolution Group... ..., Texas. In this role, you will manage complex claims involving environmental factors, toxic... ...180,200, along with benefits including health insurance, a 401(k) matching program,...Health Insurance- ...connections with EMS, public health partners, schools,... ...facilities, and high-risk populations, ensuring alignment... .... The available plans and programs include: Comprehensive... ...00+ in-house physician specialists. Medical City Dallas... ...$3.7 billion in cost for the delivery of...RiskHealth InsuranceTemporary workLocal areaFlexible hours
- ...Workers’ Compensation Claims Specialist oversees and performs... ...needed Analyzes claim costs, makes recommendations... ...appropriate action plan in collaboration with... ...and updates files in Risk Management Information... ...Education Assistance* ~ Health Benefits* ~ Parental...RiskHourly payDaily paidFull timeContract work
- ...package that supports the health, life, career and... ...colleagues. The available plans and programs include:... ...common services at no cost or for a low copay. Plans... .... This includes a high-risk antepartum unit and a Level... ...of hospitals and specialists, patients are ensured access...RiskHealth InsuranceFull timeTemporary workPart timeFlexible hours
- ...covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free... ...services. This includes a high‑risk antepartum unit and a Level 3... ...network of hospitals and specialists, patients are ensured access...RiskHealth InsuranceFull timeTemporary workPart timeFlexible hours
- ...package that supports the health, life, career and... ...colleagues. The available plans and programs include: Comprehensive... ...common services at no cost or for a low copay.... .... This includes a high‑risk antepartum unit and a... ...of hospitals and specialists, patients are ensured access...RiskHealth InsuranceFull timeTemporary workPart timeFlexible hours
- ...that supports the health, life, career and retirement... .... The available plans and programs... ...common services at no cost or for a low copay.... ...includes a high-risk antepartum unit and... ...network of hospitals and specialists, patients are... ..., RN CENP, FAAN Senior Vice President and...RiskHealth InsuranceFull timeTemporary workPart timeFlexible hours
- ...package that supports the health, life, career and... ...colleagues. The available plans and programs include:... ...common services at no cost or for a low copay. Plans... .... This includes a high‑risk antepartum unit and a Level... ...of hospitals and specialists, patients are ensured access...RiskHealth InsuranceFull timeTemporary workPart timeFlexible hours
$300k
...provide unique insurance and risk management tools from... ...and fair and timely claim settlement from a... ...settlements. The Claim Specialist II position will handle... ...of moderate scope and complexity Subrogation and arbitration... ...to focus our business plan on continued growth, new...Risk- ...package that supports the health, life, career and... ...colleagues. The available plans and programs include:... ...common services at no cost or for a low copay. Plans... .... This includes a high-risk antepartum unit and a Level... ...of hospitals and specialists, patients are ensured access...RiskHealth InsuranceFull timeTemporary workPart timeFlexible hours
- ...that supports the health, life, career and... ...colleagues. The available plans and programs... ...services at no cost or for a low copay... ...This includes a high-risk antepartum unit... ...of hospitals and specialists, patients are ensured... ...disability status. Seniority level Mid-Senior...RiskHealth InsuranceFull timeTemporary workPart timeFlexible hours
- Public Storage is recruiting a Claims Analyst to support the Risk Management department in administering Workers' Compensation and General Liability claims programs. You will act as a bridge between internal teams, field operations, insurance carriers, TPAs, brokers, and...Risk
- ...covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free... ...services. This includes a high-risk antepartum unit and a Level 3... ...network of hospitals and specialists, patients are ensured access...RiskHealth InsuranceFull timeTemporary workPart timeRelocation packageFlexible hoursShift workNight shift
- ...covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free... ...services. This includes a high-risk antepartum unit and a Level 3... ...network of hospitals and specialists, patients are ensured access...RiskHealth InsuranceFull timeTemporary workPart timeFlexible hours
- ...that supports the health, life, career and... ...colleagues. The available plans and programs... ...services at no cost or for a low copay... ...Supervisor/Manager/Specialist or one of the following... ...includes a high-risk antepartum unit... ...disability status. Seniority level Seniority level...RiskHealth InsuranceFull timeTemporary workPart timeRemote workRelocation packageFlexible hoursRotating shift
- ...package that supports the health, life, career and... ...colleagues. The available plans and programs include: Comprehensive... ...common services at no cost or for a low copay.... .... This includes a high-risk antepartum unit and a... ...of hospitals and specialists, patients are ensured access...RiskHealth InsuranceHourly payFull timeTemporary workPart timeRelocation packageFlexible hoursShift work
- ...Auto Bodily Injury Claims Specialist Are you an experienced Auto Bodily... ...you'll investigate and resolve complex bodily injury claims while delivering... ...match ~ Life Insurance ~ Health Savings Account (HSA) ~... ...claim expenses and maintain cost-effective claim handling...Health InsuranceWork at officeRemote workFlexible hours
- ...an immediate opening for a Claims Associate with Symphony Risk. The successful applicant... ...various businesses - from health care to aerospace to cannabis... ...the firm, including with senior management. Working with... ...Opportunities Retirement Plan Responsibilities Day-to-...RiskHealth InsuranceWork at officeImmediate startRemote workFlexible hours
- AXA XL, the P&C and specialty risk division of AXA, is hiring a Large Loss Specialist - Commercial E&O in Dallas, TX. You will handle complex claims, coordinate with counsel, and work closely... ...underwriting, brokers, and clients to drive cost-effective resolutions. You will need...Risk
- ...medical condition, treatment plan, medications, possible... ...by translating complex medical terminology.... ...package that supports the health, life, career, and retirement... .... This includes a high-risk antepartum unit and a... ...of hospitals and specialists, patients are ensured access...RiskHealth InsuranceTemporary workFlexible hoursShift work
- ...Job title: Claims Specialist 3 Location: Plano, TX... ...to manage all possible risks. Pending Claim Management... ...procedure, strategic planning and project... ...Experience working in a complex and wide organization... ...supervisors, managers and senior management Team oriented...RiskFlexible hoursAfternoon shift
$146.4k - $241.6k
..., including the scope, complexity and location of the role... ...array of guaranteed-cost products to mid-size businesses... ...through individual risk and/or portfolio CUREs... ...What Is in It for You? Health Insurance :Employees... ...eligible for a Pension Plan that is 100% funded by...RiskHealth InsuranceLocal area- ...patient status, treatment plan, medications and... ...up measures. Translates complex medical terminology to... ...package that supports the health, life, career and retirement... .... This includes a high-risk antepartum unit and a... ...of hospitals and specialists, patients are ensured access...RiskHealth InsuranceTemporary workFlexible hours
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