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Strong understanding of various fraud types and expert-level of understanding of laws related to fraud investigations, breach of warranty and hold harmless process, claims management, and chargeback rules, and ID theft – red flags rule requirements and the tools/methods used to perpetrate them.
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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.
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Let us help you on your career path as a Licensed Claims Adjuster. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
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Experience with working on document review/management platforms such as Relativity, with analyzing spreadsheets of claims data, and with utilizing docketing software is a plusAbility to review and understand the import of a wide variety of documents, both legal and non-legal, including motions and briefsAbility to think independently and to develop investigative strategies in response to the needs of a specific case.
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The position includes eligibility assistance, service and claims resolution, HR assistance, benefits administration support, implementation and contract review, communications, compliance expertise, and vendor accountability for performance standards.
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Drafting Answers, Third-Party Demands, Cross Claims; propounding and responding to discovery, conducting and defending depositions (experts and lay witnesses), handling all aspects of motion practice, preparing Pre-Trial Orders, and preparing cases for mediations/arbitrations, judge and jury trials, and appeals are a daily part of the job.
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Includes filing and follow up of third party insurance claims, receiving payments from self-pay patients, posting and reconciliation of payments in the clinical software system. Posting Details Posting Summary Functional Position Title MEDICAL BILLING & CODING COORDINATOR Position Number Appointment Type Regular Location-City New Orleans School/Division LSUNO DENTISTRY Department LSUNO Oral Surgery Position Summary This position will be responsible for all aspects of the patient payment process in the School of Dentistry’s Oral and Maxillofacial Surgery Clinic.
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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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Purchase fuel and shop equipment, file warranty claims and recovery warranty dollars, and develop the yearly budget. Coordinate emergency response or crisis management activities, develop and maintain liaisons with local emergency management and other entities to support a safe environment.
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JOB DESCRIPTION Your job is more than a jobReporting to the CBO Denials Manager, the Hospital Denials & Appeals Coordinator is responsible for managing denied claims and submitting appeals to the appropriate carrier while identifying and mitigating root cause issues.
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Conduct audits ensuring all required inspections and documentation (including, but not limited to, food safety documentation, EPSM, PSM, fire protection, etc.) Thermo King and Major certification. Working knowledge of all applicable building, life/safety, and fire protection standards and codes.
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Explore more about our commitment to innovation and community impact at Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution.
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Assisting with a docket involving Defense Base Act Claims. Review, analyze and summarize claims documents including medical records, incident reports and employment files. Communicating clearly and concisely with clients regarding the Defense Base Act and War Hazards Compensation claims.
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Duties:Advocate vigorously for veterans in disability claims and appeals before the Department of Veterans Affairs (VA) and the Board of Veterans' Appeals. At least 1 year of dedicated experience in veterans' disability law, including substantive work with agency and BVA claims.
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We will train the right person who may not have experience working claims and dealing with insurance companies. We offer both residential and commercial roofing, as well as metal roofing. This is a negotiable full-time or contract hybrid role for a Roofing Sales/Project Manager at Brown Roofing LLC, located in Raymore, MO, with flexibility for remote work.
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claims job in New Orleans, LA
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