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Keywords: Claim, Claims, Adjuster, Examiner, Counsel, Claim Manager, Claims Specialist, Attorney, J.D., Juris, JD, Claims Attorney, Claims Counsel, Claim Counsel, Claim Attorney, GL, Liability, Commercial Claims, Litigation.
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The role sits within the Group Claims function and reports to the Group Claims Data and Insights Manager, the data scientist will be part of a global agile scrum delivery team and will be expected to work with the team to meet the sprint goals, which drive towards the data platform product vision.
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Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims.
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Good knowledge and working experience on US Health-care Payer E2E Claims Adjudication Provider Data Management, Member Enrollment, Care Management, HEDIS, Poupulation Health, and Billing. US Health care Payer E2E Claims Adjudication Provider Data Management.
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As AVP, Claim Manager , you will be responsible for product quality, and performance of the liability claims professionals on your team and supporting the VP Claims Manager. You may be responsible for maintaining a minor caseload, as determined to be appropriate by the VP Claims Manager.
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As a Liability Claims Manager, you will be an integral part of our dedicated team, overseeing a wide spectrum of liability claims, including Automobile Liability, General Liability, Employers Liability, Public Entity, Cyber, Excess, Umbrella, and Construction Liability.
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This position will be working under the general direction of the Assistant General Counsel – Head of Global Litigation, the Senior Counsel – Insured Litigation and Claims will (1) manage “Insured Litigation and Claims” in North America and internationally and (2) provide legal support to Environment, Health and Safety organization and Engineering organization.
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Providing mostly fee-for-service and PPO guests with a wide range of general and cosmetic dentistry, including crowns, bridges, molar endo, and Invisalign. PPO and Fee for Service Guests with 10-15% HIGHER reimbursement rates allowing for maximum income potential.
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A SIU / Claims investigator must possess strong computer and internet skills, as well as strong verbal and written communication skills. The Special Investigations Unit (SIU/Claims) Field Investigator conducts recorded statements / interviews, accident scene investigations, online research, and witness canvassing.
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Assistant Vice President, Claims Analytics Data Engineer - Health Commercial Analytics. Experience constructing automated and maintainable data pipelines ingesting large tabular datasets (insurance claims, medical, pharmacy, eligibility and human capital data) into a data lake and populating a structured warehouse.
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Explain the responsibilities of the billing and coding specialist to protect patient rights under HIPAA.Demonstrate a basic understanding of the anatomy and physiology of body systems and related medical terminology in order to properly process clean claims.
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Familiarity with CPT, HCPCS, ICD-10 coding, revenue codes, and hospital billing/claims processing. Five or more years of experience in revenue/accounts receivable financial analysis, claims or billing analysis, decision support, or economics in a healthcare setting.
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Claims management service, TPA, inland marine, workers compensation, and loss adjusting. Ten or more years of progressive TPA, Insurance Carrier, or Brokerage experience in claims management, loss control, or underwriting, or the equivalent in related work experience, demonstrating the ability to handle accounts profitably.
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Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role. Work alongside the Claims teams to support customer billing and treasury activities.
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We provide a comprehensive line of service offerings including commercial property, casualty, inland marine/cargo, heavy equipment and large loss adjusting, as well as TPA/claims management and subrogation.
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ppo claims jobs in Atlanta, GA
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