Senior Claims Consultant III

Aon Corporation • New York, NY • 1d ago

National Healthcare Professional Liability -Senior Claims Consultant - Remote United States Job Responsibilities: Understanding client needs and programsIdentify Healthcare client HPL exposures via quantitative loss analyses, qualitative reviews, discovery sessions with client stakeholders to provide consulting advice and services designed to mitigate exposures and drive operational improvement for clients.Improve client HPL claims management programs by examining and analyzing program elements and build best practice-oriented approaches to claims cost containment.Conduct and support risk, clinical quality, and safety process assessments with a focus on operational improvement and financial exposure mitigation; deliver virtual, onsite visits and reports summarizing findings and recommendations. Aon is in the business of better decisions At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united through trust as one inclusive team, we are passionate about helping our colleagues and clients succeed. What the day will look like:Client AdvocacyProvide advocacy on behalf of assigned clients relating to services rendered by carriers and/or TPAs to include the review and revision of account instructions, addressing client service concerns and negotiating applicable renewal pricing and terms. Ensure the highest level of service from HPL claims administrator(s).Participate in telephonic or in-person claim reviews designed to result in resolution, inclusive of documenting claim specific outcomes, action plans and the appropriateness of reserving.Coordinates settlement approval of HPL claims with designated client contacts.Coordinates with legal counsel and other personnel involved in claims management and participate in final approval to defense strategies.Advises clients regarding payment approval of fees including defense counsel and payment of other expenses of claims defense Program ConsultationWork collaboratively within teams including risk control, ergonomic and casualty claims staff to execute initiatives for pre and post loss strategies.Coordinates and consults with clients regarding appropriate reporting to all required outside agenciesConsults with clients in the following claims management program elements:Reporting proceduresInvestigation proceduresClaim ReservingUse of alternative dispute resolution mechanismsMonitoring of legal counselPatient communications, to include claimants, attorneys, physicians, employees, brokers and consultantsClaim settlementsClaims coding taxonomyCompliance with Medicare/Medicaid case reporting regulations Business and AdministrativeParticipate in periodic on-site client meetings regarding service delivery and stewardship.Establish project plans and budgets.Participate in business development opportunities as needed; articulate value propositions.Meet assigned billable hour utilization goals Skills a

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Executive Director, Finance & Business Operations

The Trustees of Columbia University in the City of New York • New York, NY • 1d ago

Finance & Accounting

Job Type: Officer of AdministrationBargaining Unit:Regular/Temporary: RegularEnd Date if Temporary:Hours Per Week: 35Standard Work Schedule:Building:Salary Range: $195,000.00 $225,000.00The salary of the finalist selecte...

1d ago

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Senior Associate, Strategic Finance - Merchant Finance

Uber • New York, NY • 1d ago

Finance & Accounting

About the Role As part of the Merchant Finance team , you will help scale the merchant organization efficiently through financial reporting, analytics, and sales planning capabilities. You will leverage our operational a...

1d ago

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Finance and Actuarial Data Manager

PwC • New York, NY • 1d ago

Finance & Accounting

Specialty/Competency: Product Innovation Industry/Sector: Not Applicable Time Type: Full time Travel Requirements: Up to 60% At PwC, our people in software and product innovation focus on developing cutting-edge software...

1d ago

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Supervisor, Finance - Claims

Centene Corporation • New York, NY • 1d ago

Finance & Accounting

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competit...

1d ago

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