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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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Act as a liaison to outside legal counsel and ensure that the chain of custody is maintained for any such claims. Bachelor's degree in human resources, Business Administration, or related field along with professional HR certifications (e.g., SHRM-SCP, SPHR) required; master's degree 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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Location: On-Site in Bedford, MA This Role: As a Claims Specialist in EDI at LogixHealth, you will perform general tasks in the EDI Department on the Billing Team. 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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This position is a full-time position working in the Mitsubishi Product Division as a Mitsubishi Parts & Warranty Administrator with a primary role of processing and managing our parts & warranty claims for our customers and interact with the manufacturer to process and support our customers.
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Completes, files, and maintains all bond loss claims as they relate to fraud and member losses (excluding card services fraudulent bond claims). Management oversight of Deposit Operations & Card Services teams.
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Work with vendor to administer leave programs, processes applicable paperwork and disability claims if needed. The HR Business Partner/Manager will also be the back up the current Benefits Administrator to ensure all employee situations are handled in a timely and compliant fashion.
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May resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) May produce reports and keep management informed of unpaid claims and claims pending follow-up.
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Deploy vehicle safety and security procedures to direct traffic, barricade positions, park guest cars in applicable spaces, inspect vehicles for damage, and report incidents and claims to location-designated leadership.
$17 an hourFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Overall contracting responsibility for the following functions within the categories of new equipment, existing building services, and building automation: order validation, order entry, order follow up, customer inquiry, engineering, submittals, service operations, building automation operations, project management, technical support, warranties, claims, and resource allocations.
$287,500 a yearFull-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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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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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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Our proven process is your assistance of high-quality claims support from rapid catastrophe response to direct inspections. Roofing and construction related backgrounds and/or insurance claims experience are a plus but not required.
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claims job in Chelmsford, MA
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