- The Hartford (San Antonio, TX)
- Consultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... join our claims team as a Marine Claims Consultant . The Marine Claims ...and Transport. Proactively investigate, negotiate, and resolve high exposure claims , involving complex issues and/or litigation. Responsibilities:… more
- R1 RCM (TX)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Complex Denials Consultant , you will represent healthcare providers in ... topics. **Here's what you will experience working as a Complex Denials Consultant :** + Assist recovery staff...apply client contract language and rates to resolve denied claims . + Utilize payer-provider and administrative manuals to dispute… more
- The Hartford (San Antonio, TX)
- …issues + Possess the ability to investigate, evaluate and negotiate highly complex claims to appropriate disposition + Possess superior analytical and ... management abilities + Possess the advanced technical knowledge to properly reserve highly complex claims + Properly apply statutory laws and regulations of… more
- Prime Therapeutics (Austin, TX)
- …drives every decision we make. **Job Posting Title** Sr. Functional Bus Consultant (Compliance) - Remote **Job Description** The Senior Functional Business ... Consultant The Functional Business Consultant serves as...regulatory requirements, process improvement, advanced research, root cause analysis, complex issue research, documentation, advanced communications, client interaction, training,… more
- The Hartford (San Antonio, TX)
- …to be coached, guided, and mentored as you develop strategies on larger complex workers compensation claims + State required certification exams and adjusting ... Specialist Claims - CH07DE We're determined to make a...Unit Claim Specialists as well as a Home Office Consultant . Timely and accurate reserving, Resolution and Settlement Strategies,… more
- Sedgwick (Dallas, TX)
- …Health Care Risk Management (CPHRM) preferred. **Experience** Ten (10) years of complex claims management experience or equivalent combination of education and ... Professional Liability **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating… more
- Norstella (Austin, TX)
- Senior Analytic Consultant Company: MMIT Location: Remote, United States Date Posted: Aug 21, 2025 Employment Type: Full Time Job ID: R-1436 **Description** **About ... Japan, China and India. **The Role: RWD Senior Analytic Consultant ** We are currently seeking a high energy, motivated...unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be… more
- Evolent (Austin, TX)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... for the culture. **What You'll Be Doing:** **Senior Analyst, Healthcare Analytics Consultant ** The Client Analytics team provides a unique opportunity to collaborate… more
- USAA (San Antonio, TX)
- …+ Experience leading and/or participating in programs/projects, business process owner/ consultant efforts in a dynamic environment. + Extensive experience in ... agility; with demonstrated ability in developing partnerships across a complex business landscape, while utilizing/ implementing Lean and continuous improvement… more
- AECOM (Dallas, TX)
- …infrastructure consulting firm, partnering with clients to solve the world's most complex challenges and build legacies for future generations. There has never been ... projects on schedule and minimize client exposure. + Proactively work to avoid claims and resolve claims expeditiously to minimize client exposure. + Prepare… more
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