- R1 RCM (Boise, ID)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Senior Complex Denials Consultant , you will represent and counsel healthcare ... **Here's what you will experience working as a Senior 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
- R1 RCM (Detroit, MI)
- …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 (Naperville, IL)
- 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 ... team as we help shape the future. The Claim Consultant role is an advanced claim handler position within...handler position within the ENVIRONMENTAL unit of The Hartford's Complex Claims Unit (CCU), responsible for the… more
- The Hartford (Scottsdale, AZ)
- …The Senior Claim Representative/Claim Consultant is a claim handling role within Complex Claims Unit - Construction (BI/PD). CCU is a highly specialized ... in ECOS involving bodily injury and property damage. Claims are often associated with complex fact...commonly involve litigation along with higher exposures. The Claim Consultant is accountable for delivering superior customer service and… more
- The Hartford (Scottsdale, AZ)
- Consultant Claims - CH08CE We're determined...This is a visible and important role within our Complex Claims Unit (CCU) Hartford Global Specialty ... (HGS) Claims Division. As a Claims Consultant , you will be responsible for...involve both primary and excess coverages and often involve complex fact patterns requiring analysis of contracts between parties… more
- Wolters Kluwer (Minneapolis, MN)
- ** Consultant (LBA QA) - Hybrid (Minneapolis)** **R0051935** **|** **LR | ELM Solutions** **Wolters Kluwer** **Basic Function** The ** Consultant (LBA QA)** for ... clients. As part of our quality assurance process, the Consultant (LBA QA) will conduct an expert peer review...calls" in interpretation of client guidelines when applied to complex legal invoicing scenarios. + Strong understanding of legal… more
- The Hartford (Hartford, CT)
- …inquiries, market conduct, and EB regulatory reporting + Support complaint response for complex claims as requested by Claim Specialists or legal + Partner ... Consultant Product Delivery - LO07AE We're determined to...accordingly + Partner with clients, underwriting, actuarial, CCST and claims to develop customized solutions including single case filing… more
- Sedgwick (Lansing, MI)
- …Health Care Risk Management (CPHRM) preferred. **Experience** Ten (10) years of complex claims management experience or equivalent combination of education and ... person will analyze professional liability, error and omissions, and complex directors and officers claims ; to provide...limited to Bachelor of Science in Nursing, Legal Nurse Consultant , Associate in Claims (AIC), Chartered Property… more
- Highmark Health (Trenton, NJ)
- …coupled with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A ... needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design, develop,… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Strategic Data Consultant position located in the Pharmacy Services department. This is a full time position ... Must be located in the Pittsburgh area to be considered! Strategic Data Consultant applies expert experience to produce in-depth reporting and analytics for the… more