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Proactive day-to-day management of claims (corporate, insurance, or otherwise), from notification to closure (including intake, evaluation, investigation, prevention, and negotiation), investing the necessary level of involvement required for each claim depending on, inter alia, the nature, category, maturity, type and quantum of the claim; this position will include both direct handling of claims and the management of outside counsel/adjusters, as may be appropriate.
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Coordination of internal resources in performing investigations, responding to discovery, and mitigating and resolving claims. Corporate Counsel also provides in-house legal support and analysis to various operations and departments in addition to assisting with the drafting, review, and negotiation of various legal documents.
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Assist with filing warranty claims. Attend trainings to become Trane/American Standard Field Service Representative (FSR) Experience with Trane/American Standard and Mitsubishi residential HVAC products, strongly preferred.
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Experience with BIG health data including health insurance claims, and electronic medical records. As a part of the Center for Biomedical and Health Research in Data Science, the Research Assistant Professor will join a team of data scientists to contribute to ongoing population-based epidemiologic research projects on cardiovascular, substance use and mental health research.
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Process patient referrals, pre-authorization requests, and insurance claims (as applicable). Process patient referrals, pre-authorization requests, and insurance claims (as applicable). Experience with electronic health records (EHR) systems (a plus.
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Our proven process is your assistance of high-quality claims support from rapid catastrophe response to direct inspections. Hancock leads the way in claims resolution services by complete nationwide coverage, fast, full-services claims inspections, and superior quality and accuracy.
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LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states.
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Maintains the Pharmacy area in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise/supplies, identifying shrink and damages, and ensuring a safe work environment.
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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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Lead, mentor, and inspire the customer service, claims processing, and claims administration teams, fostering a culture of excellence, empathy, collaboration, and continuous improvement.
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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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Establish CI/CD processes, test frameworks, infrastructure-as-code tools, and monitoring/alerting (Git, Terraform, Azure DevOps / GitHub Actions / Jenkins, Azure Monitor / Datadog). Experience with Infrastructure as Code tools (Terraform, Pulumi, cloud-specific IaC tools.
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In addition, they are proficient with home equity closings, basic wire approvals, lost bank checks, basic service recovery, processing fraud claims, and complex business accounts, among other technical and people skills.
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Ability to use multiple systems for claims research, contract interpretation, provider network status and verification, applications/nominations, and data integrity. Ability to use multiple systems for claims research, contract interpretation, provider network status and verification, applications/nominations, and data integrity.
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Participate in root cause analysis to address customer performance issues or warranty claims. Support the electrical and PLC controls needs in our Innovation Test Center (ITC). Participate in root cause analysis to address customer performance issues or warranty claims.
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adjuster claims jobs in Chelmsford, MA
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