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Zurich Cover-More partners with many of the world’s best-known brands – think major airlines, travel giants, top banks, credit card providers, and large retailers – to deliver more care, more cover, for all. Our family of customer-facing brands includes trusted names like Travel Guard, Cover-More Travel Insurance, Travelex Insurance, Universal Assistance, World Travel Protection, Freely, and Blue Insurance.

Zurich Insurance Company Ltd.

Underwriting Analyst

Appcast Exclusive 1

ADAPTED_NOW

We are seeking a Vice President, Medical Director for our medical organization, to serve as a senior medical authority who will bridge clinical medicine with risk management. We are committed to creating and maintaining an environment in which each employee can contribute creative ideas, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives.

<h1>Who We Are</h1>
 What we believe. 
 We believe relationships are built on trust. That our lives and our work matter. And that doing what’s right is good for everyone — our clients, our employees, our financial representatives and our communities. 
 These beliefs launched our company nearly 160 years ago. Today, they’re just a few of the reasons why people choose to build careers at Northwestern Mutual.
 
 
 We’re known for our financial strength. 
 That means we’ll be here for the millions of people who are counting on us—our clients, our employees, our financial representatives and our communities. 
 
 We care.
 We make a positive difference in our communities. Nationally, thousands have benefited from our support of research and programs to fight childhood cancer. Each year, our Foundation, employees and financial representatives donate time, talent and financial support to causes they’re passionate about. 
 

<h1>Why Work Here</h1>
 We’re strong and growing. 
 In a company with such a long and storied history, this may be the most exciting and important time to be a part of Northwestern Mutual. We’re strong, innovative and growing. And we want you to grow with us.
 
 
 We invest in our people. 
 We provide opportunities for employees to grow themselves, their careers, and, in turn, our business. Movement around the company is encouraged and we help our people build meaningful, long-term careers.
 
 Be part of building our future.
 We’re expanding our campus in downtown Milwaukee overlooking Lake Michigan. The Northwestern Mutual Tower and Commons will include a state-of-the-art employee Learning Institute, and will feature a natural light-filled, 21st century work environment. This signature development reinforces our commitment to job growth, attracting top talent and drawing new business to Milwaukee. 
 
 Enjoy Milwaukee. 
 Located on beautiful Lake Michigan, Milwaukee offers a perfect balance of big city and small town living. Home to Summerfest, the world’s largest music festival, Milwaukee has a thriving music scene, a celebrated annual film festival and vibrant performing arts community. Professional sports teams include the Milwaukee Brewers, Milwaukee Bucks and other major teams. And outdoor family fun is easy here. An extensive urban bike path network links our lakefront parks, beaches and other recreational hotspots. 
 
 <h1>Our Culture</h1>
 We are always evolving. 
 At Northwestern Mutual, our employees, and our business, are always evolving. We are agile and continuously learning and improving. We have a work environment that empowers problem solving and encourages innovation—you will make an impact here.
 
 
 We do what’s right. 
 Our “do-what’s-right” value is pervasive. We ask ourselves: “Is this in the best interest of our clients? Our employees? Our financial representatives?” Acting on this value improves our clients’ experience, and makes Northwestern Mutual a better place to work. 
 
 We recognize and develop possibilities in our people.
 Onsite training and leadership development programs help employees succeed and grow. We also sponsor learning opportunities outside the company to help employees stay current in their fields, network with peers and gain external perspective. 
 
 Diversity makes us better. 
 We believe diversity and inclusion cultivate creativity, innovation and a better experience for our clients. That’s why we recruit and grow people who bring unique perspectives, ideas, beliefs and cultural backgrounds.

Northwestern Mutual

VP Medical Director

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YEAR

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Jobot

Senior Asset Manager (LIHTC)

Learning Agility & Critical Thinking (Intermediate): Pursues learning and obtains knowledge continuously in relevant fields, methods, or technologies in current and future practices; continuously utilizes critical thinking to identify opportunities, execute solutions, and measure impact to constantly improve existing practices and processes based on feedback, lessons learned, and market trends. You’ll build the knowledge and judgment needed to support increasingly complex products, financial questions, and claim scenarios while developing your capabilities in financial claim analysis, benefit calculations, tax reporting, consultation, written communication, and the application of contract provisions.

Disability Insurance Finance Consultant

Apply data science tools and various statistical techniques such as regression, generalized linear models, gradient boosting and neural networks to build, validate, and implement models for solving business problems. This role, in the Advanced Analytics Department, applies economic, quantitative, and statistical skills in the development of pricing, underwriting, sales, and claims models to achieve profitable growth and make sound business decisions across all areas of Sentry Insurance.

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Sentry Insurance

Advanced Analytics Modeler (Hybrid Work Model)

JobAdX

OTHER

Along with this responsibility you will: Provide project coordination and support including, but not limited to tracking and coordination of various projects and initiatives ensuring the on-time and in-scope delivery of assigned projects. Along with this responsibility you will: Act as one of the primary contacts for our team of sales producers and management to ask questions regarding products and sales/marketing programs.

Retirement Plan Project Manager

SonicJobs Redirect

Job Responsibilities: Processes Professional and Facility claims for payment in accordance with members Certificate of Coverage, established medical policies and procedures, and plan benefit interpretation while maintaining a high level of confidentiality. Keeps current on group contracts specifics, provider discounts, percentages and per diems, enrollee certificates and agreements, authorizations and other utilization management policies, etc.

Network Health LLC

Claims Analyst II

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PRIMARY PURPOSE OF THE ROLE To prospectively identify complex claims issues and complaints; to strategically triage referrals to the appropriate examiner or complex claims advisors for handling; or to independently handle and expedite resolution of less complex complaints and/or claim issues. The ideal candidate brings strong analytical skills, sound judgment, and the ability to navigate complex claim issues and drive effective resolutions.

Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.

Sedgwick Claims Management Services, Inc.

Complex Claims Analyst | Commercial Trucking | Bodily Injury

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The Coding Analysts and Claim Resolution Analysts support the timely resolution of issues received from Medica's Customer Service (members/providers - all products) and issues received directly from Medica's key providers and leased provider networks. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the positions scope and responsibility, internal pay equity and external market salary data.

Medica Health Plans Inc

Supervisor, Coding & Claims Resolution Analysts

This position is eligible for remote work; however, candidates must reside in one of the following states to be considered for employment: Alabama, Arkansas, Florida, Georgia, Iowa, Idaho, Indiana, Kansas, Kentucky, Louisiana, Michigan, Minnesota, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas and Wisconsin. Knowledge of general principles of information systems and computer usage normally acquired through completion of a Bachelor of Science in Business, Information Technology, clinical area, or related field and/or two to five years'' relevant healthcare/IT experience required.

Aspirus Inc

EPIC CLAIMS & REMITTANCE APPLICATIONS ANALYST

Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. Be a supportive bridge between clients, project managers and technical personnel to define, track and communicate business requirements and their expected impact by building basic conceptual data and process models.

Gainwell Technologies LLC

Claims Business Analyst

The Analyst applies and interprets company reimbursement policies, Desk Level Procedures (DLPs), Summary Plan Descriptions (SPDs), Administrative Services Agreements (ASAs), CMS regulations, provider contracts, and other applicable resources to determine accurate and appropriate claims payment outcomes. As a subject matter resource for claims quality and accuracy, the Claims Quality Assurance Analyst helps strengthen processes, reduce errors, improve operational performance, and maintain consistent compliance with applicable requirements.

Claims Quality Assurance Analyst - TPA

Bachelor's degree in business or related field and 7+ years of handling complex claims as determined by Society Insurance - OR - 10+ years of claims handling experience involving the exercise of discretionary decision-making and increasing levels of claims complexity, including specialized coverages and loss adjustments as determined by Society Insurance. At the direction of Claims Director, Claims Managers and/or Compliance Manager, assists with state interest credit, state penalties, Physician Panels, annual state reporting needs (e.g., Colorado surveys, change of physician, Longshore reporting) which are not already overseen by another department such as Insurance Product Management.

Society Insurance

Senior Claims Representative Analyst

Bachelor’s degree in business or related field and 7+ years of handling complex claims as determined by Society Insurance – OR – 10+ years of claims handling experience involving the exercise of discretionary decision-making and increasing levels of claims complexity, including specialized coverages and loss adjustments as determined by Society Insurance. At the direction of Claims Director, Claims Managers and/or Compliance Manager, assists with state interest credit, state penalties, Physician Panels, annual state reporting needs (e.g., Colorado surveys, change of physician, Longshore reporting) which are not already overseen by another department such as Insurance Product Management.

Society Insurance Company

Senior Claims Representative Analyst (workers' compensation)

J-Vers Cloud

Develops forecasts and capacity models that help Claims leadership anticipate staffing needs, identify capacity gaps, balance workloads, and align available resources to business priorities. Develops and maintains Claims Operations demand and capacity forecasts using historical volumes, production trends, staffing assumptions, employee ramp, PTO/LOA, overtime, and other operational factors.

HOUR

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Workforce Management Analyst, Claims Operations - Meritain TPA

Job Description: Manage essential process documentation for project implementation of functional and technical solutions by collaborating with business partners and IT leadership to gather business requirements, provide expertise and guidance and help execute plans to enhance business capability, achieve results and support organizational strategic priorities. Technical Skills: Experience working with an external web development vendor and internal leadership, using strong technical understanding and business acumen to help bridge the gap.

Beacon Technologies

Guidewire Claim Center Business Analyst

Betterteam

The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. The analyst will work closely with Senior Claims Analysts, the SIU, compliance and cross‑functional teams to support investigations, recommend corrective actions, and strengthen internal controls.

FRAUD WASTE ABUSE ANALYST

We will continue to strive to offer flexibility and invest in technology and other tools that will make hybrid working normal rather than an exception, so that when "life happens," you can focus on what's most important. TruStage recruiters use the screening score as a guide to further evaluate candidates; the score is one component of an application review and does not automatically determine whether a candidate moves forward.

TruStage Financial Group Inc

Sr. Claim Specialist (Hybrid - Madison, WI)

Cargo Claim Specialist - United States - 196458 - Koch. Join our Talent Community.

Koch Inc

Cargo Claim Specialist

The Senior Analyst researches medical policies, investigates complex claims and editing issues, and collaborates with customers and internal teams to identify solutions. This role reviews edit and audit groupings to help ensure the appropriate application of codes, criteria, modifiers, and claim dispositions in alignment with customer policies and requirements.

Claims Analyst Jobs in Wisconsin

Underwriting Analyst Zurich Insurance Company Ltd.

VP Medical Director Northwestern Mutual

Senior Asset Manager (LIHTC) Jobot

Disability Insurance Finance Consultant Northwestern Mutual

Advanced Analytics Modeler (Hybrid Work Model) Sentry Insurance

Retirement Plan Project Manager Sentry Insurance

Claims Analyst II Network Health LLC

Complex Claims Analyst | Commercial Trucking | Bodily Injury Sedgwick Claims Management Services, Inc.

Supervisor, Coding & Claims Resolution Analysts Medica Health Plans Inc

EPIC CLAIMS & REMITTANCE APPLICATIONS ANALYST Aspirus Inc

Claims Business Analyst Gainwell Technologies LLC

Claims Quality Assurance Analyst - TPA Network Health LLC

Senior Claims Representative Analyst Society Insurance

Senior Claims Representative Analyst (workers' compensation) Society Insurance Company

Workforce Management Analyst, Claims Operations - Meritain TPA CVS Health Corp

Guidewire Claim Center Business Analyst Beacon Technologies

FRAUD WASTE ABUSE ANALYST Aspirus Inc

Sr. Claim Specialist (Hybrid - Madison, WI) TruStage Financial Group Inc

Cargo Claim Specialist Koch Inc

Health Admin Services Senior Analyst Accenture Plc

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