- UpvoteDownvoteShare Job
- Suggest Revision
As a Team Leader, you will be responsible for product quality, and performance of the liability claims professionals on your team and supporting the VP Claims Manager. You may be responsible for maintaining a minor caseload, as determined to be appropriate by the VP Claims Manager.
$230,000ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
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.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Provides opportunities for RFMs to become CEFM certified; SFMs to get Black Seal, Asbestos Awareness and OSHA certified. The DOF will oversee the following for all KIPP NJ & KIPP Miami facilities: facilities management and planning, lease and licensing agreements, hazardous materials management, team management, security systems, capital improvement, maintenance and repair service, pest control management, energy management, refuse collection and disposal, compliance, budget development and management, snow removal program, landscaping program, cleaning/custodial program and refuse & recycling programs.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
4 years experience with Guidewire Cloud Claims migration. 4 years of experience working in one of the following sub service areas: Insurance Products, Underwriting, Claims, Billing & Payments, Policy Administration or Distribution.
$208,250 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
This position reports to the AVP, SIU & Compliance who is located in New York, NY. As an SIU Investigator, you will be tasked with the identification, investigation, and deterrence of instances of fraud in both claims and underwriting for a multi-line, commercial carrier.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing. Work with provider reimbursement tools, collaborate with Claims Operations, Utilization Management, and Network Management to setup pricing methodologies.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Manage insurance claims and financial reporting for LIHTC/HOME properties. The VP of Property Management will report to the President and Chief Executive Officer; serve on the senior leadership team; and supervise the Facilities Maintenance Manager, the Operations Manager, Security Director, Architect and the Event Services Director as well as our outsourced third-party property management companies.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Applicant acknowledges, understands, and agrees that any claims, disputes, causes of action, of any kind, in contract or tort, at law or equity, related to the employment of the Applicant by [BRAND BUMBLE BEE BLINDS OF FAIRFIELD COUNTY, shall be made BUMBLE BEE BLINDS OF FAIRFIELD COUNTY, and not HorsePower Brands or its affiliates.
$95,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Coordinate with third party administrator to manage disability claims according to the plan. Administer COBRA enrollments/changes and responds to and manages unemployment claims and workers compensation cases.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Verify finished dietary supplements against label claims minimally on an annual basis or as requested by client (Material Conformance) Lead the COA qualification plan for identity testing, composition, strength, purity and contaminants such as heavy metals and pesticides for all ingredients used in dietary supplements (Material Conformance.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Our team of specialist brokers, consultants and in-house claims management combine threat assessment, impact analysis and crisis management and response with individually structured insurance programs.
$150,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service. JOB DESCRIPTION :Essential Duties & Responsibilities:Performs a combination of duties in accordance with departmental guidelines:Manages an inventory of low to mid complexity and exposure Private D&O and EPL claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
At least 2 years of hands-on experience with real-world studies using large claims/EMR databases in Health Economics and Outcomes Research (HEOR). Extensive experience working with large U.S. insurance claims databases, EMR, and health outcomes research (e.g., Optum, Premier, Marketscan, Humedica, etc.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
In this role you’llOversee the execution of intricate projects within CLX, ensuring alignment with business goals and timely project completionBuild and maintain strong relationships with key stakeholders, including executive leaders and Product partners, to drive strategic initiatives for operational excellenceSupport comprehensive financial analysis and forecasting activities, contributing to the financial strategy of claims experience operations.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Strong knowledge of key laws and regulations impacting the pharmaceutical industry including the PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state transparency and disclosure laws.
ExpandApply NowActive JobUpdated Today
claims adjudication jobs Company: Metroplus Health Plan in Newark, NJ
FEATURED BLOG POSTS
How do Employers Verify Education?
At any stage in your professional journey, you may come across an employer or a recruiter who asks to verify your educational credentials. This shouldn’t come as a surprise as 30% of candidates admitted to lying on their resumes, yet 79% of them never get caught. In fact, 85% of employers in the US who conduct background checks find that candidates have lied on their resumes or job applications.
How to Be More Articulate and Speak More Clearly
Have you ever had those moments when you're talking to someone and have no idea what they are saying? The best response you can muster up is a simple head nod or blind agreeance?
How to Ask for a Higher Starting Salary
Maybe you think you’ve finally found your dream job. Everything about it is perfect, except… the salary. Unfortunately, it just isn’t where you want it to be. So, should you give up and move on? Given all the effort you’ve already invested, it’s probably wise to try and negotiate a better salary before you do.
How to Pass a Personality Test with Flying Colors
Whether you’re applying for your first job or looking to move up the career ladder, personality tests aren’t usually the first thing we think about. But surprisingly, they can have a massive impact on how our future employers perceive us. In fact, a 2017 study by the Society for Human Resource Management (SHRM) has found that 32% of U.S. employers use personality tests when hiring for senior management positions, and 28% use them for middle management positions. Personality tests are also used for hourly workers and contractors, though less frequently.
10 Practical and Effective Strategies to Persuade Anyone of Anything
Learning how to persuade people is like a key that can unlock any door. Acing the interview for the job of your dreams. Getting the best deal on a new car. Closing a sale with a skeptical customer. All of these wins require a level of persuasiveness.
A Potential TikTok Ban?!
As you may already know, there has been a lot of talk lately about the possibility of a TikTok ban. While this has not yet come to fruition, it's important to consider the implications this could have for businesses and recruiters who rely on TikTok as a platform to market their brand, recruit new talent, and connect with their audience.