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Enters data and assists with compiling reports and analysis on the grievance and appeals process. Collaborates with professionals, health plan departments such as Claims and Medical Management, and the third party administrator staff and legal, as necessary, to investigate and facilitate resolution of individual grievances and appeals.
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Minimum of 5 years Group insurance experience desired with demonstrated experience in at least two of the core business areas in focus (Continuous Improvement, Process Innovation and Reengineering, or Operations.
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Shop Employee Life CycleOversee the administration of shop employee onboarding & offboarding processMaintain HRIS administrative process for employee changes within the shops Process unemployment claims and employment verification requestsExplain and process various federal, state and Heyday Leaves of Absence.
$90,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Independently Develop analytics / process automation tools/ scripts Analysis on Medical and Claim data for patients Clear understanding of statistical concepts and understanding of the underlying assumptions of the models Provide increased focus on analytics and emphasize on providing valuable insights to drive improvement opportunities Qualifications we seek in you.
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Additionally, the DOF will be the primary point of contact for all facilities insurance claims in the region, the selection of compliant vendors, the bid process, and the relationship with the evening cleaning crew(s.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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You will be leading a team overseeing a diverse range of projects involving turnaround management, restructuring, performance improvement and corporate advisory services, helping underperforming businesses navigate their restructuring process and creating a lasting positive impact on organizations.
$225,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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This includes collaborating on division strategy development, the execution of key strategic initiatives, the deployment of technology and other process improvement methods to support the scalability, resiliency and control environment of the department, the successful execution of all operational processes daily, and full compliance with applicable laws and regulations across payments, item processing and lending.
$240,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Identify and analyze areas for improvement within manufacturing processes including plasma cutting, welding, robotic welding, hydraulic assembly, electrical assembly, and paint operations. Implement lean manufacturing and Six Sigma methodologies to enhance process efficiency and reduce waste.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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HR Projects: Participate in HR projects and process improvement initiatives, contributing ideas and efforts to enhance HR operations and efficiency. The HR Coordinator role is pivotal in supporting various HR functions, including onboarding, benefits administration, unemployment claims management, training coordination, and more.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Develop and maintain the Customer Complaint system ensuring effective resolution of Customer Quality issues, including process, tracking, and reducing RMA and warranty claims. Process Driven: Strong understanding and demonstrated experience in the areas of Continuous Improvement, Operational Excellence, Lean principals, 8020, and data-driven decision-making.
Full-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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We are experts in insurance claims processing and assist neighbors through the insurance claim process. This is a full-time hybrid role for a Commission Sales Associate at YAI Home Improvement.
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May identify opportunities for a process improvement for the betterment of the overall customer experience and/or Assurant Operations from a cost saving perspective. ACA (Accredited Claims Adjuster's license) License must be acquired and maintained to be part of this team.
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Process Analysis and Improvement: Analyzing existing reinsurance processes and identifying areas for improvement, such as automation opportunities, workflow optimization, or data accuracy enhancements.
ExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Establish culture, tools and competencies for operational excellence of extra-large programs including leadership, change management, process excellence, best practices sharing, and continuous improvement.
$206,500 a yearFull-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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The ideal candidate will have a strong background in compliance, risk management, and process improvement within the insurance industry. The Senior Process, Controls & Compliance Analyst is responsible for ensuring the effectiveness and efficiency of internal processes and controls, as well as maintaining compliance with regulatory requirements.
$90,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago
claims process improvement jobs in Jersey City, NJ
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