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Communicates effectively with medical providers, the assigned claims examiner, injured worker and policyholder and/or handling attorneys on any given case. The Telephonic Nurse Case Manager will perform clinical assessments and evaluate needs for treatment in worker's compensation claims.
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Are you a Senior Workers Compensation Claims Adjuster/Examiner with experience working claims from receipt to adjudication? Senior Workers Compensation Claims Adjuster. College degree or equivalent training plus a minimum of 5+ years of workers' compensation claims experience.
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Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated claims professional to join our team. Minimum of 3 years claims handling experience - Property claims, subrogation & arbitration claims handling preferred.
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Disability claims examiner has contact with agents, claimants and policy holders. Our Client is seeking a Disability Claims Examiner in the Novi area. Reviews, evaluates and processes dusability insurance claims according to procedure and practice.
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We have assignments available to help our insurance carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Commercial Claims Adjuster or Examiner positions. Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liability or Umbrella claims.
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P&C Commercial Claims Adjuster - Carrier or TPA - REMOTE. Set-up claim in claims management system. Properly document claims files. P&C Commercial Claims Adjuster - Carrier or TPA - REMOTE.
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10 recent years of Property & Casualty insurance experience. Litigation and Subrogation experience highly desired. Current HIGH DEMAND for licensed Bodily Injury, Professional Liability or Medical Malpractice claim experience.
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Sponsorship not Offered for this Role Responsibilities The Sr. Property Claims Examiner investigates, evaluates, and resolves assigned property claims in accordance with company standards, procedures, and regulatory requirements with some supervision.
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The AVP, Sr. Claims Examiner handles all aspects of claims notices and files related to professional liability and accompanying coverages, including but not limited to claims and coverage analysis, liability and damages analysis, reserve setting, reporting, reinsurance analysis and reporting, and travel.
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Key Words: Billing, Claims, Reconcile, IHS, Indian Health Services, Tribal Liaison, Medicaid, MCO, Managed Care, Tribal, Value Added, Community, Tribal 638, Tribal Governments, TCBOs, HSD/MAD, Claims Examiner, Auditor, Claims Processor.
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CERTIFICATIONS/LICENSES : One or more of the following preferred: Active license in good standing to practice law in one or more jurisdictions; Certified Fraud Examiner (ACFE); Certified Insurance Fraud Investigator (CIFI); Chartered Property Casualty Underwriter (CPCU); Self-Insurance Certification (Claims/SIP.
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Workers Compensation Claims Examiner | Roseville, CA (Agile 1-2 Days Onsite) PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
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Additional recent significant cases include the indictment and arraignment of the owner of an NYC pharmacy for allegedly stealing millions from Medicaid; the sentencing of a Bronx clinic owner for defrauding New York State out of more than $4 Million in false Medicaid claims; and the extradition, arrest, and arraignment of a Medicaid fraud ringleader.
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The Claims Examiner role is a permanent full-time position. The Mutual Fire Insurance Company of British Columbia is growing and is seeking a Claims Examiner to join our team.
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Registered Nurse (RN), Certified Professional Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI) preferred. Experience with relevant technology, such as background check systems, claims processing platforms, data mining and fraud detection software.
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