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They will work closely with Provider Contracting, Medical Management, Enrollment and Membership department, and Claims Processing unit. Minimum 2 years of experience in claims processing protocols and payment schemes.
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Lausdjobs.org LAUSD is currently seeking well-qualified candidates to fill a Workers' Compensation Claims Processing Specialist position. A Workers' Compensation Claims Processing Specialist participates in the claims processing activities of the Workers' Compensation Section of the Division of Risk Management and Insurance Services.
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The Claims Attorney will be responsible for overseeing the management of a segment of the professional liability claims, conducting thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans.
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In the role of Managing Director Liability Claims, you will be responsible for handling assigned claims from initial assignment to closure as well as supervising Claims Analyst(s) and Claims Manager(s) handling Liability claims.
$108,000 - $174,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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The Senior Claims Coverage Counsel works independently and will act as a resource person and consultant on issues within area of specialty. The Senior Claims Coverage Counsel will advise the business on general claims legal matters and support the Manager, Claims Coverage Counsel and internal clients across the enterprise on claims coverage involving matters of moderate to high complexity and/or financial consequence.
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Advanced knowledge of the theories, principles, practices and procedures of claims and litigation management within an insurance organization. Perform multi-jurisdictional legal research and analyze insurance policy language under multiple lines of commercial insurance to provide coverage opinions and claims strategy.
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The Auto Bodily Injury Claims Specialist/Litigation Specialist will be responsible for investigating and settlement of automobile bodily injury claims. If you are an experienced REMOTE Auto Bodily Injury Claims Specialist/Litigation Specialist.
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Minimum of five to seven years of experience as an attorney and/or claims professional handling complex coverage issues on high exposure claims in a law firm or at an insurance carrier preferred.
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Current certification as a Sterile Processing Technician through an accredited organization (CRCST - Certified Registered Central Service Tech, HSPA, or Certified Sterile Processing and Distribution Technician CBSPD.
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The Alaska Department of Fish and Game, Division of Administrative Services is recruiting for a Data Processing Manager 3 located in Juneau! Under the general direction of the Division Director, the Data Processing Manager 3 (DPM3) serves as the agency Information Technology (IT) lead, with responsibility for leading or conducting analysis and making recommendations on division and department goals and policies, regulations, short- and long-range planning, efficient management of IT resources, and effective execution of program or service delivery.
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They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation.
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CGI Federal is seeking a Drug Claims Processing SME that will report to the CGI Federal Health and Social Services business unit and will assist strategic initiatives for the CMS IRA program.
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Review processing documents returned to OSR and makes recommendations to the supervisor for further review and clarification. The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department of Homeless Services (DHS.
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Understanding of provider network operations, including data management, credentialing, contract management, and claims processing. As a member of the Network Development leadership team, the Manager of Network Operations will participate in the successful implementation of provider data management tools at Texicare.
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The Medical Billing Specialist will be responsible for Insurance Claims/Processing as well as Patient/Insurance Payment processing. Communicates unresolved and recurrent insurance processing problems with the Billing Team Leaders.
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claims processing jobs Company: Metroplus Health Plan
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