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Responsibilities: Serves as Data Steward dedicated to health care payer Claims data operations & initiatives Works collaboratively with other enterprise and business data stewards to align standards and share best practices; represents Claims data domain in enterprise workgroups and data steward communities of practice Leads Data Governance initiatives and collaborations with business and IT operational stakeholders to: ○ Document, define, maintain, and manage data standards and assets.
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Collaborate with the Director of Payment Integrity to identify opportunities for financial recoveries and to ensure integrity of claims payments. Working knowledge of claims processing, correspondence and CRM platforms and adjudication strategies Demonstrated Experience with claims testing/auditing/QA.
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CGI Federal's Housing Compliance team that partners with a local public housing authority and the U.S. Department of Housing and Urban Development (HUD) to assist in the provision of affordable housing has an opening for a Claims Processing Specialist in Albany, NY.
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Furthermore, the Director of Claims Quality is responsible for the management/oversight of claims quality, claims compliance, training and remediation, user acceptance testing (UAT), claims adjustments, and correspondence/inquiries/reconsiderations/appeals.
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The most respected and recognized brand name in the furniture industry is La-Z-Boy. La-Z-Boy Southeast is a family-owned company founded in 1975.
$180,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Responsibilities Pediatrix Medical Group seeks a fellowship-trained Pediatric Urologist to join our prestigious pediatric practice.
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Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution.
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We are looking for a Benefit Consultant to join one of our Fortune 500 clients. Title: Benefit Consultant. Serve as a liaison between EyeMed Home Office and Miami-Dade County Public Schools (MDCPS.
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Location: MetroHealth System, Cleveland, Ohio Affiliation: Case Western Reserve University School of Medicine
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About La-Z-Boy Southeast
$98,742 - $180,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave.
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Rockwood currently has a challenging opportunity for a Claims Adjuster Trainee in our office located in Rockwood, PA. Investigates Workers' Compensation claims, including claims in litigation.
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Collaborating across disciplines and business units, including: the office of general counsel overseeing errors & omissions issues arising from claims handling, the Brandywine (run-off) team, the Bermuda claims team and in-house coverage counsel team.
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This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. Handles multi-line property and casualty claims in an assigned territory with an emphasis on property claims.
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Baylor Scott and White Health is seeking a BE/BC Urologist to join our outstanding Urology care program at Baylor Scott and White Hillcrest Urology in Waco, TX. This is an employed career opportunity with a generous benefits package that offers work-life balance, a competitive salary, productivity bonus, moving allowance, and no state income tax.
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Title: claims consultant Company: Prime Insurance Company
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