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Responsible for administration and enforcement of collective bargaining agreements, including researching, processing and resolving claims on behalf of performers under SAG-AFTRA contracts. Investigate, research, conciliate and resolve claims initiated by performers or their representatives.
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3-10 + years of experience with casualty claims and assumed reinsurance claims. Investigate, evaluate, and dispose of moderately complex insurance and/or reinsurance claims in keeping with sound claim practices and company procedures.
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Fraud Detection or Claims Experience. 2 years experience in Fraud/Claims, Support, or Leadership role. View the LA County Fair Chance Ordinance. Key responsibilities include utilizing a variety of systems such as Excel, SAS, SQL, Tableau, and other relational data bases to provide analytical support on strategies, ensure goals are met, and propose policy and procedural changes within segmentation structures to produce optimal results.
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We welcome applicants involved across the entire pipeline of conducting observational health studies at scale, with a focus on faculty whose research areas include the use of real-world data such as health insurance billing and claims data, electronic health records, and disease/medication registries.
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Individual contributor responsible for direct handling and management of a variety of nation-wide high exposure and complex claims involving loss types such as sexual abuse, talc, PFAS/AFFF, product exposures involving multiple claimants, pollution, and other general liability claims that span multiple policy periods.
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Monitor and evolve claims litigation management program. Maintain various mailboxes- Risk General Questions, COI, multiple claims mailboxes, contract review. Build, maintain, and manage relationships with claims adjusters, insurers, outside legal counsel, and other claims related parties.
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This dynamic team is responsible for the strategic placement of insurance coverages, administration of workers' compensation, and management of liability claims. In this role, you will support the placement of insurance coverages for the brands and assist in administering workers' compensation and liability claims.
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Actively participate in and/or manage various aspects of the utilization management process, including: Concurrent review of all hospital admissions (observation and inpatient) with the Interdisciplinary Team driving efficient and timely transitions of care, retrospective review of inpatient admissions under 48 hours, and claims submitted inconsistent with the service authorization.
$100,000 a yearExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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You'll facilitate student-led discourse, teaching students to use evidence to make sophisticated claims, and to synthesize and evaluate arguments and rhetoric. We achieve this by offering strong academic, co-curricular, and social-emotional learning that prepares students for success in college and beyond.
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You'll conduct a deep exploration of daily content in order to guide students to analyze books by authors like James Baldwin, Toni Morrison, F. Scott Fitzgerald, William Shakespeare, and Yaa Gyasi; books that ignite a passion for literature, sharpen a critical eye for examining the world, and deepen students’ intellectual identity.
$57,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Assists the Billing Supervisor with the resolution of complex claims issues, denials, appeals and credits. Reviews and corrects all claims/charge denials and edits that are communicated via Epic, Explanation of Benefits (EOB), direct correspondence from the insurance carrier or others and uses information learned to educate PFS and office staff to reduce future denials and edits of the same nature.
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Job Opportunity: Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for an analytical and technically minded Water Resources (Flood) Engineer with expertise in inland and coastal flood risk modeling (including storm surge) to join the Catastrophe Engineering and Analytics (CAT E&A) team.
$160,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Ongoing administrative and clinical support includes: all fee collections, claims submission and resolutionprescreening of all referrals to determine good matches training on electronic health record, internal website, telehealth platformsweekly director-led meetings focused on professional development, clinical issues, industry shifts monthly LGBTQ+ peer supervision groupIf Aurora sounds like a fit for you, please reach out - we are hiring and onboarding now.
$86,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Providing general environmental compliance support to clients across a variety of regulatory program areas including hazardous waste, wastewater/storm water discharges, air emissions, chemical/spill prevention, and community right-to-know regulations.
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Work across the forensic accounting investigations and complex business litigation practice area with a focus on matters related to representations and warranties insurance claims. This position will primarily support a team that works on matters involving complex issues arising from post-acquisition disputes, including a significant focus on representations and warranties insurance claims.
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storm claims jobs in Dedham, MA
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