Title: Managing Counsel – Data Center and Networking (Power and Energy Focus) Job Responsibilities: The Managing Counsel for Data Center and Networking with a focus on Power and Energy at **Members Only** is a key position within the legal department. The role involves...
support regarding the company's . employee benefit plans and programs. The primary responsibilities include: - Advising Benefits and other internal teams on the design, administration, and compliance of the company's . employee benefit plans, including the 401(k) plan, health & we...
Title: Investigator Senior - Pharmacy Job Responsibilities: The Investigator Senior - Pharmacy is responsible for independently identifying, investigating, and developing complex healthcare cases against perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. Key responsibilities include: - Conducting...
Title: Grievance & Appeals Nurse (RN) Job Responsibilities: - The Nurse Appeals is responsible for investigating and processing medical necessity appeals requests from members and providers. - Supports legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. -...
Title: Grievance & Appeals Nurse (RN) Job Responsibilities: - Investigate and process medical necessity appeals requests from members and providers. - Support legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. - Act as...
Title: Claims Adjuster - Complex Casualty Litigation Job Responsibilities: - Manage complex commercial claim investigations, interpret coverage, and investigate liability. - Handle claims involving multiple vehicles, competing claims, and significant injuries. - Direct counsel through the litigation process and engage experts from various disciplines...
Title: Senior Legal Counsel Job Responsibilities: The Senior Legal Counsel will join the Workplace Investing (WI) legal team at the company and play a crucial role in advising on various aspects of defined contribution plan recordkeeping, administration, trust, and institutional business. The...