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Maintains CIH and/or CSP designation and insurance/safety designations as appropriate through ongoing certification maintenance such as training, education, etc. Provide various internal departments with information and guidance as it relates to RCS, Claims, Underwriting and Sales.
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5-7 years of related experience in fraud examination, healthcare, business, finance or related field; with at least 2 years of experience conducting data mining in the healthcare insurance industry and claims related experience.
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If so, we are looking for a Full or Part-time Materials Engineer/Materials Scientist with broad design and manufacturing expertise to join our national Materials Science practice group to provide investigation, analysis, reports, and testimony where technical and scientific answers are needed to help resolve civil and criminal litigation and insurance claims.
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Expertise in Health Insurance and Coordination of Benefits for Medicaid, Medicare and Commercial Payers and ability to apply knowledge to maximize cost savings initiatives for MassHealth. Working knowledge of claims processing systems and code sets (CPT-4, HCPCS and ICD-9 / ICD10); HIPAA transactions; EDI transactions, and XML.
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Additionally, the Lead Actuary partners with Personal Lines Business Unit leaders and works in close collaboration with their state management, data science, underwriting, marketing, finance and claims teams to develop the strategy for the Personal Lines and is responsible for the development and execution of initiatives that deliver profitable growth across the portfolio.
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As directed, the Analyst/Sr. Analyst will perform a number of insurance and risk management activities that support the various business lines within PPL which include: insurance program renewals for property and casualty lines, captive insurance management, claims, contract reviews for a wide variety of risks, management of the surety bonding program, certificates of insurance processing, and involvement in any project that requires corporate insurance assistance.
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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, at their office in Worcester, MA. The Hanover Insurance Group is an industry leading property and casualty insurance company with over 160 years of rich history and tradition.
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Crop insurance experience in claims or compliance or any ag-related experience and background. ProAg has an exciting opportunity for a Crop Insurance Adjuster to join our team. Continuously expand your knowledge of RMA rules and regulations and ProAg procedures for applying all MPCI, Crop Hail, and Federal Crop Insurance regulations.
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In addition, Persivia has deep expertise in Data Aggregation from various sources such as Claims, Clinical, EMR, HIE, Flat File, and SDoH data among others. Equity, Health, Dental, and Vision Insurance, 401K, FSA, Adoption Assistance, Tuition Reimbursement, Employee Assistance Program, and a casual work environment.
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Evaluates injury, equipment, and property damage claims caused by alleged issues with products, heavy equipment, machines, HVAC, plumbing, fire suppression, and other mechanical systems. Provides failure analysis and forensic consulting services requiring mechanical engineering expertise for insurance, legal, industrial, and other clients.
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5 plus years of Employer Stop Loss, Managed Care Risk-Based Underwriting or related work experience in health insurance or related industry. We help them overcome obstacleswith a team providing underwriting, risk-management, claims, and stop-loss expertisebacked by strong financials and all supported by exceptional, personalized service.
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As a Surveillance Investigator, you'll dive into the heart of investigations, delving into workers' compensation claims, liability issues, insurance claims, and more. As a Surveillance Investigator, you'll dive into the heart of investigations, delving into workers' compensation claims, liability issues, insurance claims, and more.
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Claims Adjuster Trainees handle entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation and claim resolution.
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The Claims Representative Trainee is a member of our Insurance Training Program where s/he will learn all aspects of commercial property and casualty insurance. As a member of W.R. Berkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are two of the main reasons why Independent Agents place business with us.
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CONSIDERED EXPERIENCE INCLUDES: Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp DiedreMoire InsuranceJobs ClaimsRep WorkersComp JobSearch JobHunt JobOpening Hiring Job Jobs Careers Employment jobposting DISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application.
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insurance claims jobs in Shrewsbury, MA
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