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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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Work with key members of therapeutic area offices (e.g., executives, providers, administrators, billing and coding staff, claims departments, revenue cycle managers) in order to appropriately support patient access to products.
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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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Support local departments with workers compensation claims plus the development and implementation of ‘return to work plans’ Other key components of the role include providing technical and legislative guidance to operational teams, maintaining OHS performance statistics, overseeing contractor compliance portals, being an active member in incident investigations and safety committee initiatives, and supporting on worker’s compensation claims.
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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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Basic knowledge of product liability claims and defenses. Experience in interfacing with product approval agencies (i.e. UL, Intertek, CSA) Minimum of 6 years of product development or safety engineer experience.
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Participates in the preparation of all required federal consolidated and state income tax returns and claims for refund to ensure accurate and timely filing and minimization of tax liability. As a leading combination electricity and natural gas energy company, Xcel Energy offers a comprehensive portfolio of energy-related products and services to 3.4 million electricity and 1.9 million natural gas customers across eight Western and Midwestern states.
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Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager.
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Triages insurance rejections and initiates prior authorization claims as needed. Hennepin Healthcare is currently seeking Pharmacy Techs to join our busy Pharmacy Departments. Triages insurance rejections and initiates prior authorization claims as needed.
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Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act (FMLA), Group health and workers’ compensation claims.
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5+ years for offshore 7+ years for onshore. Strong JavaScript, DOM manipulation, JavaScript object model, OOP and patterns, ReactJS, Micro FE apps & architecture, Node.js CSS, SCSS HTML5, Redux, ContextAPI, React Hooks API GraphQL, Apollo Client, Axios, Fetch wrapper, code versioning tools (GIT, TFS.
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As a Medical Billing Specialist, you will be responsible for generating and submitting Medicare, Medicaid and third-party claims. As a Medical Billing Specialist, you will be responsible for generating and submitting Medicare, Medicaid and third-party claims.
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Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations.
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Experience with collision repair methodologies or claims adjusting preferred. You will also handle the staffing and scheduling needs for the Repair claims operations. As the largest pure-play fleet manager in the world, we provide unmatched products and services and solutions to our clients.
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Smart Data Solutions (SDS) is recruiting a Senior Financial Analyst to support Financial Planning & Analysis for its healthcare process automation products. For over 20 years, Smart Data Solutions has been partnering with leading payer organizations to provide automation and technology solutions enabling data standardization and workflow automation.
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claims onshore jobs Company: Smart Data Solutions in St Paul, MN
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