As a key leader in the Risk Adjustment team, the successful candidate will develop and execute strategies, programs and projects for both the MA and ACA LOB while managing key performance indicators to drive operational excellence. Responsible for leading, developing and facilitating the team to ensure the application of industry best practices related to accuracy, effici

Content Claims Specialist Field Level II Requisition ID 2024 24436 Job Locations US MI Grand Rapids | US MI Kalamazoo | US MI Lansing Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary The role of Content Claims Specialists is a multi faceted role, which focuses primarily in the following

Corewell Health is seeking a highly skilled and experienced Senior Risk Analyst to join our clinical risk team, providing essential support to our West and South regional teams. This pivotal role requires an individual with experience producing data from a robust and dynamic platform, managing projects, and swiftly adapting to shifting priorities. The ideal candidate will

Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature. Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable). Alert Supervisor and Special Investigations Unit to potentially suspect claims. Ensure timely denial or payment of benefits in accordance with jurisdic

Construction Safety & Risk Control Consultant Are you ready to bring top tier innovation to clients nationwide? Can you become the difference maker that leads to our client's success stories? If you answered yes to both of those questions Aon is looking for you to become part of setting the gold standard in client servicing! This opportunity is a virtual position with exp