Product Manager/Owner AI Sedgwick Claims Management Services, Inc.Product Manager/Owner AIWIThe Product Manager/Owner works directly with claims leadership, operational managers, and Business Transformation Leads to understand workflow bottlenecks, leakage drivers, customer friction points, regulatory risks, and client performance commitments. They translate these insights into clearly defined AI use cases with measurable operational objectives such as reduced claim cycle time, improved reserving accuracy, enhanced fraud detection rates, or improved document processing speed.
Investigator Ethos Risk ServicesInvestigatorMilwaukee, WIPart timeCONDITIONS:While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
Account Resolution Representative Children's Hospital and Health SystemAccount Resolution RepresentativeWest Allis, WisconsinRemoteWe provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Fiscal resolution is accomplished through following governmental regulations and guidelines & commercial insurance contractual agreements to ensure facility is receiving proper payment for services rendered.
Account Resolution Representative Children's WisconsinAccount Resolution RepresentativeWest Allis, WIRemoteWe provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Fiscal resolution is accomplished through following governmental regulations and guidelines & commercial insurance contractual agreements to ensure facility is receiving proper payment for services rendered.
Surveillance Investigator - Part Time Allied UniversalSurveillance Investigator - Part TimeMilwaukee, WisconsinThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Surveillance Investigator Allied UniversalSurveillance InvestigatorRacine, WisconsinThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Commercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemoteWIRemote$122,850–$136,500 / yearAlabama - Home Teleworkers, Alabama - 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, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).
Director Data Science Sedgwick Claims Management Services, Inc.Director Data ScienceWIDefine and lead Sedgwicks enterprise data science strategy aligned to claims optimization, risk management, fraud detection, and client performance analytics. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Insurance Billing Specialist I - Full-Time 1st Shift North Shore Health Support CenterInsurance Billing Specialist I - Full-Time 1st ShiftMilwaukee, WisconsinTogether, we are part of the Upper Midwest's largest post-acute care network, with 64 communities across Wisconsin , united by a shared commitment to clinical excellence, compassionate care, and serving our local communities. Performs all duties related to the timely and efficient billing and collection of private insurance receivables for a group of facilities in a central billing environment, within the parameters established by company policies and third-party billing requirements, and as necessary to achieve reasonable collection goals.
Medical Reimbursement Specialist (Remote in Wisconsin) Coloplast CorpMedical Reimbursement Specialist (Remote in Wisconsin)New Berlin, WIRemoteSUMMARY: A Reimbursement Specialist is responsible for the timely and accurate billing and insurance processing for Atos Medical products by preparing and submitting claims, verifying coverage, resolving denials, and maintaining compliant patient records. State-of-the-art facility: Hybrid and onsite employees work from our state-of-the-art facility, thoughtfully designed with sit-stand desks, large monitors, and premium onsite amenities, including a gym and golf simulator.
Roofing Portfolio Manager TruelineRoofing Portfolio ManagerMilwaukee, WIThis role will oversee a nationwide roofing program spanning reroofs, overlays, repairs, coatings, storm response, contractor management, material procurement, and roof asset planning across hundreds of industrial buildings. 3-7 years of relevant construction, project management, roofing, facilities, or capital improvement experience.
Insurance Billing Specialist I - Full-Time 1st Shift North Shore Healthcare LLCInsurance Billing Specialist I - Full-Time 1st ShiftMilwaukee, WISummary of position: Performs all duties related to the timely and efficient billing and collection of private insurance receivables for a group of facilities in a central billing environment, within the parameters established by company policies and third-party billing requirements, and as necessary to achieve reasonable collection goals. Together, we are part of the Upper Midwest's largest post-acute care network, with 64 communities across Wisconsin, united by a shared commitment to clinical excellence, compassionate care, and serving our local communities.
Forensic Engineer Universal Engineering SciencesForensic EngineerMilwaukee, WIField investigations: study and determine the cause and origin of construction defects or structural failures and/or damage, building envelope failures and/or damage, as well as determine the extent and repairability of such failures and/or damage. At UES, were a team of more than 4,000 engineers, scientists, geologists, inspectors, technicians, and drillers united by a shared purposeto make a meaningful impact in the communities we serve.
Contents Manager PuroSystems LLCContents ManagerBurlington, WI$65,000–$75,000 / yearPuroClean, a leader in emergency property restoration services, helps families and businesses overcome the devastating setbacks caused by water, fire, mold, biohazards, and other conditions resulting in property damage. Our Contents Managers take pride in going above and beyond customer expectations in their times of need by providing a world-class level of service, which sets them apart from our competitors in the industry.
Corporate Treasury Analyst Twin Disc, IncorporatedCorporate Treasury AnalystMilwaukee, WIThis role plays a key part in ensuring strong liquidity management, maintaining robust banking relationships, supporting financial risk mitigation strategies, and contributing to enterprise risk and insurance programs. We are seeking a detail-oriented and analytical Corporate Treasury Analyst to support our treasury operations and enterprise risk management initiatives within a dynamic, U.S.-based manufacturing environment.
NewMedical Management Assistant Unity Health InsuranceMedical Management AssistantWI$21–$26.45 / hourThis position will also provide detailed customer service to patients, providers and clinic staff regarding pre-service, concurrent and post-service requests with documentation in appropriate systems or databases. This role will work with in the NCQA requirements for completion and turn-around times for requests and cases and assists with adherence to processes, making determinations based on policies/procedures in effect within the department and referring the next level of review when appropriate.
Senior Consultant, Supplemental Health Sun Life FinancialSenior Consultant, Supplemental HealthMilwaukee, WI$71,100–$106,700 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
(USA) Pharmacy Tech Sam''''''''s Walmart Inc(USA) Pharmacy Tech Sam''''''''sKENOSHA, WI$18.50–$26.50 / hourRespect the Individual: Embraces differences in people cultures ideas and experiences creates a workplace where associates feel seen supported and connected through a culture of belonging creates opportunities for all associates to thrive and perform helps to attract the best talent. Serve our Customers and Members Makes decisions based reliable information balances short and longterm priorities and considers how own work impacts the teams ability to deliver on our purpose for all stakeholders.
Grafton, WI - Field Roof Inspector Hancock Claims Consultants TechniciansGrafton, WI - Field Roof InspectorGrafton, WIAs a Roof Field Inspector , you'll be part of our dynamic network of independent contractors, conducting assessments on steep and high roofs, evaluating exterior and interior damage, and performing underwriting property inspections. Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management.
Franklin, WI - Field Roof Inspector Hancock Claims Consultants TechniciansFranklin, WI - Field Roof InspectorFranklin, WIAs a Roof Field Inspector , you'll be part of our dynamic network of independent contractors, conducting assessments on steep and high roofs, evaluating exterior and interior damage, and performing underwriting property inspections. Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management.