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Furthermore, this position partners with the County's ERM and Claims Analyst in maintaining County insurance policies, risk assessments, synthesizing and presenting risk data, legal contract review, and oversight of a diverse claims portfolio that includes both insured and self-insured programs.
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Supports site HR representatives regarding Workers Compensation claims to ensure appropriate return to work and the prompt settlement of claims. Experience as Radiation Safety Officer (RSO) desirable.
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Health care industry and Medicare Part D rules and regulations, Medicaid services, claims adjudication process, CMS guidance, and the life cycle of PDE data. Proven understanding of the health care industry and or BCBSMN area s of Medicare Part D rules and regulations, Medicaid services, claims adjudication process, CMS guidance, and the life cycle of PDE data.
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Develop processes and manage downstream contract administration including request for information (RFI’s), submittals, change management, contract closeout, documentation, and claims mitigation.
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Performs research on a variety of legal subjects which may include, but are not limited to: Federal and state/territory code, and legislative proposals; military justice and status issues for Title 10 and Title 32 members; claims; labor relations; equal opportunity; administrative actions; contractual agreements; ethics; environmental concerns; law enforcement; bankruptcy; taxation; legal assistance; and a wide variety of miscellaneous legal issues.
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Handle warranty claims on all hardware. System familiarity in these programs would be a plus but not required: Mitel, security system maintenance, CRM maintenance experience, access point deployment, VMware, Veeam, Linux, firewall, Adobe Suite, Audio/Video systems.
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At American Family Insurance Claims Services (AFICS, Inc.), we're embarking on a transformation of our claims capabilities to put customers at the center of what we do best - protecting and restoring their dreams when they need us most.
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On-site evaluation of damaged electronics from insurance claims involving fire, water, or lightning strike damage. We provide high quality and cost-effective "hands-on" restoration services with appropriate turnaround times that contractors, claims professionals, and homeowners require.
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Strong understanding of workers compensation, liability and disability claims management. Client Services Director - Midwest Region. CPCU, AIC and/or ARM or other related designation preferred.
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Position Overview"Remote Option Available" The Sr. Group Claims Examiner, analyzes high dollar claims and determines eligibility of Group Reinsurance claims. Responsibilities Under supervision, analyzes and determines eligibility of Group Reinsurance Medical or Managed Care claims; interprets and verifies that the reinsurance claim was properly ceded to RGA Group Re and the proper provisions and limits are established on RGA Group Re’s administration system.
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Perform investigations and prepare written responses to EEOC claims, unemployment claims, etc. Human Resource Certification Institute (HRCI) Professional Human Resources (PHR), Senior Professional Human Resources (SPHR), SHRM-CP, or SHRM-SCP certification preferred.
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Including, but not limited to: Payment integrity - PDE/Encounter Data, FIR's, NX Transactions, and Coordination of Benefits., coverage decisions and appeals, claims, benefits, formulary/PDL, networks and materials.
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Conducting and managing forensic accounting consulting engagements which may consist of economic damages analyses, business interruption insurance claims, fraud investigations, fraud risk assessments, or financial dispute resolution, often for litigation purposes.
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Additionally, you will handle virtual claims countrywide, leveraging various platforms and software such as Xactimate and ClaimsX Video Collaboration. We’ve been an industry leader in pricing sophistication, telematics, digital photo claims and, more recently, device and identity protection.
$60,000 - $99,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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AZRA is looking for a Claims Specialist III to join our Asbestos Team - based anywhere, USA. It services Allianz Group affiliates and third parties including third party claims administration of asbestos, environmental, workers compensation, general liability, and construction defect liabilities.
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claims job in St Paul, MN
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