4 complex claims consultant jobs found in Bethlehem, PA

Is the opportunity to join a culture where “We Do the Right Thing,” and “We Courageously Shape Our Future Together” important to you? If so, Guardian is seeking a resolute motivated individual to join our team as a Data Scientist/Senior Data Engineer – Finance Transformation. Guardian is seeking a technically skilled and business-savvy Technical Analyst / Data Engineer to design, develop, and support advanced actuarial and financial applications. This role will play a critical part in transforming our actuarial and finance functions by building scalable data pipelines, dashboards, and machine learning models that enhance decision-making and operational efficiency. You will work closely with Actuarial, Finance, Data Science, and Technology teams to deliver solutions used in reserving, pricing, predictive analytics, and financial reporting.    You will: Machine Learning, Engineering & Analytics Development Build and optimize large-scale data pipelines using PySpark,...

The Objective of the Large Market Underwriting Consultant will be to work with Sales, Underwriting and Products and Pricing to profitably grow Guardian's Large Market revenue and market share in the 1,000 lives and over market space. Key objectives will be to achieve targeted sales and earnings goals, train, and mentor less experienced underwriters, manage complex technical underwriting issues, train account management, handle projects and recommend policy and strategy changes. The Underwriting Consultant is responsible for to provide pricing and plan design for companies with 1,000 or more lives utilizing prior claim experience and manual rates. Products include Group Dental, Vision, FMLA, STD, LTD, Life, Accident, Critical Illness and Hospital Indemnity insurance. The underwriter will be an excellent negotiator who builds collaborative relationships with Sales and other areas of Guardian to solve business issues and win. The underwriter will be both a confident communicator...

We are seeking a self-assured, autonomous professional with outstanding consulting and negotiation skills to lead our underwriting team. In this role, you will blend detailed analysis with strategic understanding to make sound, case-by-case decisions that drive business objectives and deliver client-focused solutions. You will lead a group of underwriters and pre-sale coordinators. You will set underwriting guidelines and work with sales, product, actuarial, and operations to improve risk strategies. Your expertise in life and disability underwriting, risk assessment, and market trends will position you to shape innovative solutions and ensure compliance with regulatory standards. This is an opportunity to influence underwriting strategy, enhance processes, and champion growth initiatives in a dynamic, evolving market. You are A confident, independent professional with exceptional consulting and negotiation skills. You consistently demonstrate sound judgment and can...

POSITION SUMMARY: Our Product Enablement Specialist, who is part of the Product Strategy and Delivery department, is responsible for leading and coordinating large scale and strategically critical cross functional programs. These initiatives are in pursuit of Guardian Group Benefits delivering best in class product solutions for our customers and trade partners. This role will focus on initiatives that drive improvements to product economics, ensure compliance, or optimize satisfaction for Guardian’s customers. The Product Enablement Specialist must elicit, analyze, document, refine and communicate business needs with stakeholders so that the business and/or technical teams can deliver best in class solutions.  This role is multi-faceted and will require strong collaboration with our Group Product teams and functional business partners to deliver business solutions throughout the product value stream. This role will also serve as co-lead and point of escalation for...