Lead Data Scientist, Claims & Risk Modeling
Sedgwick
Sedgwick is seeking a Principal Data Scientist in Louisville, Kentucky, to lead the design and development of advanced statistical models that enhance claims outcomes. The ideal candidate will have a Master's or PhD in a quantitative discipline, with 8-12+ years of experience in data science and expertise in machine learning algorithms. Responsibilities include mentoring team members, collaborating with key stakeholders, and driving Sedgwick’s predictive analytics capabilities. A strong command of programming languages such as Python or R is essential. #J-18808-Ljbffr
- ...Principal Data Scientist Job Responsibilities Lead the design and development of advanced statistical and machine learning models that improve claims outcomes, operational efficiency, and risk management. Serve as the technical authority for complex modeling...RiskClaims
- ...AI solutions that transform claims intake, policy interpretation... ...SOPs, and historical claims data. Build autonomous and semi... ...Implement monitoring for model drift, retrieval quality degradation... .... Sedgwick is the world's leading risk and claims administration...RiskClaims
- ...specific Line of Business or claims domain. This role... ...with AI engineers and data scientists. It ensures that AI... ...Business Transformation Leads to understand workflow... ...points, regulatory risks, and client performance... ...feasibility, data availability, model explainability...RiskClaimsRemote work
$120k - $160k
...in Financial Services & Insurance AI Data Scientist Sr. PRIMARY PURPOSE OF THE ROLE: To partner... ...science projects; to design data modeling processes, create algorithms, and... ...other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients...RiskClaimsWork at officeLocal areaFlexible hours$143.62k - $229.79k
...As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal... .... Responsibilities include leading pricing strategies and... ...evaluating advanced care management models, conducting competitive benchmarking... ..., and internet sites claiming to represent Blue Cross and Blue...RiskClaimsLocal area$7,000 - $9,000 per week
...Engines/Transmissions):Choose from late-model (2023-2027) Peterbilt 579 Ultraloft, Kenworth... ...your career without taking on all the risk? We're offering a true walk-away lease on... ...NY).Zero risk. Total transparency. Higher payouts. Contact us today to claim your truck!...RiskClaims- ...strategies from the individual risk to portfolio levels using models and methodologies to... ...Effectively utilize all available data to make appropriate... ...and marking approach. Lead a technical pricing team... ...regulatory and legal environment, claims handling trend, and...RiskClaimsWork experience placementRemote workFlexible hours
- ...owned insurance agency that has delivered risk management solutions since 1977. With a wide... ...and companies regarding policy coverage, claims or administrative needs: comply with the... ...account rounding. Serve as a mentor and role model for team members. Perform other related...RiskClaimsWork at office
- ...of private practice without the financial risk and administrative complexity. Why SonderMind... ...practice or seeking a more flexible model, our streamlined approach eliminates administrative... ...for completed sessions, regardless of claim status we guarantee pay for no‑shows...RiskClaimsBi-weekly payHourly payFull timeContract workPart timePrivate practiceWork at officeFlexible hours
$118.69k - $189.91k
...evaluating advanced care management models, performing competitive... ...identify and react to nuanced risks and opportunities. This particular... ...Points SQL-based data queries and data management... ...organizations, and internet sites claiming to represent Blue Cross and Blue...RiskClaimsLocal area$118.69k - $189.91k
...financial forecasting. You'll lead analyses that shape pricing models, care management programs,... ...advisor, turning complex data into clear, actionable... .... By identifying emerging risks and opportunities, you'll... ...organizations, and internet sites claiming to represent Blue Cross...RiskClaimsContract workWork at officeLocal area$105.1k - $192.6k
...a national team which leads large multi-state, sales... ...strategies, operating models, processes, and compliance... ...opportunities or risks and communicating these... ...sales and use tax refund claims Participate on a motivated... ...and optimization. Data analysis and...RiskClaimsSummer holidayFlexible hours- ...We are seeking an ML Ops / Model Governance Engineer to manage the end-to-end lifecycle of... ...closely with Applied ML Engineers, compliance, risk, and platform teams to ensure models meet... ...for model performance, drift, bias, data quality, and operational health Implement...Risk
- ...complex engineering and grid modeling challenges. As leaders in the... ...Responsibilities Join us in leading the change! Project leadership... ...quantifies and manages project risks, and ensures that all opportunities... ...project team(s). Contract, claims and procurement management....RiskClaimsContract work
- ...General Insurance is a leading provider of insurance products... ...on helping to manage risk for commercial and... ...service network management, claims processing services,... ...and be a positive role model for others in the... ...researching and resolving data discrepancies following...RiskClaimsContract workWork at officeFlexible hours
- ...more information about our data handling practices and... ...& Training Manager to lead safety, regulatory compliance... ...in a brokered service model. The Safety & Training... .... Incident, Injury & Claims Management Lead accident... ...Partner with claims and risk management teams to ensure...RiskClaimsFull timeContract workFor subcontractorWork at officeLocal areaFlexible hours
- ...combine the personalized service model of a local consultant with the... ...resources of the world’s leading professional services firm, Marsh... ..., engineering, math, and/or risk management/insurance is preferred... ...consulting, loss control, or claims) with demonstrable experience...RiskClaimsLocal areaFlexible hoursNight shift
- ...Atria Senior Living in Louisville, Kentucky is offering a Risk Management Intern position that supports risk and quality initiatives... ...processes and operational risk monitoring, and assist with claims reporting and data analysis. Applicants should be currently enrolled in a four...RiskClaimsInternship
- ...The Director of Insurance and Risk Management ("The Director") is responsible for leading the Company's insurance portfolio... ...and coordination of all insurance claims and manages the Company's Third Party... ..., including interpreting complex data and making strategic decisions....RiskClaimsWork at officeFlexible hours
$107.9k - $172.64k
...including documentation, risk management, training,... ...IT risk management Leads IT process change initiatives... ...Collaborates with data science and engineering... ...including bias, privacy, and model drift, and integrates... ..., and internet sites claiming to represent Blue Cross...RiskClaimsLocal areaRemote work- ...combine the personalized service model of a local consultant with the... ...resources of the world's leading professional services firm, Marsh... ...their business needs and risk management goals. Coordinate... ...related to administration, billing, claims issues and problem solving,...RiskClaimsWork at officeLocal areaNight shift
- ...requirements. This position determines contract models and strategies, determines services and... ...financial analysis to determine business risk associated with a supplier or contract.... ...Analyze and develop company position on claims and disputes and subsequently consult...RiskClaimsContract workWork at office3 days per week
$40k - $60k
...About Our Agency ~ Our mission is to help people manage the risks of everyday life, recover from the unexpected and realize their... ...customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with...RiskClaimsFor contractors$143.62k - $229.79k
...operational and analytical lead for Part D Stars,... ...informed decision making through data, forecasting, and program... ...teams to develop forecasting models, cut point scenarios, and risk assessments. Monitor... ...organizations, and internet sites claiming to represent Blue Cross...RiskClaimsWork at officeLocal areaRemote workFlexible hours2 days per week- ...compliance, determines contract models and strategies, manages... ...financial analysis to assess business risks and mitigate them effectively. Analyze and resolve claims and disputes associated with complex... ...PTR Global: PTR Global is a leading provider of information...RiskClaimsFull timeContract workWork at office3 days per week
$143.62k - $229.79k
...through change, consistently modeling a forwardlooking... .... Reputation, Risk & Environmental Conditioning... ...Delivery Lead multiple communications... ...the ability to translate data and KPIs into strategic... ...organizations, and internet sites claiming to represent Blue Cross...RiskClaimsLocal area$60 per hour
...generated science and ensure factual accuracy, validate technical claims, and critique experimental designs. An educational background... ...compensation of up to $60 per hour for your expertise. Join us in training and evaluating cutting-edge AI models! #J-18808-Ljbffr ProlificClaimsHourly pay- ...Margin & Unit Economics will lead margin analytics across... ...of pharmacy margin data logic, reporting methodology... ...reimbursement and claim-level profitability, this... ...supporting the backend data models, SQL logic, automation,... ...executive insights, risks, opportunities, and recommendations...RiskClaimsTemporary workShift work
- ...appropriate governance model to ensure that assets are... ...Understanding of compliance and risk mitigation. Excellent... .... We're also leading the way in technology modernization... ...on delivering secure data access, mitigating fraud... ...any discrimination claim, or cooperating in...RiskClaimsPermanent employmentH1bWork at officeLocal areaRemote work
- ...and promotes a healthy work-life balance. Apply now! Responsibilities The Risk Management Intern supports the organization’s risk and quality initiatives by assisting with claims reporting, data tracking, and administrative coordination. This role provides hands-on experience...RiskClaimsInternship
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