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Monitors compliance with existing vendor management strategy to the claims organization by creating clear and concise instructions on vendor requests, monitoring and control. Engages in other activity as directed by the AVP, Litigation Management and VP, Claims General Counsel.
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Researches alternative or new vendor options at the direction of AVP, Litigation Management. Collaborates with Litigation Management Unit staff and leadership to discuss strategy, best practices, vendor trends and areas for improvement.
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Process Hartford Life Insurance claims and assist on the set up of Portability Feed from Bswift to Hartford. Research and troubleshoot client questions and problems in various systems: Oracle, ADP, Bswift Benefit System, and outside vendor systems.
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Manage auto insurance claims(Work with TPA) FLEET MAINTENANCE ADMINISTRATION. File auto insurance claims. Manage, maintain & administer fleet maintenance contracts - ensure vendor compliance, schedules, etc.
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For 28 years, we have continued to commit ourselves to the utmost degree of integrity and professionalism specializing in all aspects of insurance defense investigations to include; claims investigations, SIU investigations and Vendor Management Programs.
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Determine when vendor involvement may be necessary, such as medical case management, vocational rehabilitation counseling, legal, surveillance, Independent Medical Examiner (IME), Independent Adjuster (IA), etc., and discuss with Claims Manager.
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Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. Coordinates vendor referrals for additional investigation and/or litigation management.
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Job Description - Commercial Claims Adjuster Trainee (187371) Commercial Claims Adjuster Trainee. claims adjuster trainee. + Claims adjuster. Bring your passion for helping others to our team and well teach you the insurance stuff providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims.
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Process paperwork for unemployment and workers' compensation claims, requests from governmental agencies regarding child support and garnishments, and other authorized requests for information relating to employees (verification of wages and employment, etc.
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Manage the mark-out-of- stock, warranty claims, and the return-to-vendor processing. Must have organizational and time management skills, with the ability to multi-taskOutdoor Enthusiast: Passion for activities such as ski/snowboard, cycling, water sports, surf/swim, skate/skateboard and more.
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The Coordinator I, Provider Credentials is also accountable for ensuring the pharmacy credentialing process meets Navitus’ policies, complies with URAC standards, and ensures that Navitus does not allow non-qualified pharmacies to participate and non-qualified prescribers to process claims.
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Coordinate the processing of warranty claims with Warranty Manager/Warranty Admin and administer warranty and policy adjustment in the most fair and honest manner for the customer, dealership and vendor.
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The Claims Operation Specialist tracks, analyzes, and resolves claims and claims related system issues while collaborating with our vendor to streamline operational processes.
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Coordinating with the Head of TPA & Programs Litigation and Vendor Management Services, and the TPA and Vendor Lead to deliver best in class TPA handled claims over of property business in North America.
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Providing strategic direction to the Property Programs Claims teams including review of requests for retention of counsel assignments and review of escalation requests for coverage counsel to the Head of Specialty Complex and Specialty Complex Claims team for approval.
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claims vendor jobs Company: Metroplus Health Plan
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