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Qualifications Estimating knowledge using CoreLogic and/or Xactimate is required, along with the ability to navigate within Corelogic suites and guidewire claims handling platforms. Collaborates and consults with our Inland Marine/Builders Risk Underwriting and Engineering partners to determine liability and identify risk conditions to drive continuous improvement toward claims handling and risk management excellence.
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As a Senior Auto Appraiser you will work within defined guidelines and framework responsible to investigate, evaluate and appraise vehicle damage claims for both repairable and total loss vehicles to ensure estimate accuracy in compliance with state laws and regulations.
$70,560 - $127,010 a yearFull-timeExpandApply NowActive JobUpdated 29 days ago - UpvoteDownvoteShare Job
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The Mechanical Claims Specialist (MCS) role at Ally is perfect for those who love working with cars but are tired of the manual labor and retail hours that go along with it! Actual Job Title: Mechanical Claims Specialist (MCS.
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The Claims Manager supports medical insurance customers (including administrators, MGUS, brokers) by confirming eligibility, determining insurance coverage, examining and resolving medical stop loss claims, documenting actions, maintaining quality customer service, ensuring compliance.
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Experience in working with claim platform & prepay claims editing systems (Nasco, ClaimXten, CES, Cotiviti PPM/CV) Proficiency in working with and analyzing claims data. Experience in working with claim platform & prepay claims editing systems (Nasco, ClaimXten, CES, Cotiviti PPM/CV.
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As an Auto Damage Appraiser, you will play a crucial role in assessing vehicle damage, determining repair costs, and ensuring accurate estimates for insurance claims. 1+ years of experience as an Auto Claims Appraiser.
$70,000 - $90,000 a yearFull-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Manage the execution and strategy for all contentious matters related to intellectual property, including patent litigation, infringement claims, and post-grant review proceedings by collaborating with the business and external counsel and representing the company's interests in these proceedings.
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Develop business requirements and change requests to include but not limited to: Actuary/Finance cost analysis, Clinical Editing and Nasco system configuration updates and UAT/QC test cases. Strong understanding of healthcare reimbursement methodologies, including PFS-RVU, AP-DRG, APC.
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The Clinical Authorization Specialist is also responsible for managing denials related to front-end prior authorization, biosimilar drugs, pharmacy-benefit exclusion drugs, and claims. Overview Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals processes and serve as a liaison and patient advocate between Dana Farber Cancer Institute and various health plans.
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Corvus is seeking a Senior Data Engineer who will work alongside Product, Data Science and Engineering to build out and sustain a modern data platform that serves data analytics as a product to our internal stakeholders - Underwriting, Actuary, Sales, Claims, and Finance.
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Description Critical thought leader who handles all levels of Inland Marine/Builders Risk losses, including complex, high exposure claims that may have unique factors that typically take an extended period of time to settle.
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Working under the general direction of principal investigators (PIs), the Epidemiologist is responsible for participating in and leading TIDE studies using health data such as administrative claims data and electronic health records.
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Assists the Billing Supervisor with the resolution of complex claims issues, denials and appeals. Reviews and corrects all claims/charge denials and edits that are communicated via Epic, Explanation of Benefits (EOB), direct correspondence from the insurance carrier or others and uses information learned to educate PFS and office staff to reduce future denials and edits of the same nature.
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In her role, Amy will oversee lost earnings claims for self-employed individuals involved in automobile accidents. In addition, Amy is also involved in the analysis of claims for lost business income, various forensic engagements and business valuations.
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Working in R, SQL, Tableau, Stata, SAS and/or Python to create analytic files and conduct analyses using claims, discharge, and survey data. Reporting to the Associate Director of Research and Cost Trends, the Research Analyst will conduct analysis using claims, discharge, and survey data to identify and communicate trends in health care costs, spending, utilization, and other outcomes and aspects of health care throughout the Commonwealth.
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claims job Company: Liberty Mutual Insurance in Somerville, MA
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