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Our core expertise is in Project Controls which includes Scheduling, Cost Controls, Document Management and Controls, Budget tracking and monitoring, Estimating, Risk Analysis, Claims avoidance and Mitigation, Change Management and Earned Value Management.
$65,000 - $72,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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You will also interact with Liberty Mutuals Workers Compensation claims organization. Advise, communicate and confer with Claims Representatives and Insured Clients, rendering clear, unambiguous legal opinions and advice.
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This position will also be responsible for leading the firm through any business disputes, claims, or other legal matters, including but not limited to, office lease proposals and agreement negotiations and involvement with transactions involving mergers and acquisitions.
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Prevailing wage, Buy America, California Public Utilities Commission (CPUC) data requests, other federal compliance related to projects. Initiates and issues documentation including Authorization to Proceed (ATP), Release to Construct (RTC), letters, agreements, contracts, trends, work order requests, etc.
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Quality Auditor is also involved in the clinical denial/appeal process for DRG challenges and clinical validations of both external and internal claims. Clinical Documentation Improvement Certification (CCDS or CDIP) and ability to obtain Certified Coding Specialist (CCS) Certification within 1 year of hire.
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Represent WesternU at EDD , EEOC , work comp, and other agency hearings. Administer and manage leave of absences, workers’ compensation claims, terminations, exit meetings, and related tasks in coordination with employment, payroll, grants and research, benefits, international programs, and other departments as appropriate, including responding to unemployment claims.
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The Corporate Director provides strategic leadership, development, and supervision to utilization review department, provides interprofessional collaboration with facility-based case managers and discharge planners, and coordinates with all aspects of the Employee Health Plans Team, including Claims and Customer Service, to provide guidance on complex Authorizations, Referrals, Denials and Appeals.
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At least 3-5 years of experience as claims examiner working with medical facility claims. The Claims Manager is to oversee the daily. Track and trend the metrics associated with the claims adjudication.
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Terminal degree must be completed by the start date of the appointment: EITHER a Doctorate degree (e.g., PhD, EdD, DA) in Mathematics Education, Statistics Education, STEM Education, or a closely related field, AND a Master's degree in Mathematics (or equivalent coursework), OR a PhD in Mathematics or Statistics with significant (at least four years) demonstrated experience in research and teaching in mathematics education.
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Review claim/referral appeals and unauthorized claims, forwarding them for medical director/UMC review and determination when appropriate. · Work closely with Claims Manager on overlapping issues such as rates and procedures/CPT codes for new procedures.
$25 - $37.5 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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About the Opportunity: The Operations Associate role will assist with the timely processing of inbound documentation to ensure the seamless flow of inventory into our 3PL. The Operations Associate will process purchase orders, coordinate vendor delivery schedules, upload invoices internally, create supplier claims, coordinate and schedule outbound wholesale shipments and assist with all warehouse processes and general admin duties related to inbound, outbound and returns functions.
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The Claims and Program Representative (CPR) Training is an approved Veteran Affairs (VA) On-the-Job Training (OJT) Program which allows eligible veterans the ability to receive Post 9/11 GI Bill education benefits from VA while working to achieve the full CPR performance level (i.e. GS-11), or for the first 18 months of employment, whichever occurs first.
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As a Manning Kass Workers' Compensation attorney, you'll play a crucial role in supporting business owners and employers, providing expert defense against workers' compensation claims. As a Manning Kass Workers' Compensation attorney, you'll play a crucial role in supporting business owners and employers, providing expert defense against workers' compensation claims.
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Experience in adjudication of Commercial, Medicare Advantage, and Medi-Cal claims will make you a great candidate, along with experience or familiarity with Healthcare Service industry, Independent Physician Associates (IPAs), and/or have experience in a Managed Care/Service Organization (MSO) or Health Plan background.
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Ensure that accidents and workers’ compensation claims are reported to Warehouse Supervisor(s) for investigation and reporting action. Production Supervisor Food Manacturing Managing, Supervisory Skills, Operation Management, Food Manufacturing.
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edd claims jobs in Pomona, CA
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