div>ABOUT HUB INTERNATIONAL:
HUB International Limited (“HUB”) is one of the largest global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services.
The Commercial Claims Advocate is responsible for claim consulting and management service to clients including escalated claims issues, carrier relationships and auditing of the claim handling process as well as the overall agency loss financials.
p>ABOUT HUB INTERNATIONAL: HUB International Limited (HUB) is one of the largest global insurance and employee benefits broker, providing a broad array of property, casualty, risk management, life and health, employee benefits, investment and wealth management products and services.
The expected salary range for this position is $150,000 to $160,000 and will be impacted by factors such as the successful candidates skills, experience and working location, as well as the specific positions business line, scope and level.
Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex Financial Lines claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
ul>Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
p>Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
p>Role Overview: ️ Investigate and settle advanced, large‑loss, and complex claims promptly and equitably under minimal supervision, while working within established authority on moderate‑to‑difficult claims.
Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
p>Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws.
New Orleans, LA29 days ago
Keeps Team Manager informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to Team Manager for direction. Approves payments of medical bills on lost time disability claims, within payment authority, after compensability has been determined by the Team Manager or claim technician/handler.
The Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the "VCCLEA"), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. The Tokio Marine HCC - Public Risk Group is seeking a self-motivated Claims Attorney to join our growing Claims Department and handle litigated and non-litigated claims primarily arising under Auto and General Liability, as well as potentially some Law Enforcement, Public Officials, and Employment Practices liability policies in various jurisdictions.
Analytical Thinking: Identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making. Independently handles assigned claims of low to moderate complexity where Wage loss and the expectation is a return to work to modified or full duty or obtain MMI with no RTW.
New Orleans, LA30+ days ago
p>In addition to the base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising of health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities that may include: A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts. The Patient Access Liaison, Manager is a field-based patient access and reimbursement specialist responsible for supporting patients, caregivers, healthcare providers, and sites of care in navigating insurance coverage and reimbursement pathways for Amgen therapies.
p>ESSENTIAL DUTIES AND RESPONSIBILITIES. Generates risk engineering and loss control solutions to a wide range of customers;
Identifies and analyzes critical issues and implements or recommends solutions, operating on a holistic, multi-disciplinary Risk Management Platform philosophy;
Designs and drafts complex loss control and site specific safety plans for large complex construction projects and Agribusiness/Food Accounts;
Designs, develops and implements Comprehensive Technical Risk Assessment Services and loss control training programs;
Assists in the marketing, coordination and delivery of risk control services to clients and prospects;
Conducts field visits with Carrier Reps on behalf of existing and prospective clients;
Consults and advises others regarding all Federal & State Safety Compliance regulations including OSHA, NFPA, JCAHO, enforcement, data & statistics and training;
Utilizes interdisciplinary knowledge of coverage, claims and safety to articulate, consult and recommend solutions and plans to top level management in order to influence positive results;
Coordinates cross functional relationships with Account Executives & Producers (Regional and National),
Claims Managers (Regional & National), Wrap Up Teams, and External - Insurance Carrier Loss Control.
Responsible for the design, development and implementation of Comprehensive Technical Risk Assessment Services and loss control training programs in order to service existing clients and to assist in securing new clients.
Your management abilities shine as you assist the Branch Manager with recruiting and training as well as developing and implementing plans to meet sales goals while promoting our core values, and ensuring an outstanding customer experience. You actively seek opportunities to originate new loan business by contacting current and potential customers and listening to understand their needs so you can recommend the best consumer loan and voluntary product solutions for them.
New Orleans, LA20 days ago
As an industry leader in U.S. Longshore and Harbor Workers' Compensation (USL&H), AEU also provides state act workers' compensation, Maritime Employers' Liability (MEL), marine general liability, and automobile liability for waterfront employers. AEU provides services such as claims handling, loss control, and underwriting, as well as longshore consulting and leadership training to help businesses protect their people and manage risk with confidence.
New Orleans, LA15 days ago
li>Keeps VP/Assistant Vice President of Claims informed verbally and in writing of activities and problems within assigned area of responsibility; refers matters beyond limits of authority and expertise to VP/Assistant VP of Claims for direction. Counsels team members on educational and job opportunities which will enhance their career development; keeps staff informed of current trends, changes or new developments in the department and company with periodic meetings.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
li>Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
li>Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
New Orleans, LA4 days ago
p>At the Reyes Family of Businesses, our Total Rewards Strategy prioritizes the holistic well-being of our employees, and our compensation philosophy embraces diverse factors for fair pay decisions, valuing skills, experience, and the needs of our business. Examine all injury and accident reports and assist supervisors with accident investigations to ensure accurate and timely reporting of all claim information to Third Party Administrator (TPA), and to mitigate future similar injuries.
New Orleans, Louisiana5 days ago
li style="color:black">Examine all injury and accident reports and assist supervisors with accident investigations to ensure accurate and timely reporting of all claim information to Third Party Administrator (TPA), and to mitigate future similar injuries. Conduct training for managers, supervisors and employees on safe work practices, including Back Injury Prevention, accident and injury prevention, hazard recognition and awareness, and regulatory compliance requirements.
New Orleans, LA25 days ago
li>•Outside contacts could include physicians, insurance companies, network providers, drug companies, attorneys, third party administrators, other benefits vendors and outside consultants. Analyze the current compensation & benefits plans, evaluating the usage, services, coverage, effectiveness, cost, plan experience, and competitive trends in benefits programs and identify the company’s stance.
Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. As the product owner, this leader will drive vision, strategy, roadmap, and adoption, translating complex business and technical needs into a scalable, governed, and business-aligned product that powers search, analytics, automation, interoperability, and generative AI use cases.
New Orleans, LA30+ days ago
Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).
p>PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As part of the Operations Consulting team, you will apply advanced data science and machine learning techniques to large-scale claims, clinical, and member data to surface actionable insights that reduce cost of care and improve population health outcomes for our payer clients.
p>PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. You are to use autonomous decision-making and professional skepticism when reviewing, analyzing, and producing deliverables across multiple client needs, and play a visible role in cultivating meaningful client relationships, inspiring your teams, and navigating ambiguity.
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. These individuals analyse client needs, implement software solutions, and provide training and support for seamless integration and utilisation of business applications, enabling clients to achieve their strategic objectives.
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. You will work closely with clients to analyse customer service processes, identify pain points, and develop strategies to optimise service delivery, increase customer satisfaction, and drive loyalty.
li>Managing development teams in building healthcare AI and GenAI solutions, including analytical modeling, prompt engineering, Python-based development, testing, communication of results to clinical and operational stakeholders, front-end and back-end integration, and iterative use case development with health system clients;
Documenting and analyzing healthcare business processes - across clinical operations, and population health programs - to identify AI and GenAI opportunities, gather requirements, define initial hypotheses, and develop solution approaches tailored to health system workflows;
Collaborating with health system client teams - including clinical informatics, population health, and IT leaders - to understand their business and clinical problems and select the appropriate models, LLMs, and approaches for AI/GenAI use cases;
Designing and solutioning AI/GenAI architectures for health system clients, including RAG-based clinical knowledge retrieval systems, agentic AI workflows for care management and revenue cycle automation, and custom LLM application builds with appropriate PHI safeguards;
Managing teams to process healthcare unstructured and structured data - including clinical notes, discharge summaries, claims records, EHR data, and ADT feeds - for use as LLM context, including embedding of large clinical text corpora, generative SQL query development, and building connectors to EHR back-end databases;
Managing daily operations of a global healthcare data science team on client engagements, reviewing developed models, providing feedback, and assisting in analysis of clinical and operational outcomes;
Directing data engineers and other data scientists to deliver efficient, HIPAA-compliant solutions that meet health system client requirements for clinical, financial, and operational AI use cases;
Leading and contributing to development of proof of concepts, pilots, and production use cases for health system clients - spanning clinical decision support, prior authorization automation, patient risk scoring, workforce optimization, and throughput modeling - while working in cross-functional teams;
Facilitating and conducting executive-level presentations to health system leadership showcasing GenAI and ML solution capabilities, use case development progress, model performance, and recommended next steps;
Structuring, writing, communicating, and facilitating client presentations that translate complex AI and ML concepts into clear clinical and business value narratives for health system audiences; and,
Managing associates and senior associates through coaching, providing feedback, and guiding work performance, with an emphasis on developing healthcare domain knowledge alongside technical AI and ML capabilities. You will architect and build production-grade RAG pipelines, MCP connections, agentic AI workflows, and MLOps frameworks, managing daily operations across global delivery teams while engaging health system leaders at the executive level to ensure measurable clinical and operational impact.
New Orleans, LA30+ days ago
Experience/Qualification Level Minimum of 3-5 years of experience: o Job-related experience with project builds over 200 sites Reports to CM3 (Lead) or IM Lead. Interfaces with External Interfaces: ASP/SP, Customer PM Internal Interfaces: IM Lead, Project Admin, Project Sponsor, CPM Responsibilities Include.
li>Able to demonstrate strong leadership capabilities, including the ability to guide and evaluate team performance, support the development of leaders, manage competing priorities, and make complex decisions in fast-paced and evolving healthcare environments, while fostering collaboration through active listening and contributing to a positive, inclusive workplace.
Must be able to read, analyze, and interpret technical documentation, operational procedures, and applicable regulations, and possess the ability to author clear reports, business correspondence, and procedural documentation for both technical and non-technical audiences, as well as present complex technical risks and roadmaps in a manner easily understood by clinical and business leaders.
New Orleans, LA24 days ago
Assists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
p>This position manages a small team (1-2 employees) responsible for designing and delivering advanced analytics, interpreting large healthcare datasets, and translating findings into actionable strategies that improve quality outcomes and financial performance. In this role, you will lead and execute complex data analyses to drive health plan-level risk adjustment performance through data-driven insights and analytical leadership.
New Orleans, LA30+ days ago
SUMMARY: We are seeking a Territory Sales Manager, Commercial position, who will be responsible for growth of agency relationships to increase profits of GEICO and GEICO-affiliated products within an assigned area of responsibility. Manage agents within a designated area of responsibility using in person, virtual, phone, and email to build relationships, deliver trainings, and manage agency performance.
The Telephonic Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
The Project Manager ensures timely communication, efficient project execution, and the delivery of high-quality expert reports that address complex technical questions. The Company serves clients across a diverse set of large and stable end markets including manufacturing, power generation, aerospace, medical, and defense.
The Project Manager ensures timely communication, efficient project execution, and the delivery of high-quality expert reports that address complex technical questions. The Company serves clients across a diverse set of large and stable end markets including manufacturing, power generation, aerospace, medical, and defense.