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Collaborates with the LHMC Claims Department, and Controlled Risk Insurance Company (CRICO) when an untoward event occurs, that causes harm to the patient. The Risk Manager and Patient Safety Specialist plays an integral role in regulatory and accreditation readiness by assisting with the implementation of the patient Care Assessment Plan and the Quality Improvement Plan consistent with Board of Trustee goals and regulatory and standard setting agencies.
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Summary:Investigate, evaluate, and dispose of moderately complex insurance and/or reinsurance claims in keeping with sound claim practices and company procedures. Such projects may include, but not be limited to: collection efforts, various research assignments, and preparation/support for reinsurance audits conducted by Senior Claims Examiners.
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LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states.
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Work in collaboration with Resource Assistants on assignments and projects as received from Resource Coordinator and Resource Manager. Review, analyze, and distribute coding production SSRS data reports, Tableau, and Command Center warnings to the Production Team’s attention for heightened awareness/planning.
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Investigate and pursue recoveries and payables on subrogation claims and file management. Knowledge of claims processing systems and guidelines. Investigate, recover, and resolve all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities.
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Advise management of any claims that escalate, involve complaints or that need approval from outside carrier or TMHCC corporate office. Learn how to read an insurance policy, confirm coverage, gather needed data as well as learn to set up claims, enter claim payments, etc.
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A minimum of 1-3 years of auto claims appraisal experience. Adhere to privacy guidelines and MA Fair Claims Practices Act. The Auto Damage Appraiser/Crashbuster is responsible for preparing physical damage estimates on vehicles where a claim has been submitted for first or third party damages in the Lynn, MA and Revere, MA areas.
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Desired Qualifications: B.S or M.S. Degree in Civil Engineering Licensed Professional Engineer (PE), or (EIT) 3+ years of demonstrated engineering design of Land Development Projects Utility Design Site Grading Storm Water Management Systems Zoning Research Permitting Research Proficiency with AutoCAD, Civil 3D software Salary and Benefits: Comprehensive Salary Package.
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Reviewing Warranty Claims and collaborating with Supply Chain for Claim receiving and adjustments. Includes writing or reviewing Warranty Claims through the database. Work cross functionally with technicians, and Customers departments to reject or approve warranty claims.
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The adjuster will also manage Commercial Auto claims, specifically focusing on Property Damage (PD) and Bodily Injury (BI). Experience with Commercial Auto claims, specifically focusing on Property Damage (PD) and Bodily Injury (BI) is preferred.
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Manage and maintain factory standards for warranty claims. If you are an experienced Service Managerwith GM and have a proven track record of success and drive to provide the highest level of customer satisfaction or an Asst. Service Manager looking to take that next step in your career, then we are looking for you to join our Chevrolet dealership.
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Assist in the management of employee administration to include the assignment, delegation and supervision of assigned human resources staff in the areas of payroll, benefit administration, leaves of absence, compliance, workers compensation claims management, unemployment claims management, open enrollments, and personnel records (HRIS) management.
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REMOTE WORK FROM HOME AVAILABLE Seeking an environmental claims examiner with insurance defense attorney experience to manage claims in General Liability (GL), environmental, toxic tort and asbestos or construction defect.
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As a claims adjuster trainee , you'll learn how to help customers get back on the road after an accident. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims.
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Detailed understanding of Policy Admin, eCommerce, Billing, Claims and financial applications along with understanding of various third party integrations like LexisNexis Prefill, CREDIT, MRV, CLUE etc.
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storm claims jobs in Reading, MA
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