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Prefers specific knowledge of claims processing and customer service systems (NASCO adjustment and pend processing, UPS, UCSW, Research Station, Cognos, and Image). Requires knowledge of health insurance operations (i.e. claims, enrollment, underwriting, etc.
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Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
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Let us help you on your career path as a Licensed Claims Adjuster. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster.
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Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.
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JD, CPCU, AIC, or other insurance related classes or certifications ideal4+ years of experience managing and handling commercial property claims with knowledge of commercial construction. Responsibilities The Sr. Property Claims Examiner investigates, evaluates, and resolves assigned property claims in accordance with company standards, procedures, and regulatory requirements with some supervision.
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Handling insurance claims and medical billing using appropriate coding systems (medical billers and coders). Operating equipment like X-rays, MRIs, or ultrasound machines (radiology technicians, sonographers.
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Responsibilities The primary purpose of the Inpatient Coding Data Quality Auditor/Educator is to ensure the consistent processing of claims and collection of data to optimize DRG reimbursement and produce quality data that accurately reflects the severity and intensity of hospital inpatient services.
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Support Sr. Contract Administrator with change orders proposals, change orders, and claims Determine merit, evaluating and estimating level of effort for hours and costs, negotiating with the contractor and writing up Findings of Facts and Records of Negotiation.
$194,500 a yearPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Claims under Gallagher Bassett Services. Building Professional Acumen - Learning about our Risk Management, Benefits, Wholesale and Claims businesses. Claims under Gallagher Bassett Services.
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Review hospital incident reports and refer potential liability claims to insurance carrier as appropriate. Provide Risk Management educational training to Hospital staff/employed/ independent practitioners as part of the Hospitals orientation process deemed appropriate for risk management Administration of tracking documentation addressing (i) subpoenas, (ii) medical malpractice and other litigation claims and (iii) lost and personal belongings, including reimbursement for such items.
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Gregory P Helfrich & Associates (Claims Litigation Office for State Farm located in Summit, NJ) seeks a litigation attorney to join our team. Gregory P Helfrich & Associates (Claims Litigation Office for State Farm located in Summit, NJ) seeks a litigation attorney to join our team.
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Business finance foundation in payer analytics and core payer concepts: eligibility, claims, revenue, risk adjustment, CMS payment methodology (IPPS, OPPS, SNF, etc.) Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients.
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Payer policy/claims procedures (e.g., medical/reimbursement policy, billing and coding) Coordinate with cross-functional partners for medical records documenting pertinent content for claims appeals.
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We're hiring an Automotive Claims Specialist II to join our vehicle operations team at Cox Automotive. You'll dive into the heart of the matter as you research claims, assess repair costs and skillfully negotiate adjustments.
$20.87 - $31.25 an hourFull-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Location: In this primarily home-based role, you will spend 80% of your time (4+ days per week) working from home and in the field handling claims. 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.
$90,000 a yearFull-timeExpandApply NowActive JobUpdated 14 days ago
claims job Company: Metroplus Health Plan in Clifton, NJ
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