Senior Health Claims & Risk Strategist
Sun Life
Sun Life U.S. is seeking a Health and Risk Solutions Senior Claim Analyst to lead complex claim evaluation, investigation, negotiation, and settlement. You will ensure accurate payment of legitimate claims, manage relationships, and mentor Analysts and Overpayment Specialists in a hybrid work model across the contiguous states plus AK. You will apply deep knowledge of complex claim practices, legal precedents, and evolving trends to drive best practices, develop learning modules, and train new #J-18808-Ljbffr Sun Life
- Sun Life U.S. is seeking a Health and Risk Solutions Senior Claim Analyst to lead the evaluation, negotiation, and settlement of complex claims. This senior role focuses on ensuring legitimate claims are paid accurately while balancing policy owner and company interests...SeniorRiskClaims
- ...JOB DESCRIPTION ESIS Senior Claims Representative, WC Description Are you ready... ...workers' compensation? Join ESIS, a leader in risk management and insurance services, where... ..., personal accident and supplemental health insurance, reinsurance, and life...SeniorRiskClaimsContract workLocal area
- ...coordinate recovery plans Oversee premium transportation and claims interfaces for intercontinental, domestic, and rail moves Use logistics tools and dashboards to monitor network health, identify risks, and drive corrective actions Ensure standard processes and work...SeniorRiskClaimsH1bWork at office
- ...Who You Are: (Job Summary) The Senior Manager, Environmental, Health, and Safety (EHS) is responsible for... ...identify, mitigate, and resolve EHS risks and challenges. In addition, the... ...of any complaint or discrimination claim. The "Know Your Rights" Poster is...SeniorRiskClaims
$70.1k - $126.2k
...million members. Centene is transforming the health of our communities, one person at a time.... ...and other entities utilizing referrals, claims data, medical records, interviews,... ...irregularities, control gaps, and program integrity risks, and recommend enhancements to...SeniorRiskClaimsFull timePart timeWork at officeRemote workFlexible hours- Jobtailor is seeking an experienced Claims Adjuster to manage complex Michigan Personal Injury Protection (PIP) claims from inception through resolution. You will review assigned claims, contact insureds and other parties, and document the file in the claims system. The...SeniorClaims
- Crawford & Company is seeking a Sr Claim Examiner- WC (Finance) to investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. The role reviews coverages, determines liability and compensability, secures information, and...SeniorClaims
- ESIS, Inc. (ESIS) provides sophisticated risk management services and is seeking an experienced Auto, General & Liability (AGL) Senior Claim Representative for the Overland Park, KS office. The role handles and maintains all AGL claims and file reviews under supervision...SeniorRiskClaimsWork at office
$68.2k - $102.3k
...vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.... ...contiguous states plus AK. The opportunity The Health and Risk Solutions Senior Claim Analyst serves as the highest level of technical expertise...SeniorRiskClaimsContract workWork at officeLocal areaFlexible hours- ...federal, state, and local employment laws. This role builds the enterprise compliance calendar, tracks regulatory changes, and escalates risks with HR leadership and Legal. The position focuses on wage and leave across ~35 states, I-9/E-Verify, EEO reporting, workers’ comp,...SeniorRiskLocal area
- ...footprint and thousands of employees. The Senior Manager, Premium Resolution will lead a team... ...accuracy. You will partner with underwriting, billing, claims, sales, and technology to drive timely resolutions, continuous improvement, and risk #J-18808-Ljbffr Sun LifeSeniorRiskClaims
- ...within the Environmental Remediation Program, with responsibilities including designing remediation strategies, assessing environmental risks, and ensuring compliance with regulations. Candidates should possess a Bachelor's degree in Environmental Science or a related field...SeniorRiskFlexible hours
- CrossCountry Freight Solutions in the United States is seeking a Risk Claims Manager in the Compliance department. This exempt role manages auto liability and workers' compensation claims, with no direct reports. The position may be remote and requires 7+ years in claims...SeniorRiskClaimsRemote job
- ...advisor and practitioner across complex workplace matters. This Senior Employee Relations Specialist will lead end-to-end investigations... ..., and governance of ER processes, documentation, and risk mitigation to support business strategy #J-18808-Ljbffr RelativitySeniorRiskRemote job
- FCS Financial is seeking a Resource Officer in Missouri to lead loan workout and restructuring for complex accounts. You will analyze risk, collateral values, and recovery potential while collaborating with legal counsel and lending teams to minimize risk and maximize...SeniorRisk
$2,500 per month
...large, complex datasets to identify performance trends, risks, and strategic opportunities across claims and healthcare data.Oversee the development of well... ...requirements, such as immunizations and occupational health mandates. Here are some of the exciting benefits full...SeniorRiskClaimsFull timeContract work- The Senior Technical Compliance Analyst is an integral team member of the QTS Security Risk & Compliance Team and reports to the Manager, Information Security Compliance & Risk... ...investigation of any complaint or discrimination claim.The "Know Your Rights" Poster is included...SeniorRiskClaimsFull time
- ...Join to apply for the Senior In-House Litigation Attorney role at Epic Location: Madison... ...counseling on various areas of potential risk, including regulatory, competition, healthcare... ...oral arguments. • Negotiate and settle claims, including settlement negotiations and...SeniorRiskClaimsRelocationRelocation package
$112.61k - $172.21k
Who You Are:The Senior Analyst, Insurance and Risk Management will serve as a key contributor responsible for executing development insurance and risk... ...educate internal stakeholders on insurance requirements, claims processes, and risk mitigation strategies. Analyze and...SeniorRiskClaims- ...Be Doing Managing a caseload of litigated claims by preparing them for trial, including... ...by the firm Marketing allowance 401K plan Health & welfare benefits including medical, dental... ...and most well-known companies in high-risk litigation and business disputes, including...SeniorRiskClaimsTemporary workWork at officeLocal area
- WHO YOU ARE: The Senior Auditor is based in Overland Park, KS, with opportunities to travel... .../or flowcharts.Identifying key business risks and related mitigating controls or gaps.... ...investigation of any complaint or discrimination claim.The "Know Your Rights" Poster is included...SeniorRiskClaims
- ...better overall results. ESIS’ specialized claim intervention strategy integrates an effective... ...ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce... ...experienced Auto, General & Liability (AGL) Senior Claim Representative for the Overland Park...SeniorRiskClaimsContract workWork at officeLocal area
$105k - $115k
...while proactively identifying and mitigating risks.Ensures client requirements are met with... ...services, consulting, client services, claims administration, litigation support, or... ...transgender status, sexual and other reproductive health decisions, marital status, age, national...SeniorRiskClaimsFull timeLocal areaWork visa- The University of Kansas Health System is seeking a Senior Clinical Communications Liaison to develop and execute comprehensive communication plans for clinical audiences. This role involves managing communications support, developing materials, and ensuring alignment with...SeniorFull time
- ...JOB DESCRIPTION Primary Purpose The Senior Counsel, Incident Investigation and Litigation... ..., Projects, Human Resources, Compliance, Risk, and company leadership. This role will manage... ...issues, contractor disputes, or project claims. Prior law firm experience in litigation,...SeniorRiskClaimsFor contractors
- ...Position Title Clinical Risk Manager Days - Full Time... ...recommendations for final approval by senior management; and participating... .... Collaborates with the claims and insurance team regarding... ...management, quality improvement, health information management,...RiskClaimsFull timeLocal areaWork from homeFlexible hours
- ...addressing their unique insurance needs and risk exposures within the industry. Resolve... ...and collaborate with underwriting, claims, risk management, and other cross-functional... ...solutions to clients. Work alongside senior staff to develop high-quality communication...SeniorRiskClaimsFor contractors
- The Senior Manager, Category Sourcing is responsible for leading the execution, and management... ...to generate cost savings and risk mitigation for category spend under management... ...investigation of any complaint or discrimination claim.The "Know Your Rights" Poster is included...SeniorRiskClaimsContract work
$85k - $110k
...Position Summary The Senior Corporate Paralegal assists the legal... ...with the General Counsel and the risk and compliance teams, assist... ...related training. Facilitate claims reporting to insurance providers... ...may take advantage of pre-tax health savings accounts and flexible...SeniorRiskClaimsTemporary workWork at officeLocal areaFlexible hours- ...provide the best possible care. Senior Solution Delivery Consultant-... ..., and less likely to be at risk. We’re looking for someone with... ...experience At least 2 years of health care information technology implementation... ....Experience with 837P/837I claims, and clearinghouse workflows....SeniorRiskClaimsFull timeFor contractorsWork experience placementWork at officeRemote work
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