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They will have a holistic understanding of the operational inter-connections of upstream/downstream processes including, but not limited to, provider configuration and system setup, credentialing, contracting, claims processing, and provider payment models.
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The Jonus Group is seeking a skilled California Workers Compensation Claims Adjuster to join our TPA client's dynamic team. 3+ years of experience as a Workers Compensation Claims Adjuster handling California Indemnity claims.
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Working knowledge of claims processing, correspondence and CRM platforms and adjudication strategies Demonstrated Experience with claims testing/auditing/QA. Keep abreast with regulatory requirements as it impacts claims processing.
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Certified Sterile Processing Technician or Surgical Technologist - preferred or. · Certified Sterile Processing Technician (CSPDT) or. Title: Sterile Processing Technician. Certified Sterile Processing Technician or Surgical Technologist - preferred or.
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With oversight from the Program Officer for Travel Coordination, the Program Coordinator, VR&P Processing will play an important role completing pre-arrival processing responsibilities under the Reception and Placement (R&P) Program, as part of the Processing team within IRC's Resettlement, Asylum, and Integration (RAI) Department.
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Duties Description The New York State Office of Mental Health (OMH), Division of Forensic Services is recruiting to fill Psychiatric Examiner (Psychologist), Grade 27, positions in various locations throughout New York State.
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Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution.
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Signal Processing Engineer must obtain and hold a TOP SECRET-Level 2 security clearance (with SCI access) have a strong technical background in Digital Signal Processing and communications theory.
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Collaborating across disciplines and business units, including: the office of general counsel overseeing errors & omissions issues arising from claims handling, the Brandywine (run-off) team, the Bermuda claims team and in-house coverage counsel team.
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Support credit facility loan set-up and Responsible for monitoring loan processing activities, ensuring timely loan funding and payment processing, and Support 14Q/M Regulatory Reporting data collection and reporting related to loans.
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Certified Registered Central Sterile Technician (CRCST) or Certification Board for Sterile Processing and Distribution (CBSPD) Certified Central Sterile Supply Technician - Central Sterile Processing - Evenings.
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Bachelor’s Degree in Metallurgical, Mineral Processing, Chemical, Mechanical or Electrical Engineering with a minimum of fifteen (15) years of experience in mineral processing plants with proven engineering and troubleshooting skills.
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Individuals in this role are expected to be recognized experts in areas such as artificial intelligence, machine learning, computational statistics, and applied mathematics, particularly including areas such as deep learning, graphical models, reinforcement learning, computer perception, natural language processing and data representation.
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The FSO will manage clearance processing, visit certifications, document control, and physical security, including understanding of security databases such as Defense Information System for Security (DISS), Electronic Questionnaires for Investigations Processing (e-QIP) and National Industrial Security System (NISS.
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The Fair Hearing Process Specialist prepares Public Assistance/SNAP/ Medicaid eligibility forms by incorporating all received data and checking for accuracy of and reviewing authorizations, in order to initiate processing of appropriate service required in Aid to Continue Restoration.
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claims processing examiner jobs in Jersey City, NJ
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