3 compliance manager jobs found in Marblehead, MA

Primary Details Time Type: Full time Worker Type: Employee Cost Containment Manager Location: USA – Multi Office Locations Work Arrangement: Hybrid if within 50 miles from office location The salary range for this role is:  $133,500-$251,000K The Opportunity The purpose of this role is to support medical cost management across the A&H claims portfolio, with a focus on high-dollar and complex claims. The Cost Containment Manager partners with claims, underwriting, and vendors to identify savings opportunities, provide guidance on claim strategy, and help maintain consistent, effective cost containment practices. Your Responsibilities: Review high-dollar and complex medical claims to identify cost drivers, savings opportunities, and appropriate review strategies Provide experienced guidance to claims teams on bill review, clinical considerations, and cost containment approach on large and complex cases Partner with claims and...

Primary Details Time Type: Full time Worker Type: Employee Cost Containment Lead Location: USA – Marblehead, MA Work Arrangement: Hybrid if within 50 miles from office location The salary range for this role is:  $47,000K-$220,000K   The Opportunity Manage a portfolio of complex claims by conducting loss investigations, evaluations and settlements on moderate to high level claims for the Accident and Health business unit.  Assures timely and accurate reserves.  Effective communication and collaboration with Underwriting, Actuary, Legal and Risk.  Working within specific limits and authority, conduct and coordinate loss investigations on technically complex claims to provide accurate facts for disposition Your new role: Primary Responsibilities • Implement the administration of insurance coverage to complex claims by conducting loss investigations, analyzing factual information, interpreting insurance policies and applying legal and...

Primary Details Time Type: Full time Worker Type: Employee Senior Claims Specialist- Accident & Health (Medical Stop Loss) Location: USA – MA, Marblehead; Atlanta, GA Work Arrangement: Hybrid or Remote   The salary range for this role is:  $88,000-145,000K The Opportunity The purpose of this role is to provide exceptional claims service to customers by managing complex claims effectively. This includes assessing policy coverage, investigating, evaluating, and negotiating intricate claims, collaborating with suppliers and stakeholders, and offering senior technical guidance and support. Your new Role: Provide technical guidance and analysis for complex and high-value claims. Assist in implementing and maintaining claims management strategies. Maintain comprehensive knowledge of insurance guidelines and policies. Build and maintain relationships with stakeholders. Manage a portfolio of complex or high-value claims. Act...