The Sr. Claims Auditor utilizes CPT and ICD 10 coding to review physician claims and medical records for coding accuracy. Internal auditing functions focus on "desktop reviews" of claims, design and quality control of future audits, and other auditing related functions. Review clinical notes and claims submitted to verify the appropriateness of codes billed based on servi

The Casualty Claim Manager provides leadership and management direction to achieve efficient casualty claim handling and quality customer service for casualty claims. Essential Duties and Responsibilities Develop internal and external processes to mitigate the financial impact of workers compensation, products liability, general liability and automobile liability claims.

This position will support transactional pricing needs for the growing Specialty Casualty business segment, including pricing and portfolio analysis for Umbrella and Excess Casualty across large national & international customer accounts. The individual will work directly with underwriters and senior pricing actuaries to evaluate submission data quality, primary loss fore

Old Republic Surety Company (ORSC) ranks among the nation's top underwriters of contractors' performance and payment bonds, miscellaneous surety, and commercial fidelity, offering thousands of types of bonds. We are growing across the country which is creating new opportunities within our organization. We have an exciting opportunity to join our Northeastern US te

Demonstrates extensive knowledge of discovery case law, applicable legal standards, judicial preferences, and emerging trends impacting all phases of discovery and data management. Effectively collaborates with case teams on ESI protocols, and participate in negotiations with requesting parties, including strategies, defensibility, risks, advantages, and challenges of lev

Summary Homesite’s Catastrophe Management Team is searching for a Catastrophe Risk Analyst who will apply their technical knowledge/skills to support the assessment of catastrophic risk by state and region and to develop strategies to mitigate this risk while encouraging profitable growth. The Catastrophe Risk Analyst opportunity is in our Boston, MA location and re

IP Litigation Associate Milwaukee, Chicago or Boston Foley & Lardner LLP is seeking a junior level associate with 3 4 years of IP Litigation experience to join our pre eminent, national IP Litigation Practice Group in our Milwaukee, Chicago, or Boston office. Qualified candidate must hold a degree in Mechanical Engineering, Electrical Engineering, or Computer Science and

Utilize product line subject matter expertise by performing analysis to review potential business prospects and recommend profitable risk selection Perform complex underwriting activities in accordance with all legal and regulatory requirements to ensure obligations are met Forge and maintain strong relationships with multiple agency leaders by utilizing high degree of bu

Total Benefit Communications (TBC), an Ascensus company, specializes in employee benefit communication and education services throughout the United States. Our highly qualified professionals help companies meet their enrollment goals efficiently and effectively, while ensuring employees understand their plan, health and wellness benefits, appreciate their options, and pre

Position Compensation Range $76,000.00 $125,000.00 Pay Rate Type Salary Compensation may vary based on the job level and your geographic work location. You will be in a senior level role that supports underwriting operations. This role shifts to either expert underwriting and risk evaluation or project work that improves the efficiency of the underwriting operations area.

Why This Role is Important to Us Commonwealth Care Alliance's (CCA) Clinical Effectiveness (Authorization) Unit is primarily responsible for the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provisions of CCA's benefits plan. The Service Authorization Specialist is responsible

Description & Requirements Womble Bond Dickinson (US) LLP is seeking experienced attorneys to join the Dispute Resolutions Team of GCSolutions. GCSolutions is an alternative legal service provider that offers clients cost effective services staffed by highly qualified attorneys. Positions allow flexible scheduling, work life balance, and the ability to work remotely. GCSo

Pricing Consultant (OCONUS Programs) Job Locations US MD Chevy Chase | US MA Lexington | US AL Huntsville Job ID 2024 7218 Overview Abacus Technology is seeking a Pricing Consultant to provide competitive and cost analysis for proposal bids to government contracting opportunities in international locations. Responsibilities Work with the pricing, business development, and

The HMDA and CRA Specialist is primarily responsible for assisting with data validation management and quality assurance, consistent with the requirements of the Home Mortgage Disclosure Act (HMDA) and Community Reinvestment Act (CRA). Additional responsibilities include various functions in connection with reporting and filing the HMDA LAR. ESSENTIAL DUTIES & RESPONSIBIL

Summary This is the senior level role that provides the product and profit and growth linkage for all company and alliance products. Provides analysis of data and information, identification of root causes of deviations, development of solutions and driving the execution of plan implementation. Manages operational planning and rate revisions, accountable for achieving pro