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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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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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Powered by a passionate team of mental health advocates and healthcare veterans, Grow welcomes private practices to *tap into large scale referral, administrative and community support*, so that providers can *enjoy the freedom of choosing when, where and who to work with*, without the hassle of mundane admin tasks like credentialing, billing and insurance claims.
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Works denials and prepares appeals, resubmits claims and performs compliant actions to resolve open accounts receivable. Prepares, reviews and transmits claims timely to payers, works EDI rejections.
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Partner with Safety Manager in management of workers compensation claims. We deliver groundbreaking products of exceptional value and top-notch quality to consumers with our well-recognized brands including Spectracide, Hot Shot, Cutter, Repel, Black Flag, Garden Safe, EcoLogic and Liquid Fence.
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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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DESCRIPTIONThe Business Manager Assistant Specialists will be responsible for customer creation, client financial tools, trade and reconciliation, order and claims alerts, master data submissions and support.
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As a successful Claims Associate, you will be responsible for supporting the day-to-day tasks and activities of the TPA (third party administrator) group within the claims team. You will primarily focus on managing the TPA claims mailbox, answering claimant queries, providing timely follow-ups, receiving/filing claims and sending claims acknowledgements.
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Manager of Network Pharmacy Claims and Accounts Receivable The Manager of Network Pharmacy Claims and Accounts Receivable oversees the daily operations of the Healthcare Revenue Cycle team to ensure appropriate and maximum cash collected.
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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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The Deputy General Counsel (DGC) assists the WHAs General Counsel in leading and managing the legal matters of the WHA, including landlord-tenant proceedings, litigation matters, insurance claims, fraud, MCAD/Fair Housing Act claims, employment issues, union matters, regulatory compliance, and contracts, among other legal and court proceedings.
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Preferred experience may include insurance loss control, underwriting or claims; commercial building construction, compliance or other property inspections; fire safety and industrial safety occupations.
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Trains and validates process execution related to inventory movement functions to include TIME, claims, omni channel fulfillment and inventory adjustments. Effectively network with retail and government resources to identify, investigate, and address organized retail crime activities inclusive to case resolution and prosecution.
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Randstad in partnership with The Hanover Insurance Group is actively seeking Claims Service Representatives to join their Claims Customer Service Center on a temp to perm basis, remotely within the CST, MST, or PST time zones.
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Detection, investigation, and documentation of Organized Retail Crime, and other violations of law and/or company policy. Conducts MES sweeps, Fitting Room checks and safety certifications as the needs of the business dictate.
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claims job in Methuen, MA
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