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The Licensing Analyst is responsible for TPA, RPG, and MGA license reporting including renewals for multiple entities within National Programs. The ideal candidate will also have experience with advanced license types such as TPA, RPG, MGA, etc.
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We are a nationwide risk mitigation company seeking private investigators to conduct surveillance for clients who suspect fraudulent insurance claims. Special Investigations Unit (SIU) - Field Investigator San Diego, CA, USA per hour Hourly Part TimeEthos is looking to hire a part time, experienced Insurance SIU / Claims Field Investigator in the San Diego, CA area.
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Acts as liaison for involved parties in the worker's compensation injury by communicating in person and telephonically with the patient/caregiver, attorneys, employer, claims examiners, telephonic nurse case manager, return to work specialists, vocational rehabilitation supervisor, provider(s), ancillary provider(s) and health care team.
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Certified Risk Adjustment Coder (CRC by AAPC). Communicate a thorough understanding of Medicare Risk Adjustment, documentation requirements and coding guidelines to internal and external partners.
$36.88 - $66.67 an hourFull-timeRemoteExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Responsible for supporting all departments of the HMO IPA management team including utilization review, claims, contracting, clinical initiatives, risk adjustment and provider relations in South San Diego County.
$58,000 - $79,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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As a Senior Associate in our Risk Analytics and Modeling team, you’ll have the opportunity to apply your quantitative, modeling and analytical skills in a real world environment to develop or validate statistical, financial engineering, and AI/machine learning models in the areas of credit risk, market risk, assets and liabilities management, fraud detection, anti money laundering and other functional modeling and analytics area.
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Experience working in a call center environmentThe Company Willis Towers Watson is a leading global advisory, broking and solutions company that helps clients around the world turn risk into a path for growth.
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Urban flood risk and floodplain management. Urban flood risk and floodplain management. 0-2 years of experience with stormwater, floodplain or site civil engineering. We are actively looking for an Entry Level Water Resources Engineer to join our San Diego office.
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Understanding of the Pharmaceutical/Biotechnology industry regulatory environment and has working knowledge of applicable laws and regulations (Anti-Kickback statute, Stark Law, FCPA, False Claims Act, FDA rules.
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It’s a risk that paid off, making Titan Medical one of the leading medical professional staffing firms in the country. Titan Medical is looking for travelers to fill a Travel Interventional Radiology - RN position for a 13 week assignment in Wildomar, CA.
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Benefits/Compensation For a Commercial Roofing Superintendent. If you are looking for a chance to get in on one of the most stable roofing companies out there as a Commercial Roofing Superintendent look no further.
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Familiarity with the Risk Management Framework (RMF) and applying RMF to DevSecOps processes (desired) The successful candidate will function as a Product Owner and/or Release Train Engineer providing guidance and leadership of Scrum teams developing software components for intelligence data processing and analysis systems.
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Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals.
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May establish and implement potential litigation strategies, advise on litigation matters, including pre-litigation claims and alternative dispute resolution matters. Provide legal advice and counsel to the business including Regulatory, Quality and Compliance functions and other stakeholders on the application of various applicable laws and regulations (e.g., the Anti-Kickback Statute, the Stark Law, the False Claims Act, the Foreign Corrupt Practices act, FDA rules and regulations, among others.
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Trip Mate: US travel insurance brand for tour operator, cruise and airline partners. Generali Global Assistance (GGA): The primary Corporate brand in the United States for our travel insurance, travel assistance, identity and cyber protection, and beneficiary companion products.
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tpa compensation claims risk insurance jobs Company: Exxon in San Diego, CA
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