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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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Managing complex and diverse litigation involving auto liability and workers compensation claims, commercial and government contracts, product liability, vendor, customer and distributor disputes, real estate, intellectual property, environmental, insurance coverage, antitrust, unfair trade practices, false advertising, personal injury and property damage claims.
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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.
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We utilize a plethora of open source and industry accepted technologies for our big data problems such as Apache Spark, Apache Storm, Amazon Web services, and Apache Kafka. e Apache Spark or Apache Storm or Celery.
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Hands-on experience working with commercial teams to extract data insights on HCPs, patient claims, sales data (field force performance, incentive compensation), and market access. Claims Data Expertise: Experience with claims data analysis using tools like Symphony (preferred.
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CLF's Strategic Litigation team works on groundbreaking environmental law cases, currently including climate-change liability claims against the world's largest oil and gas producers and cases that will reduce nutrient pollution that fuels toxic algae outbreaks.
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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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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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Coordinate with professionals in Kleinfelder’s East Division Water Teams and Climate Resilience Practice Group, including waterfront and coastal hazard experts on projects related to sea level rise, storm surge, coastal erosion, and the use of flood hardening measures (e.g., seawall, bulkheads, revetments, deployable flood barriers) and coastal nature-based solutions (e.g., living shorelines, dune and wetland restoration.
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As an Engineering Manager, you will lead dedicated data engineering Claims teams that incorporates customer-focused data solutions, engineering excellence and standard Agile/Lean software development methodologies.
$133,200 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Understand health plan regulatory requirements for AP Claims, Authorizations, Capitation, Accounts Payable, and Enrollment using Tapestry modules. Basic knowledge of messaging formats used in healthcare integration (HL7, EDI, CSV, XML, etc.
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Broad and comprehensive knowledge of OIG compliance guidance on effective compliance programs, a working knowledge of healthcare laws/regulations such as Fraud & Abuse, False Claims Act, Stark Law, & Anti-Kickback Statute.
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Liaise with the U.S. Department of Agriculture’s Food and Nutrition Services Division to manage the agency’s required Claims Management Plan and ensure the agency complies with all federal standards.
$88,182.79 - $135,742.36 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Serve as the primary liaison for members and providers for all lines of business including MassHealth, and Commercial members regarding general program inquires such as eligibility verifications, authorizations, referrals, claims, material fulfillment, address changes and Primary Care Physician assignments as well as member related policy and procedures.
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The ability to analyze content and pull directly from the source material to back up claims A sharp eye for grammatical details Excellent command of the English language Ability to write high-quality articles with swift turn-around times Comfortable working in an entirely virtual environment Should possess a general understanding of the culture and strong research skill What CBR has to offer: Fully remote — write from wherever you’d like.
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storm claims jobs in Malden, MA
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