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Ensure pre-authorization and insurance verification processes are conducted accurately and efficiently. This role requires strong leadership, organizational, and analytical skills, as well as a background in medical billing, coding, claims management, ERA, authorization processes, and EDI specific to behavioral health services.
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Advise on managed care claims, third-party liability, Medicaid waiver programs, and provider enrollment. Extensive knowledge and practical experience in managed care claims, third-party liability, Medicaid waiver programs, and provider enrollment.
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Experience with PolyPaths ALM, QRM, Calypso or other NIR forecasting and risk management software required. Lead teams responsible for our ALM hedging program and our 1LOD market risk management framework.
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Reviews first party claims such as Physical Damage, Cargo, PIP, Medical Payments, Property, and Workers Compensation claims and evaluates for subrogation potential by a careful analysis of the facts surrounding the loss, the probable liability of each involved party, and the investigation needed to document the liability of and damages to be sought from the responsible party.
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OR Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area. OR Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.
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Manages the corporate insurance requirements. Manages programs such as ACA Reporting, Accommodations, Health & Welfare SCA benefit requirements, Retirement, Worker's Compensation, COBRA, etc.
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You will be joining AI/Model Risk Management Team within Enterprise Financial Risk Oversight unit, focusing on, but not limited to, independent quantitative model validation of high impact AI/models used firmwide.
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COMPENSATION AND BENEFITS Certified Registered Nurse Anesthetist (CRNA) COMPENSATION AND BENEFITS Certified Registered Nurse Anesthetist (CRNA) RESPONSIBILITIES AND FACILITY DETAILS Certified Registered Nurse Anesthetist (CRNA.
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This is an EXCELLENT opportunity for those interested in law enforcement, social work, criminal justice, mental health services, education, psychology, etc., to gain experience working with at risk youth.
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Responsible for the administration and execution of the Enterprise Risk Management, Corporate Insurance, Business Continuity and Vendor Management support programs. Administers risk management policies and protocols, including but not limited to corporate support of fraternal properties and loss claims, updating risk management measurement system, incorporating security data into vendor management evaluations, and systematically notifying vendor relationship managers of ongoing data requirement needs.
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IAT Insurance Group has an immediate opening for a Property Litigation Senior Claims Specialist that can report to any IAT location. Must have insurance litigation experience in connection with first-party property claims.
$68,345 - $108,280 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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COMPENSATION AND BENEFITS: Oncology Nurse Practitioner (ONC-NP) Relocation, Malpractice Insurance, Health, Dental, Vision, accrue 6 weeks PTO, etc. COMPENSATION AND BENEFITS: Oncology Nurse Practitioner (ONC-NP.
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We are a commercial property & casualty insurance company looking to fill entry-level recovery specialist positions. Insurance courses such as IIA or AIC courses in coverage, subrogation, legal principles.
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Skills in managing GRC (Governance Risk and Compliance) processes within ServiceNow, ensuring compliance with industry standards and regulations. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad.
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A minimum of five (5) years of professional experience with IT risk management, external IT audit, internal IT audit, IT security, or other IT compliance related work serving large global banking institutions.
$92,100 - $185,400 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago
tpa compensation claims risk insurance jobs Company: Adobe in Omaha, NE
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