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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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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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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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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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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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We provide high quality and cost-effective "hands-on" restoration services with appropriate turnaround times that contractors, claims professionals, and homeowners require. As we strive to accommodate our customers and their restoration needs, Prism Specialties expanded into art restoration, document restoration, and textile restoration.
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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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Provide legal counsel to Abbott's Electrophysiology team on compliance, risk management, and other legal issues in the context of federal and state regulatory requirements, including those relevant to sales and marketing of products to health care professionals and reimbursement by government programs areas, for example, fraud and abuse (Anti-Kickback Statute, False Claims Act), FDA regulation (Food, Drug & Cosmetic Act), privacy (HIPAA), and anti-corruption (Foreign Corrupt Practices Act.
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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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Environmental, Health and Safety Manager page is loaded. Environmental, Health and Safety Manager. Recommended profession certifications: CSP, COSS, CHMM. Coordinates the occupational health program in alignment with industrial hygiene/OSHA standards.
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Water Damage Restoration Technicians are responsible for handling new and ongoing water damage claims with integrity and excellence. Duties will include response to emergency water damage claims and other restoration-related activities including initial job-site inspection, secure jobs fast, and perform structural drying per the IICRC standards.
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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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claims continental jobs Company: Smart Data Solutions in St Paul, MN
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