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Demonstrable knowledge or the ability to become knowledgeable in applicable EHS laws and regulations, insurance claims management, and applicable federal contract requirements, including the Davis-Bacon Act.
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The Senior Claims Consultant is responsible for the handling, oversight and overall management of professional liability claims, including lawyer and accountant liability. At least 8 years professional liability claims experience, strong background in accountant and lawyer malpractice claims.
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Evaluate each incident/injury to determine if In-House claim, or report to Third Party Administrator (TPA), using established claims protocol. Work closely with TPA adjusters and Medical Providers to monitor the progression of claims to final resolution.
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This will involve management of split billing system, third-party administrative (TPA) software(s), maintaining policies and procedures, conducting audits on prescriptions for compliance and enhancement, confirming inventory is represented appropriately within software(s), and maintaining all lists associated with 340B Program participation and maintenance.
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The Douglas County Court in Omaha, NE is taking applications for a full time Records Clerk/Cashier positions in our Criminal Traffic, Probate and Civil Small Claims Divisions. Probate is a separate and distinct Division within Douglas County Court, outside of Criminal/Traffic and Civil/Small Claims.
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Bachelor's degree or experience handling General Liability claims or equivalent expertise. Thorough knowledge of rules, regulations, statutes, and procedures pertaining to general liability claims.
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As a Claims Adjustor, you will be investigating and adjusting liability claims in accordance with established claims handling procedures and processes using Rural King guidelines.
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Compile and analyze data related to workers' compensation claims, safety incidents, and compliance metrics. Serve as the primary point of contact for all workers' compensation claims, ensuring prompt reporting and accurate documentation.
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Recommends staffing plans to the AVP – Claims and participates in the hiring of new commercial bodily injury claims personnel based on business needs. The Commercial Bodily Injury Claims Manager i s responsible for providing leadership and expertise to a team of bodily injury/liability claims adjusters.
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Divisional Operational Risk and Data Management: including Divisional Operational Risk, electronic discovery and ESI management (EEM), divisional records information management (RIM), third-party risk management (including TPA process for legal vendors)Work as a peer-to-peer partner with the Division’s Chief of Staff to, among other things, set priorities and allocate resources in alignment with corporate objectives and the strategic plan.
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Manage and lead the revenue cycle management team and processes, including benefits verification, claims submission, payment posting, denials management, and revenue optimization. You will be responsible for managing and optimizing the end-to-end revenue cycle operations, including benefits verification, claims submission, payment posting, denials management, and revenue optimization.
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Analyze workers' compensation, Auto Liability, and General Liability claims data to identify trends, root causes, and opportunities for prevention. Monitor the financial impact of workers' compensation claims on the company including direct costs, i.e., medical expenses, indemnity payments, etc.
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The Opportunity Actual Job Title: Mechanical Claims Specialist (MCS)Posted Job Title: Location: Remote (can be located anywhere in the U.S. or Canada)Required: Must be bilingual French / French speakingPay: Bonus: Position includes 5% annual bonus (prorated based off start date)Are you an auto mechanic, dealership service manager, service technician, a recent grad with auto mechanics education, and/or someone who has a love and passion for all things auto.
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You are here: / US,Indianapolis-IN,Senior Auto Claims Adjuster. Senior Auto Claims Adjuster. and appropriately compensated when you join Liberty Mutual Insurance as an Auto Claims Representative.
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In conjunction with Area EHS Manager and Local HR, provide direction and support on WCB claims and return to work programs. The Health and Safety Manager will provide leadership and direction to Health, & Safety programs at two plants, within the Architectural Specialties and Gypsum Finishing business segments as part of the CertainTeed Interior Products Group: in alignment with the Company's Vision, Mission Statement and Values.
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claims tpa jobs Company: Metroplus Health Plan
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