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We are seeking a Sr Workers Comp Claims Adjuster with experience in Workers Compensation Claims to work within a nationwide insurance corporation helping and supporting the injured worker, their employer, and the insurance company to protect everyone's interests.
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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. Candidates must have experience writing auto collision estimates using auto estimating programs such as: CCC One, Audatex, or Mitchell You may be eligible for a $1000 Licensing Sign on Bonus if you have the applicable active licenses needed for this role.
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4 years of experience working in one of the following sub service areas: Insurance Products, Underwriting, Claims, Billing & Payments, Policy Administration or Distribution. 4 years of experience in Property & Casualty Insurance Solutions with Guidewire, Duck Creek, Majesco, Origami or similar package.
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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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DutiesRepresent clients in insurance defense litigation, including property, casualty, and liability claims. The ideal candidate will have 2-7 years of experience in insurance defense litigation and will be responsible for handling various complex legal matters related to insurance claims and disputes.
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Pilgrim Insurance is a member of The Plymouth Rock Group of Companies which together write and manage over $2 billion in personal and commercial auto and homeowner’s insurance throughout the Northeast and mid-Atlantic.
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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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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.
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Those who meet service or hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term disability; paid parental leave; paid holidays/vacation/sick; auto/home insurance discounts; scholarship program; adoption assistance.
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Job Description & Requirements Specialty: Interventional Radiology Technologist Discipline: Allied Health Professional Start Date: 10/21/2024 Duration: 13 weeks 40 hours per week Shift: 10 hours, days Employment Type: Travel Perks: 401(k), Dental insurance, Health insurance, Life insurance, Referral program, Vision insurance.
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Under general supervision of the Billing Managed Care Supervisor and/or Team Lead and Clinical Director of Radiology Scheduling and Prior Authorizations, the Billing Managed Care Coordinator (BMCC) functions as primary interface between the Brigham Health Radiology Imaging Services, BWH Patient Service Center, insurance companies, patients, referring practices, and MGB/BWH Billing staff.
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Communicates with insurance companies to expedite and/or manage delays with authorization for post-acute care and services. ·Secures DME and oxygen for post-acute needs; maps insurance and geography to identify appropriate vendors: assesses insurance benefits and coordinates the necessary paperwork with the external vendors and medical team for approval for equipment, such as letters of medical necessity, medical record documentation, and prescriptions.
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Relevant Experience: 5 or more years of professional experience, including work in Property & Casualty insurance. We offer an excellent opportunity to work with a variety of business and process leaders across the American Family Enterprise (Government Affairs, Compliance, IT Leadership, Partner Management, Operations, Claims, etc.
$156,000Full-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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Competitive Benefits Package: including medical, dental, vision, 401K match, company paid time-off, life insurance policy, insurance deductibles and voluntary Aflac insurance for our full-time employees.
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Support for you and your family: family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave, pet insurance, and more. Acute (inpatient) RNs may deliver nephrology care through Hemodialysis, Peritoneal Dialysis, Continuous Renal Replacement Therapy (CRRT) and Apheresis.
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auto insurance claims jobs Company: Exxon in Quincy, MA
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