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Expert knowledge of Medicare, MassHealth and commercial insurance pre-claims requirements, regulations and guidelines. Our onsite patient-facing Patient Financial Coordinators play a vital role in the Dental School’s revenue cycle management, ensuring patient services payments in full, which has a direct impact on the Dental School’s clinical services financial and claims outcomes success.
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4 years experience with Guidewire Cloud Claims migration. 4 years of experience working in one of the following sub service areas: Insurance Products, Underwriting, Claims, Billing & Payments, Policy Administration or Distribution.
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Description: The Complex Liability Consulting practice of Marsh Advisory (CLC) offers a depth of expertise and services across a full range of mass tort and complex liability issues, including insurance archaeology, policy analysis and mapping, electronic database solutions, allocation modelling, negotiations with insurers, and claims and payment tracking.
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The Department of Global Health of the Boston University School of Public Health conducts research and evaluation, teaches, and engages in public health practice in low-and middle-income countries around the world.
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As a Field Auto Damage Adjuster, you will play a crucial role in our Auto claims handling process by writing estimates directly at customer homes, repair shops, or tow yards. We’ve been an industry leader in pricing sophistication, telematics, digital photo claims and, more recently, device and identity protection.
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Responsible for Quality & Controls Assurance programs, activities and reviews, including claims reviews; call center and digital communications reviews; Medicare Risk Adjustment, HCC, clinical and coding reviews; DRG and medical records reviews; technology/systems and coding upgrade and implementation reviews (e.g. final user acceptance testing, etc.
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Experience advising on statutes, regulations, and guidance documents applicable to market access activities, including Medicaid, 340B program, Veterans Administration, federal and state anti-kickback statutes, state drug pricing transparency laws, OIG guidance documents and advisory opinions, the False Claims Act, and the PhRMA Code.
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Sound knowledge of actuarial techniques and standards, as well as other business operations including financial, underwriting, legal, statistics, claims, sales, etc. Associateship or Fellowship in the Casualty Actuarial Society (ACAS/FCAS) designation preferred or comparable education/designation with relevant experience.
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Develop a data strategy to harness the power of data analytics for better risk assessment, underwriting, claims management, and customer insights. Oversee the design, development, and implementation of the company’s technology platforms, including policy administration systems, underwriting tools, claims processing systems, CRM, and other core applications.
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Act as primary contact for Claims Operations within PNM to assist with claims resolution, including but not limited to invoice based pricing, claims project submissions, and maintain open communication pertaining to fee schedule changes which have a cross-functional impact.
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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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Consult with Liberty Service & Distribution, Liberty Customers, Claims, and Underwriting across Global Risk Solutions (GRS) to provide legal guidance on litigation management issues, analysis of portfolio performance metrics, negotiation of complex disputes, and formulating strategy.
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Utilize electronic health records and claims processing systems. Collaborating with internal teams, including claims, provider relations, and customer service, you will effectively resolve issues.
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Assists in implementing and maintaining, and identifying enhancements for a comprehensive document management system for all CSB claims and monitors related claim milestones and deadlines. Reviews and evaluates new claims and follows protocol to distribute related correspondence and communications to staff and other stakeholders.
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The investigations include failure cause and origin analysis, life cycle cost and feasibility analyses, risk loss insurance, and claims response, and litigation support. The RoleWe have an immediate opportunity for a Vice President in Geotechnical Forensic Engineering with interests in forensic investigation, litigation support, risk loss consulting, repair, and retrofit design.
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claims job Company: Boston University in Lynn, MA
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