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$77.97k - $141.37k
JOB DESCRIPTION Job Summary Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources...RiskRemote jobWork experience placement$141.44k - $212.16k
...lead a key execution component of a critical program focused on Adjustment Reduction and Data Automation, directly tied to key regulatory... ...third lines of defense. Effectively communicate program status, risks, and issues. Regulatory Interaction: Serve as the primary point...RiskFull time$63.59k - $121.53k
...and impactful. The Opportunity As a dedicated Sr. Injury Adjuster, you will work within defined guidelines and framework, responsible... ...you'll do: Identifies and manages existing and emerging risks that stem from business activities and the job role. Ensures...RiskFull timeContract workWork at officeRelocation package3 days per weekUSAA
Tampa, FL2 days ago$54.55k - $92.06k
...impactful. The Opportunity As a dedicated Complex Auto Adjuster, you will adjust highly complex auto insurance claims presented... ...additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified,...RiskFull timeContract workH1bWork at officeRelocation packageFlexible hoursAfternoon shift3 days per weekUSAA
Tampa, FL6 days ago- Senior Field Adjuster - Pinellas County (Tampa) Join Windward Risk Managers as a Senior Field Adjuster in Pinellas County (Tampa). Position Summary Investigate routine to moderately complex residential property claims, involving on-site inspections and regular travel within...Risk
- Fraud Risk management in Banking. Candidate should have experience in defining the requirements for fraud detection models and rules... ...Testing (UAT) phase as needed Assist with the thresholds adjustments and alert optimization of fraud models Provide regular status updates...RiskContract work
- ...Workplaces in Financial Services & Insurance Construction Defect Adjuster PRIMARY PURPOSE : To investigate and adjust property and... ...candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskWork at officeLocal area
$50k
...Responsibilities PRIMARY PURPOSE : To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive...RiskWork at officeLocal area$15k
...Best Workplaces in Financial Services & Insurance Experienced Desk Adjuster - Remote PRIMARY PURPOSE : Handles losses and claims valued up... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskRemote jobWork at officeLocal area- ...Data Risk Officer, Risk Appetite Planning, Metrics and Analysis - Vice President Operational Risk Management (ORM) is an enterprise... ...set to solve for root causes, assess the impact of actions, and adjust as needed; simplify and standardize at every opportunity....Risk
- ...Job Description Job Description Applied Underwriters is a global risk services company that continues to expand our offerings in property and casualty insurance. We are looking for intelligent and knowledgeable candidates that will utilize their rich experience of...RiskWork at officeImmediate startFlexible hours
Applied Underwriters
Tampa, FL18 days ago $130.88k - $196.32k
Operational Risk Management (ORM) is an enterprise-level independent risk management function responsible for enterprise-wide oversight... ...set to solve for root causes, assess the impact of actions, and adjust as needed; simplify and standardize at every opportunity....RiskFull time$77.97k - $155.51k
...Design scalable workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity. Technology... ...change management (training, SOPs, job aids, communications). Risk, Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations...RiskWork experience placement$103.45k - $197.73k
...with assigned analysis, contributes in discussions of strategic options and recommendations. Develop/advise on policies, standards, risk management and controls related to relevant processes. Coach and provide on-the-job training for other team members. Ensure...RiskH1bWork at officeRelocation packageFlexible hoursUSAA
Tampa, FL6 days ago$60k - $65k
...Fortune Best Workplaces in Financial Services & Insurance Independent Adjuster Auditor As an Independent Adjuster Auditor at Sedgwick, you’ll... ...for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by...RiskLocal areaWork from homeFlexible hours- ...prevention counseling and case management referrals to clients at risk for or diagnosed with chemical dependency or co-occurring... ...close vision, distance vision, peripheral vision and the ability to adjust focus. For more information please contact : Ben Dollar...Risk
The Provider Finder
Tampa, FL7 days ago - ...required by this job include close observation and the ability to adjust focus. The mental and physical requirements described here are... ...employee is occasionally exposed to moving mechanical parts and risk of electrical shock. The noise level in the work environment is...Risk
Verano
Apollo Beach, FL3 days ago - Bring your expertise to JPMorgan Chase. As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase... ...corresponding inherent risks and mitigating controls. Recommend any adjustments required to meet JPMC policy, regulatory requirements, and...Risk
- ...Conducts cost analysis, estimating expected costs for the project. Prepares and implements a budget based on estimates. Conducts risk assessments; reports identified risks to management; provides recommendations for mitigation of risk (including termination of the...RiskLocal area
- ...service operations. General Summary We are seeking an experienced Risk & Insurance Manager to join our team and provide strategic... ...the primary contact for property insurance claims, working with adjusters and internal teams to manage and resolve losses effectively. Broker...RiskFull timeContract workWork at office
$250k
Operational Risk Management (ORM) is an enterprise-level independent risk management function responsible for enterprise-wide oversight... ...-set to solve for root causes, assess the impact of actions and adjust as needed; simplify and standardize at every opportunity....RiskFull time$170k - $300k
Overview Operational Risk Management (ORM) is an enterprise-level independent risk management function responsible for enterprise-wide... ...set to solve for root causes, assess the impact of actions, and adjust as needed; simplify and standardize at every opportunity....RiskFull time- ...driven individuals. General Responsibilities The Manager, Corporate Risk Management manages day to day operational elements of Crown’s... ...’s business goals. The position works with external partners (adjusters & brokers) to provide guidance on complex claims and assists...RiskContract work
- ...about a career in P&C Insurance? If you've recently acquired an Adjuster's license and are eager to launch your career, seize the opportunity... ...areas of the property, identify damages, properly document the risk and estimate the damages identified Working Conditions...RiskFull timeTemporary workTraineeshipWork at officeImmediate startFlexible hours
$88.15k - $106.81k
...is seeking a candidate for the position of Manager, Third Party Risk Management (TPRM) - Global Procurement. The Manager, TPRM... ...partners as needed. BMS is committed to reasonable accommodations/adjustments for applicants and employees. For inquiries about accommodations...RiskFull timeTemporary workSummer workLive inLocal areaRemote work$140.64k - $210.96k
...decisions and exercise sound judgment to develop proactive and risk-appropriate, and business-focused solutions. Responsibilities:... ...months ago Senior Business and Sales Development Manager Risk Adjustment Coding Compliance Consultant (Healthcare Analytics) Incident Manager...RiskFull timeRemote work$106.7k - $121.7k
...Overview Work From Home, Principal Associate- Card Supply Chain Risk Management Are you looking for a challenging role that... ...requires a well-rounded and seasoned individual who is comfortable adjusting their approach to meet unique needs across multiple stakeholder...RiskFull timePart timeCurrently hiringWork at officeLocal areaWork from homeHome office$120k - $135k
...allocation. Ensure projects are executed according to plan and adjust as necessary to meet project goals. Team Leadership : Lead and... ...concerns promptly. Build and maintain strong client relationships. Risk Management : Identify potential project risks and develop...RiskFull time- ...costs including budgets, commitments, actuals, accruals, and forecasts. Analysis includes forecast to budget, estimate and actuals, and risk analysis. Manage, revise, and maintain status of the detailed project cost estimate/forecast to include all phases of project...RiskFor contractorsWork experience placementShift work
- ...change initiatives. Monitor key performance indicators (KPIs) and adjust processes as needed to achieve goals. Stay updated with industry... ...operational challenges promptly and implement solutions. Risk Management Assess risks in operational activities and develop mitigation...RiskWork at officeLocal areaMonday to Friday
