• Claims Field Consultant…

    RELX INC (Philadelphia, PA)
    …to help better understand the market and manage risk. About the job: The Claims Field Consultant ensures client satisfaction and retention through quality ... risk. You can learn more about LexisNexis Risk at the link below. https://risk.lexisnexis.com/ insurance About our team: Our Claims sales team works with … more
    RELX INC (09/06/25)
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  • Medical Consultant - Remote

    UNUM (Harrisburg, PA)
    …Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards… more
    UNUM (08/01/25)
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  • Senior Analyst, Healthcare Analytics…

    Evolent (Harrisburg, PA)
    …for the culture. **What You'll Be Doing:** **Senior Analyst, Healthcare Analytics Consultant ** The Client Analytics team provides a unique opportunity to collaborate ... You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population… more
    Evolent (07/31/25)
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  • Senior Underwriting Consultant , Research…

    Manulife (PA)
    …further advance our underwriting expertise. We are seeking a Senior Underwriting consultant , Research & Development, with a history of making sound underwriting ... effectively to join us on our transformation journey to simplify the insurance process for our customers. This role is accountable for providing underwriting… more
    Manulife (08/23/25)
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  • Investigations Consultant

    Highmark Health (Pittsburgh, PA)
    …recover identified overpayments, performing a follow-up review to ensure that the claims were adjusted correctly, resulting in expected recovery/savings. + Perform ... claims system extracts and create reports, graphs, and charts...in Accounting, Finance, Business Administration, Nursing, IT or Related Field **Substitutions** + 6 years of related and progressive… more
    Highmark Health (08/22/25)
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  • Director, Actuarial Services (Reserve)-Remote,…

    UPMC (Pittsburgh, PA)
    …800 doctors' offices and outpatient sites, and a more than 4 million-member Insurance Services Division, we all have one mission: to provide Life Changing Medicine, ... provides the following services to various in-house clients. **Responsibilities:** + Consultant within UPMC Health System; Act as an Actuarial Consultant… more
    UPMC (08/13/25)
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