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We have assignments available to help our insurance carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Commercial Claims Adjuster or Examiner positions. P&C Commercial Claims Adjuster - Carrier or TPA - REMOTE.
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Department: Provider Network Operations
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Following-up and escalating when compliance standards are at risk to assure timely disposition & swift resolution Access QNXT Claims processing system, such as Claims, Memos/Alerts, UM Documents, Provider Summary, DMS, etc.
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Participating in indirect tax projects, including sales and use tax refund claims. Participating in indirect tax projects, including sales and use tax refund claims. ACT Consulting has an immediate need for a State and Local Transaction Tax Accountant located in New York, NY with our direct client.
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HUC-JIR, the 149 year old academic, spiritual, and professional leadership development center of Reform Judaism, has an endowment of approximately $250 million, significant real estate and an expense budget of $45M. As one of the key members of the President's senior team, this position will report directly to the President and will be responsible for the College's finances, human resources, IT, legal, financial aid, and facilities.
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Understanding of provider network operations, including data management, credentialing, contract management, and claims processing. Work closely with internal stakeholders, including IT, TPA, and Network Development, to address provider data-related issues and facilitate effective network operations.
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Review and oversight of quarterly fund closes based on data received from the Third Party Administrator (TPA), which includes review of related support for all balance sheet and income statement accounts.
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The attendi ng physician w i ll perform dut i es of a fu ll-t i me rad i ation oncologist i n our department, i n clud ing but not limited t o seeing new ou tpa t ient and inpatient consu lt s and follo w ups , developing and v i ewing radiat i o n plans , perform ing on treatment visits, and participating i n departmenta l and hosp i ta l meetings includ i ng quality assurance, tumor boards and ca n cer comm itt ee.
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The auto liability claims department is looking for an experienced Claims Examiner to handle moderate complexity auto claims within our organization. Evaluate, negotiate, and settle assigned property damage or bodily injury claims within authority granted, or seek authority for those claims in excess of authority.
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Communicate with University Development Office, Chief Investment Officer and/or Treasury Services regarding new endowment gifts, Charitable Gift Annuities or changes to University operating investment activity.
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3-5 years experience in a managed care government program claims processing/analyzing experience, working with providers in addressing reimbursement issues. Liasies between Finance, Network Operations, claims, UM, Provider Maintenance, Core and Contracting departments to resolve ongoing issues and determines root cause and ultimately, resolution of issues.
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Job Description Field Investigator Job Classification: Non-Exempt Position Summary: A majority of the work activity involves field SIU requiring the investigator to obtain high quality videotape documentation of claimants who have filed workers compensation and liability/personal injury claims.
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The Finance Office is requesting to hire an Administrative Staff Analyst NM-I to function as a Quality Assurance Manager within the Revenue & Reimbursement Office to handle the increased volume of claims due to COVID-19 and Asylum seekers and the frequency of audit reviews issued from Federal & State entities, single audits, and OMB with shorter deadlines for compliance.
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Support reinsurance claims recovery process, providing on-going reporting to Group, responding to inquiries, and collaborating with other teams to ensure accurate reporting and recoveries are received in a timely manner from reinsurers and state catastrophe funds.
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Gallagher Bassett is the premier provider of global claims, loss control, and risk management consulting services, dedicated to exceptional customer service and demonstrably superior outcomes. Gallagher Bassett Technical Services is seeking a qualified environmental, health, and safety (EHS) professional to become a valued member of our Industrial Hygiene/Safety & Building Sciences team.
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claims tpa endowment jobs Company: Metroplus Health Plan in Jersey City, NJ
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