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This senior position provides the front-line handling of highly complex litigated matters arising from commercial general liability, commercial liability umbrella, inland marine, and first-party property claims.
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Candidate for this role will provide key contributions to the development of exchanging activity/data between internal systems of record (including Admin, Policy, Claims systems, etc) and partner platforms (including Workday, ADP, Plansource, etc.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Assists with the routine operations of the 340B Discount Card including card activation, facilitating with orders, coordinating with retail pharmacy billing, and resolving rejected claims. Routinely audits Third-Party Administrator (TPA) contract pharmacy claims for each pharmacy contract.
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Manage and process unemployment insurance claims, ensuring accuracy and compliance with state and federal regulations. Other examples include being an employment interviewer, employment counselor, or vocational counselor.
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Develop processes and manage downstream contract administration including request for information (RFI's), submittals, change management, contract closeout, documentation, and claims mitigation.
$215,000 - $270,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The Investigator's primary focus is to investigate the insurance claims field for a variety of coverage to include workers' compensation, general liability, property and casualty, disability, life, and healthcare.
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The Associate Director of Product Management, will have experience in healthcare revenue cycle management (RCM), the financial process healthcare facilities use to manage the administrative and clinical functions associated with claims processing, payment, and revenue generation, to drive the overall vision and strategy of Wolter Kluwer’s.
ExpandApply NowActive JobUpdated 11 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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Maintains the Sales Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and identifying shrink and damages.
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To analyze Workers Compensation Claims claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
$95,000 - $102,000 a yearFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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5 or more years' experience handling workers' compensation claims as evidenced by career progression within the company or similar organization. Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.
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Claims experience(QNXT/Facets), Healthcare, Health Plan, Outsourcing partners, Vendor management, SLA. Responsible for managing and overseeing all operations relating to claims areas, as well as coordination and prioritization of support for assigned application and/or systems.
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Adecco is hiring immediately for Insurance Claims Agent Jobs for a local client in Honolulu, HI. As an Insurance Claims Agent, you will take customer calls, process claim documents, and provide issue resolution.
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Support, or lead as necessary, warranty claims processes with EPC providers and equipment vendors. Operation of relays, pad mounted switchgear, PV modules, PV arrays, inverters, and battery storage containers.
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Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines.
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warranty claims jobs in Honolulu, HI
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