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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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Job Tasks/Duties:The chosen candidate will be involved in a variety of dynamic activities relating to wastewater treatment processes, permitting and compliance.
$62,370 - $93,587Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The team deploys the firm's capital for proprietary investment strategies and facilitates client transactions, investing in a broad array of products including corporate bonds, corporate loans, trade claims, post-reorg equities, litigation claims, structured products and public equities.
$100,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Conduct home visits, and personalized appointments as needed to complete the enrollment process. The Medicare Sales Representative II is involved with health education through the distribution of health ed.
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Under general supervision, with latitude for independent initiative and judgment, the analyst will assist in a broad range of analytical, administrative and research support tasks for the Customer Claims unit.
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STV is seeking highly motivated Civil/Water Resources Engineer for positions in either our Pittsburgh, Philadelphia, PA or Lawrenceville, Newark, NJ offices, with experience public transportation improvement projects for NJDOT, SJTA, NJ Turnpike, PennDOT, and other agencies.
$134,887 - $180,871 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Instruct individuals, and other groups on topics such as health education, disease prevention, and childbirth, and develop health improvement programs. We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, and correctional health services.
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Potentially maintain a minor caseload in which you handle, review and process claims with the greatest complexity. As AVP, Claim Manager , you will be responsible for product quality, and performance of the liability claims professionals on your team and supporting the VP Claims Manager.
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We are seeking a Corporate Accountant to join the Brookfield Properties U.S. Office Division in New York, NY. In this role, you will play a key part in inspiring change and continual improvement.
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Must have 18 months of experience in at least one of the following robotics automation tools: - Blue Prism - Automation Anywhere - WorkFusion - Pega Robotics / OpenSpan - UiPath Must have 18 months of experience in at least 2 of the following areas: - Implementation using Agile methodologies or robotics tool-specific methodologies - Process modeling - Opportunity assessment - Operating model improvement including center of excellence - Liaising between client leadership and developer teams.
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With 98% of cyber insurance claims in the past five years coming from small and mid-size businesses with revenue under $2B, providing an integrated solution to help manage risk is more critical than ever.
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10 or more years of experience as a claim professional and/or claims management with a high degree of specialized and technical competence in the handling of professional and general liability claims with emphasis on hands-on file and litigation management.
$60,000 - $99,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Technical mastery of Lean Six Sigma (Green Belt Certification) or other process improvement methodologies. This is an important role in the centralized performance improvement group responsible for setting policy, establishing, and implementing continuous improvement initiatives throughout PSEG. Works with management and businesses associates to address the Company's business process issues.
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This backlog includes tasks associated with construction and capital improvement projects for MTA agencies including New York City Transit and various infrastructure improvement projects for New York government agencies such as NYCHA and DASNY, as well as work sharing with other STV Offices.
$39,300 - $176,567 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Working in a hospital, outpatient center, private practice, imaging center or other healthcare facility, you'll prepare patients for X-rays, operate X-ray technology, process films for radiologists and physicians and handle patient records.
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claims process improvement jobs Company: Metroplus Health Plan in Jersey City, NJ
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