Current jobs related to Claims Consultant - Columbia - CNA

  • Medical Claims Specialist

    2 weeks ago

    Columbia, South Carolina, United States Washington Medical Supplies Full time

    Job SummaryWe are seeking a highly skilled Medical Billing Clerk to join our team at Washington Medical Supplies. As a Medical Billing Clerk, you will be responsible for coordinating all Medicare/Medicaid/Insurance billing and prior authorizations.Key Responsibilities:• Coordinate all insurance billing and prior authorizations under general supervision.•...

  • TRICARE Support Consultant

    3 weeks ago

    Columbia, South Carolina, United States TDB Communications, Inc. Full time

    Job Title: TRICARE Support ConsultantAt TDB Communications, Inc., we are seeking a highly skilled TRICARE Support Consultant to join our team. As a TRICARE Support Consultant, you will play a critical role in providing exceptional customer service to our beneficiaries, end users, and clients.Job Summary:The TRICARE Support Consultant will be responsible for...

  • Senior Scheduling Consultant

    1 week ago

    Columbia, South Carolina, United States Oakmont Contracting LLC Full time

    Job Title: Senior Scheduling ConsultantJob Summary:Oakmont Contracting LLC is seeking a skilled Senior Scheduling Consultant to join our team. As a Senior Scheduling Consultant, you will be responsible for developing, maintaining, and monitoring CPM schedules, conducting impact analysis, analyzing risk on complex projects, performing forensic schedule and...

  • TRICARE Support Consultant

    1 month ago

    Columbia, South Carolina, United States TDB Communications, Inc. Full time

    Job Title: TRICARE Support ConsultantAt TDB Communications, Inc., we are seeking a highly skilled and experienced TRICARE Support Consultant to join our team. As a TRICARE Support Consultant, you will play a critical role in providing exceptional customer service to our beneficiaries, end-users, and clients.Job Summary:The TRICARE Support Consultant will be...

  • Healthcare Consultant

    3 weeks ago

    Columbia, South Carolina, United States Oracle Full time

    Job DescriptionWe're on a mission to revolutionize healthcare with cutting-edge technologies that empower patients, support clinicians, and drive innovation. Our goal is to create a seamless, patient-centric healthcare experience powered by unified global data.As a Principal Consultant at Oracle, you'll play a key role in shaping the future of healthcare IT....

  • Enterprise Project Manager

    3 months ago

    Columbia, United States Infojini Full time

    DAILY DUTIES / RESPONSIBILITIES: Seeking a consultant to act as Project Manager on multiple IT projects. General Duties: - Assists with developing business requirements; - Building a project plan and executing to that plan; - Managing project risks and issues; - Ensuring that all deliverables and activities are completed with high quality and in a timely...

  • Medical Coding Subject Matter Expert and Consultant

    4 weeks ago

    Columbia, South Carolina, United States Information Resource group, Inc. Full time

    Job Title: Medical Coding Subject Matter Expert and ConsultantJob Summary:We are seeking a highly skilled Medical Coding Subject Matter Expert and Consultant to join our team at Information Resource Group, Inc. The ideal candidate will have a strong background in medical coding, policy, and process documentation.Key Responsibilities:Assist with the...

  • SAP Functional Team Lead Consultant

    3 weeks ago

    Columbia, United States CodeForce Full time

    Summary: The Medicaid Management Information System (MMIS) Replacement and Member Management Replacement Systems projects are the largest Information Technology projects the Client will undergo in collaboration with the SCDHHS Project Management Office (PMO). The PMO is responsible for staffing all SCDHHS projects as well as establishing and monitoring IT...

  • TRICARE Support Consultant

    4 months ago

    Columbia, United States TDB Communications, Inc. Full time

    TRICARE Support Consultant (On-Site)Job Description                                                                                 TDB Communications LLC is seeking Operational TRICARE Support Consultants to join our Columbia, South Carolina team. As an operations support consultant, you will provide assistance in an...

  • Developer (C Programming/Shell Scripting)

    1 week ago

    columbia, United States ASK Consulting Full time

    "All candidates must be directly contracted by ASK Consulting on their payroll and cannot be subcontracted. We are unable to provide sponsorship at this moment".Job Title: Developer (C Programming/Shell Scripting)Location: Columbia, SCDuration: 12 MonthsPay rate: 50-55/hr.Job Description:As a Developer IV on the EDIG team, you will play a crucial role in...

  • Developer (C Programming/Shell Scripting)

    2 weeks ago

    Columbia, United States ASK Consulting Full time

    "All candidates must be directly contracted by ASK Consulting on their payroll and cannot be subcontracted. We are unable to provide sponsorship at this moment".Job Title: Developer (C Programming/Shell Scripting)Location: Columbia, SCDuration: 12 MonthsPay rate: 50-55/hr.Job Description:As a Developer IV on the EDIG team, you will play a crucial role in...

  • Developer (C Programming/Shell Scripting)

    2 weeks ago

    Columbia, United States ASK Consulting Full time

    "All candidates must be directly contracted by ASK Consulting on their payroll and cannot be subcontracted. We are unable to provide sponsorship at this moment".Job Title: Developer (C Programming/Shell Scripting)Location: Columbia, SCDuration: 12 MonthsPay rate: 50-55/hr.Job Description:As a Developer IV on the EDIG team, you will play a crucial role in...

  • Clinical Appeals Specialist

    2 weeks ago

    Columbia, South Carolina, United States Motion Recruitment Full time

    Clinical Appeals AnalystOur client, a leading health insurance company, is seeking a highly skilled Clinical Appeals Analyst to join their team. As a Clinical Appeals Analyst, you will play a critical role in ensuring that our client's appeals process is fair, efficient, and compliant with regulatory requirements.Key Responsibilities:Provide clinical...

  • Construction Attorney

    2 weeks ago

    columbia, United States Structural Group, Inc. Full time

    Structural Group, Inc and its subsidiary companies develop and integrate proprietary products and specialty engineering services, to create highly engineered solutions that sustain and enhance infrastructure across a broad range of end user markets. We serve owners and managers of infrastructure, as well as designers, engineers, and general contractors,...

  • Construction Attorney

    4 weeks ago

    Columbia, United States Structural Group, Inc. Full time

    Structural Group, Inc and its subsidiary companies develop and integrate proprietary products and specialty engineering services, to create highly engineered solutions that sustain and enhance infrastructure across a broad range of end user markets. We serve owners and managers of infrastructure, as well as designers, engineers, and general contractors,...

  • Construction Attorney

    1 month ago

    Columbia, United States Structural Group, Inc. Full time

    Structural Group, Inc and its subsidiary companies develop and integrate proprietary products and specialty engineering services, to create highly engineered solutions that sustain and enhance infrastructure across a broad range of end user markets. We serve owners and managers of infrastructure, as well as designers, engineers, and general contractors,...

  • Construction Attorney

    1 month ago

    Columbia, United States Structural Group, Inc. Full time

    Structural Group, Inc and its subsidiary companies develop and integrate proprietary products and specialty engineering services, to create highly engineered solutions that sustain and enhance infrastructure across a broad range of end user markets. We serve owners and managers of infrastructure, as well as designers, engineers, and general contractors,...

  • Project Coordinator

    4 weeks ago

    Columbia, South Carolina, United States Oakmont Contracting LLC Full time

    Job OverviewOakmont Contracting LLC is seeking a highly skilled Senior Scheduling and Claims Consultant to join our team. As a key member of our project management team, you will be responsible for developing, maintaining, and monitoring complex project schedules, conducting impact analysis, and analyzing risk on construction projects.Key...

  • Project Manager

    1 week ago

    Columbia, South Carolina, United States Focused HR Solutions Full time

    Job DetailsThis is a full-time on-site position in Columbia, SC, working as a Project Manager for a direct client. The project is expected to last up to 12 months with the option of extension.Key ResponsibilitiesDevelop business requirements and build a project plan to execute on that plan.Manage project risks and issues, ensuring timely completion of...

  • Construction Safety Loss Control Consultant

    4 months ago

    Columbia, United States Gallagher Full time

    Introduction: Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our...

Claims Consultant

3 months ago

Columbia, United States CNA Full time

Claims Consultant - Environmental and Mass Tort Locations: Chicago, IL, USA; Tarrytown, NY, USA; Princeton, NJ, USA; Warren, NJ, USA; Wyomissing, PA, USA Time Type: Full time Posted: 3 Days Ago Job Requisition ID: R-4162 You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Individual contributor responsible for direct handling and management of a variety of nation-wide high exposure and complex claims involving loss types such as sexual abuse, talc, PFAS/AFFF, product exposures involving multiple claimants, pollution, and other general liability claims that span multiple policy periods. Responsibilities include the coordination of all claim handling activities in accordance with company protocols while achieving quality and customer service standards. Position requires regular communication with internal and external stakeholders, a high degree of technical expertise related to assessing coverage, liability, causation, and damages, and strong negotiation skills. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Assess coverage obligations including analyzing policy language in order to recommend and prepare written coverage determinations. Partners with coverage counsel, as applicable. Investigate claim, develop and execute upon resolution strategies, which may include pursuit of risk transfer, mediation, and management of litigation. Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively with insureds, claimants and business partners. Provides timely updates and responds promptly to inquiries and requests for information. Sets and manages timely and adequate reserves considering coverage, liability, and damages. Moves claims to closure with a high degree of independence and proactive claim handling and by collaborating with internal and external business partners, as appropriate, to develop, own, and execute a claim resolution strategy. Keeps leadership informed of significant risks and losses by projecting exposure and completing loss summaries and similar reporting. Prepares and presents claim status and evaluation to leadership. Maintains subject matter expertise and ensures compliance with state/local regulatory requirements. May perform additional duties as assigned. Reporting Relationship Typically Director or above Skills, Knowledge & Abilities Thorough knowledge of the commercial insurance industry, coverage issues pertaining to legacy liabilities, and claim practices. Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly. Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous and challenging business problems. Strong work ethic with demonstrated time management, organizational skills, sound judgment, and an ability to work independently. Ability to work in a fast-paced environment at high levels of productivity on complex matters. Demonstrated ability to negotiate complex settlements. Experience interpreting general liability insurance policies and coverage issues including disputes related to number of occurrences, trigger, and allocation. Ability to manage multiple and shifting priorities. Knowledge of Microsoft Office Suite and ability to learn business-related software. Demonstrated ability to value diverse opinions and ideas. Education & Experience Bachelor's Degree or equivalent experience. Typically a minimum six years of relevant experience, preferably in claim handling or litigation and/or coverage attorneys. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire where applicable. Negotiation experience, including mediations. Latent injury and/or high severity general liability claims experience strongly preferred. The National base pay range for the Claims Consultant – Environmental and Mass Tort is $105,000 to $164,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com. #J-18808-Ljbffr