- The Hartford (Lake Mary, FL)
- Consultant Claims - CH08CEConsultant Claims...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
- The Hartford (Hartford, CT)
- 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
- Wells Fargo (Chandler, AZ)
- **About this role:** Wells Fargo is seeking a Lead Analytics Consultant within Fraud & Claims Management (FCM) as part of Consumer and Small Business Banking ... ACH and on-us check victim fraud space + Consult and perform complex analyses involving data mining from multiple sources and/or predictive modeling,… more
- Zurich NA (Salem, OR)
- Sr. TPA Specialist, Complex Claims 125068 Zurich Insurance is currently looking for a Sr TPA Specialist. This position will oversee complex Liability ... and industry knowledge and is recognized as a technical consultant and advisor both within and outside the company....+ Ability to determine the scope and exposure for complex claims . + Ability to follow reserving… more
- American Water (Camden, NJ)
- …at all levels in an organization. * Prior experience leading and managing a complex claims unit, including deep familiarity with products-liability claims , ... components of payment and reimbursement. o Coordinate aspects of complex , sensitive, and non-traditional claims (ie, Employment...firm is highly desirable. * Experience as an insurance claims consultant or a corporate in-house litigation… more
- Sedgwick (Austin, TX)
- …Health Care Risk Management (CPHRM) preferred. **Experience** Ten (10) years of complex claims management experience or equivalent combination of education and ... Liability (A&E, D&O) **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult liability claims by investigating and… more
- The Hartford (San Antonio, TX)
- Consultant Claims - CH08CESr Representative ...Consultant is a claim handling role within the Complex Claims Unit (CCU). CCU Construction is ... Join our team as we help shape the future. COMPLEX CLAIMS UNIT CONSTRUCTION DEFECT- SR. CLAIM... UNIT CONSTRUCTION DEFECT- SR. CLAIM REPRESENTATIVE / CLAIM CONSULTANT This role will be filled as a Sr.… more
- The Hartford (Naperville, IL)
- …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
- 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
- Sedgwick (Montpelier, VT)
- …**PRIMARY PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, ... such as subrogation, fraud evaluation or case management review to resolve claims . + Establishes and maintains effective relationship with internal and external… more