Claims Consultant Jobs
198 Claims Consultant jobs found on Monster.
Description: Position Description: Candidate will be primary claims consultant based in the health plan. The candidate will act as a liaison between the health plan and Claim Operations ensuring that Bayou Health contract requirements are understood, built into our daily processes and executed upon. Candidate must ensure completed programs adhere to Bayou Health contract requirements. Candidate mu...
This Claims Consultant, Commercial Casualty (Litigation) position will be located out of our Harleysville, PA office. This is an inside claims handling position. Prior Commercial GL experience required. Garage experience a plus. Candidates with NY/New England experience a plus. Candidates must be licensed or get licensed in CT,VT,RI and NH. Must be available for travel, including to the Worcester,...
Position: Workers’ Compensation Claims Management Consultant Leading to a management role Company: ESM Solutions, Inc. Status: Full time employee Relevant Work Experience: 10+ years in Workers’ Compensation Claims Management Education: College Degree, ARM, WCCP, Self-Insured certificate Location: Sacramento, California About ESM Solutions, Inc. ESM was founded as a family owned business and has su...
Company Confidential
Fort Myers, FL, 33906
All Lines Claims Consultant – a growing insurance agency with office locations throughout the State of Florida has a great opportunity for the right claims professional. We are currently seeking a Claims Consultant to join our dynamic organization. This position requires several years of claims adjusting experience in Property and Casualty, and Worker's Compensation, bilingual (English and Spanish...
Santa Rosa Consulting
Telecommute
WANT TO JOIN A 21ST CENTURY COMPANY? At Santa Rosa Consulting, we believe that the traditional model of healthcare consulting has fallen out of alignment with consultant and customer needs and interests. Too much emphasis is placed on historical processes. Too many simple requests require significant time and expense. Too little attention and innovation is applied to the pursuit of the most painle...
Long Term Disability Consultant needed in the Atlanta area. Harvey Watt & Company is a 63 year old insurance agency and third party administrator that pioneered the development of Pilot Occupational Disability Insurance. Currently, we are seeking qualified Long Term Disability Claims Consultants. The ideal candidate should have the ability to provide quality Disability Case Management Services in...
UnitedHealth Group
Multiple
Description: In this role you will work with our key clients to help optimize and obtain the full value of Optumâs decision support products, data and data warehouse related solutions. This role will require someone with the ability to gather technical requirements, perform claims data analysis, write SQL and/or SAS to tailor products and review data. No industry is moving faster than health care....
Description: The Lewin Group is a premier national health care and human services consulting and policy research firm with more than 40 years of experience finding answers and solving problems for leading organizations in the public, non-profit, and private sectors. Lewin's strategic and analytical services aim to help clients: Improve policy and expand knowledge of health care and human service s...
The incumbent in this position is responsible for the review and final adjudication of claims, pretreatment estimates, pre-determinations and re-evaluation requests for orthodontic treatment that require professional review. Provides assistance to Managing Dental Consultant and Dental Director, Dental Policy; performs miscellaneous duties as assigned. Duties include: · Processes claims, pretreatme...
The incumbent in this position is responsible for the review and final adjudication of claims, pretreatment estimates, pre-determinations and re-evaluation requests for orthodontic treatment that require professional review. Provides assistance to Managing Dental Consultant and Dental Director, Dental Policy; performs miscellaneous duties as assigned. Duties include: · Processes claims, pretreatme...
Description: The Lewin Group is a premier national health care and human services consulting firm with approximately 40 years of experience finding answers and solving problems for leading organizations in the public, non-profit, and private sectors. Lewin's strategic and analytical services aim to help clients: In the wide-ranging field of human services consulting, The Lewin Group provides both...
*Job requires 75%+ travel-candidate can live anywhere in US* About Aon Hewitt Aon Hewitt empowers organizations and individuals to secure a better future through innovative talent, retirement and health solutions. We advise, design and execute a wide range of solutions that enable clients to cultivate talent to drive organizational and personal performance and growth, navigate retirement risk whil...
Deloitte Consulting LLP is one of the world's leading management consulting firms for executable strategy, operations, technology, and human capital advisory services. The consulting practice is built around integrated core capabilities – people, process and technology and industry expertise – the capabilities needed to help clients to tackle their most complex challenges. Human Capital It is our...
Description: The Lewin Group is seeking a Consultant to join their State Program Effectiveness and Sustainability (PES) Practice. The PES Practice provides research, analysis and consulting support for State Consulting projects related to health and benefits programs. Specific areas include statistical and economic analysis and modeling for program evaluation, strategic planning and health care po...
UnitedHealth Group
Multiple
Description: 519626 - Healthcare Fraud Investigations and Settlements Consultant - Eden Prairie, MN or Franklin, TN Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care...
ESIS HEALTH SAFETY & ENVIRONMENTAL SERVICES SENIOR ERGONOMICS CONSULTANT JOB GRADE: Based on Experience LOCATION: Philadelphia or NY preferred; can be based anywhere on the East Coast ESIS HSE will be the preferred provider of HSE consulting and compliance services in the unbundled market while maintaining our underwriting and loss control capabilities to support ACE. Our relentless focus on the c...
UnitedHealth Group
Multiple
Description: What makes your career greater with UnitedHealth Group? Growth opportunities among the variety of product lines and making an impact on the healthcare system ensures it will always be challenging and exciting. About the Healthcare Economics Consultant Position - Professional This position requires excellent analytic and problem-solving skills, solid organization and workload managemen...
This position requires an understanding of medical insurance, is non-patient facing, instead, will be managing clinical evaluations for potential risks for catastrophic claims* The Senior Nursing Consultant will be responsible for the following: Responsible for review of claims and underwriting prospects and renewals for cost savings opportunities in the Stop-Loss department utilizing extensive kn...
Positions Responsibilities As a member of Verizon's Wholesale Financial Operations organization, the Consultant will be responsible for supporting the Claims & Collections centers. The successful candidate must possess a strong knowledge of Verizon Wholesale products and services and understand how these services are ordered, provisioned and billed. They will handle complex billing problems as wel...
Req# 14634BR Title Business Assurance Consultant Location Springfield NJ (0031) Job Function Operations Job Description • Using proactive and preemptive tactics, protects PSEG’s workforce, property, critical infrastructure, public image, brand, and other tangible and intangible assets, (including PSEG’s self-insured retention), from harm, misuse, theft, diversion, false or unqualified damage claim...
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Insurance Career Tools
Consultant
Salaries
$41,600.00 - $165,000.00
Typical Salary for Consultant
(2244 Respondents)
Source: Monster.com Careerbenchmarking Tool
Education / Training
Bachelor's
47.2%
Master's
33.9%
Some College Coursework Completed
6.9%
Associates
4.6%
Doctorate
2.5%
(1669 Respondents)
Source: Monster.com Careerbenchmarking Tool
Popular Claims Consultant Articles
Sample Resume for an Insurance Claims Processor
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©2013 Monster - All Rights Reserved U.S. Patents No. 5,832,497; 7,599,930 B1; 7,827,125 and 7,836,060 MWW - Looking for Monster Cable? - V: 2013.1.5.22-225