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Assist the Vice President Quality Assurance maintain a Reinsurance Claims Quality Assurance Program focused on assessing quality of technical claims handling, ensuring high quality claims handling for Everest, and identifying areas for improvement across the Global Reinsurance Claims Department.
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Handle invoicing, indexing, and other Accounts Payable tasks related to warranty claims. As a Warranty Specialist, you'll be at the forefront of managing, documenting, and facilitating warranty claims while providing essential administrative support to internal teams.
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At least 10 years of extensive experience and deep understanding of different types of syndicated commercial pharma datasets across Claims, Retail Sales, Non-retail Sales, Trade data, Specialty Pharmacy (SP/SD), Hub, Formulary, Co-pay, Prescriber-Plan data, EMR/EHR, Diagnostic data, Shipment, Inventory, Non-personal Promotion data, Speaker Programs, Email Campaigns, Digital Data (HCP Portal, Patient Portal, Brand websites, Third-party website), Conferences etc.
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Assist in Associate Director, Government Pricing to review payments for Medicaid claims, Tricare, Coverage GAP and IFF administrative fees. Partner with IPSEN's BPO Partner EVERSANA to automate contract administration efforts.
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Reporting directly to the VP Claims, you will play a critical role in supporting core insurance operations and business goals. 5-7 years of administrative experience, preferably involving healthcare claims in a corporate or law firm setting.
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Required Skills and Experience: 2-5 years experience of the basic knowledge of NJ Workers' Comp claims. Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve.
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In addition, there will be a technical component that is required with a thorough understanding of relational databases, pharmacy and/or medical claims data, and writing SQL code. Skilled with data analysis tools and querying using tools such as SQL, Python, Alteryx, Tableau, Databricks, Hadoop or other big data platforms.
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Maintain current claims adjuster licensing in one or more states preferred, but must be willing to obtain additional state licensures. Chubb is looking for an experienced Field Property Claims adjuster.
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Market segment and marketplace: insurance, claims, and actuarial concepts; specialty underwriting quality assurance; regulatory environment and reinsurance. Advanced knowledge of Specialty insurance products/coverage, preferably from experience as an underwriter or claims adjuster.
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Facilitate student-led discourse, teaching students to use evidence to make sophisticated claims, and to synthesize and evaluate arguments and rhetoric; High School ELA Teacher Position Overview.
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We are looking for an Assistant Vice President to join our Financial Lines- Professional Liability Claims Team (Lawyers, MPL and Real Estate). Handle a full case load of Professional Liability Claims including Lawyers, Real Estate Agents and Miscellaneous Professionals.
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Work with cross-functional project teams (Product Development, Implementation & Support, Research & Implementation, Safety, Regulatory, Legal, Marketing) to review concepts/claims trackers and develop robust clinical programs to support Personal Care, Skin Health products.
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Claims and returns; zoning the area; stocking, arranging and organizing merchandise; setting up, cleaning, and organizing product displays; removing. Paid time off benefits include PTO, parental leave, family care leave, bereavement, jury duty, and voting.
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Coordinate with broker, insurer and third-party administrator with regard to all Workers' Compensation claims. Manage electronic file database of insurance policies, renewal activity, claims.
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Partner with claims specialist to improve training and execution in the field. Must maintain a valid DOT Medical Examiner’s Certificate. We provide our clients with solutions in every phase of their cash supply chain, including secured transportation, cash management, cash vault processing, forecasting, ATM, and cash recycler services.
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claims job Company: Metroplus Health Plan in Colonia, NJ
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