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Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Report all claims, accidents, and incidents to HR (Human Resources) and the Area/Regional VP immediately, while handling appropriately, with urgency, care, and concern. Adhere to Evolution’s employment and payroll policies and procedures to limit exposure to employment claims and litigation.
Full-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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Payment integrity, claim processing and/or revenue cycle for healthcare claims. The IT Business Analyst works as part of the Product team to facilitate clear and open communication between Stakeholders, Business Owners, Scrum/Development, Quality Assurance, and UAT. This role provides a major contribution to enhancing Zelis’ overall capacity to meet the information technology needs of an ever-changing payment integrity market.
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The Service Warranty Administrator is responsible for reviewing and completing warranty claims. This includes preparing, recording, reconciling warranty claims and submitting them to the appropriate party.
Full-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager.
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The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Manages moderately complex cases involving alleged bodily injury, personal injury, and property damage by interviewing key witnesses; securing evidence; analyzing evidence; reviewing applicable laws; interpreting medical reports; deducing causes and responsibilities; documenting case details; determining whether payment is warranted; and managing multiple claims related to a single event as required.
Full-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods involving Rx drugs.
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Ensure timely claims submissions, denial management, payment posting. Strong experience in financial performance (Charge Capture, Payment Posting, Denial Management, Payor Collections, Coding Trends, Payor issues.
Full-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Maintains the Sales Floor and merchandise presentation in the Freezer/Cooler/Deli area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up, cleaning, and organizing product displays; removing damaged goods; signing and pricing merchandise appropriately; completing required audits, paperwork, logs, and other required documentation; and securing fragile and high-shrink merchandise.
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Industry experience with dental claims, provider relations, Medicare Advantage. Industry experience with dental claims, provider relations, Medicare Advantage. This position presents a distinctive chance to craft top-tier recruitment strategies aligned with our expanding Medicare Advantage Network.
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Works closely with manager claims examiner, legal counsel, medical director, claims assistants, and other departments. Monitors claims for fraud and proceeds accordingly. Up to 2 years experience in claims.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Perform trend analysis to understand changes in the frequency and severity of insurance claims. ACAS or FCAS designation preferred but not required. We have assignments available to help our insurance carrier clients in Actuary or Associate Actuary positions.
RemoteExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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ATIC and its managing general agency, TJ Jerger MGA, LLC ("TJMGA") are part of the Jerger family of companies that also includes Storm King Claims Services and West Point Insurance Services. ATIC and its managing general agency, TJ Jerger MGA, LLC ("TJMGA") are part of the Jerger family of companies that also includes Storm King Claims Services and West Point Insurance Services.
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Ensures all program requirements imposed by Compensation Service and/or the Pension and Fiduciary Service and the Court of Appeals for Veterans Claims are met or implemented. Technical Competence - Knowledge of veteran-based state and federal laws (dependency status, social services programs, Medicaid, special income-based programs), to include legal opinions from (1) the court of Appeals for Veterans' Claims (CAVC) and (2) state and federal courts having a relationship to VA programs.
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claims job in St Petersburg, FL
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