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CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses, which serve a significant role in determinations regarding investigations, prosecutions, settlements, and recovery in these matters, which can be voluminous and complex.
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To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims.
$95,000 - $102,000 a yearFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Veterans Claims Examiner (Death Claims) Pathways Recent Graduate Tax Examining Technician (Appeals Tax Examiner) IRS Internal Recent Graduate Tax Examining Technician (Appeals Tax Examiner.
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Position Summary Investigate, evaluate, negotiate, and settle moderate difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitability. Comprehensive claims investigations/settling experience 1-3 years experience in Claims or similar organization.
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Adhere to all statutory and regulatory fair claims practices. Recognize and identify potential fraudulent claims. Supports workload surges and/or Catastrophe Operations as needed to include working overtime during designated CATs.
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Licensed Claims Examiner (Based on state) Must possess or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims within 120 Days.
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Claims of employment discrimination must be submitted to the attention of the USPTO's Office of Equal Employment Opportunity & Diversity via email ( ) or phone (571-272-8292). The Patent Examiner (Electrical Engineer) position includes a $20,000 recruitment bonus (with a 20-month service commitment.
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Claims Examiner - Liability. PRIMARY PURPOSE OF THE ROLE: To analyze high-level General Liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
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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 in audit or fraud preferred; appropriate designations could include Certified Fraud Examiner (CFE), Certified Insurance Fraud Investigator (CIFI), or Certified Internal Auditor (CIA.
$68,000 - $110,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The Risk Management division of the City of Anaheim Human Resources Department seeks an experienced Workers' Compensation Claims Examiner to administer the workers' compensation claims.
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When you think of a job handling insurance claims, you may think about storm damage or auto accidents. We will teach you about Employment Law, contracts and claims. Our Claims Professionals in Employment Practices Liability enjoy the work they do and working with their peers that come from a variety of backgrounds (including Law Enforcement, Human Resources, other disciplines in Claims and Legal, to name a few) and bring different perspectives into the team.
$54,000 - $86,000Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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WHAT WE ARE SEEKING 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.
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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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1-2 years of professional work experience, preferably within insurance claims. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
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