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Ethics & Compliance teams provide coordinated advice and assistance on independence, conflicts, regulatory and risk management issues, as well as dealing with claims, and any queries regarding the organization’s ethics.
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Contract Management: Direct leadership and supervision of a team that manages administration of contracts, physician roster management, CDO presence in payer directories, claims payment issues, etc.
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A client in the automotive industry is seeking a Customer Service Representative to join their growing team local to Boca Raton, FL. The ideal candidate is responsible for discussing claims and reimbursements to the client's policy holders and dealerships they work with.
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Certified by Epic in Resolute Hospital Billing, HB & Claims, Professions Billing, PB & Claims; & Long-Term Care Billing Required 5 Years. The Technical Specialist will perform Epic Application Coordinator/Analyst functions to build the following Epic modules: Resolute Hospital Billing Claims and Resolute Professional Billing Claims.
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You will manage the engagement, development, and results of a team driving Claims Production Processing. We're hiring a Claims Production Operations Manager to join our Claims Production team.
$79,920 - $104,895 a yearFull-timeExpandUpdated 21 days ago - UpvoteDownvoteShare Job
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Contract role for Claims Examiner –Remote f or our client. Claims Examiner –Remote- Garden City, NY. Confer with legal counsel on claims requiring litigation. Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
RemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Five (5) or more years’ experience handling Auto and General Liability claims, including bodily injury, property damage and some litigation experience. The Senior Liability Claims Specialist manages within company best practices complex and non-complex Auto and General Liability claims.
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Federal and state laws, AHCCCS rules and regulations as applied to processing medical claims. The Department of Economic Security, Division of Developmental Disabilities (DDD), is seeking an experienced and highly motivated individual to join our team as a Claims Specialist 2.
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Claims Specialist 1. Claims Specialist 1. Escalates issues and/or problem claims to supervisor/manager. Diagnostic and procedural coding used on medical claims. Identify problem claims and elevate in a timely manner.
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Job Summary: The Division of Fee For Service Management (DFSM) is looking for a highly motivated individual to join our team as an Claims Specialist 1. Claims Specialist 1 Division of Fee For Service Management (DFSM.
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The candidate must be able to work effectively and collaborate with a team of underwriters, underwriting associates, operations, claims and loss control personnel worldwide. The candidate must be able to work effectively and collaborate with a team of underwriters, underwriting associates, operations, claims and loss control personnel worldwide.
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The Division of Fee For Service Management (DFSM) is looking for a highly motivated individual to join our team as an Claims Specialist 1. Meet daily quota with large volume of claims with similar tasks.
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The primary use of Dash Cams is to assist in the protection and safety of employees and property, prevention, and detection of criminal offenses such as vehicle vandalism and break-ins and staged-accident fraud, defense of legal claims, driver exoneration, and driver training and improvement.
$35,200 - $48,400 a yearTemporaryExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This executive leader supervises all corporate functions, including legal, finance, human resources, actuarial and underwriting, information systems, customer service, claims, and support services.
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Manage workers compensation, general liability and automotive liability cases; manage claims with medical team and coordinate with the insurance provider and legal counsel. We're more than just a manufacturer of precast concrete, polymer concrete, or plastic products.
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