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Good knowledge and working experience on US Health-care Payer E2E Claims Adjudication , Provider Data Management, Member Enrollment, Care Management, HEDIS, Poupulation Health, and Billing. US Healthcare Payer E2E Claims Adjudication , Provider Data Management.
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The IOI team provides low-income New Yorkers with free comprehensive immigration services ranging from removal defense to both affirmative and defensive asylum to other matters before U.S. Citizenship and Immigration Services (USCIS), the Executive Office for Immigration Review (EOIR) and the Board of Immigration Appeals (BIA.
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Close coordination/contact with all VP Claims Leaders as it relates to ensuring proper staffing across. Strong Property Insurance claims background both personal and commercial lines. distribution capabilities, exceptional financial strength, underwriting excellence, superior claims.
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Experience with Labor Law 200, 240(1), and 241(6), premises liability claims. 3+ years defending personal injury claims venued in NY Supreme Courts. Please consider joining our team by sending your credentials to AttorneyRecruiting@wilsonelser.com and putting "NYC Personal Injury Defense Attorney " in the subject line.
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Your primary responsibilities will include representing clients in all aspects of litigation, from initial case assessment through trial and, if necessary, appeals. Draft legal documents, including complaints, motions, and pleadings.
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Possesses Board Certification in Occupational Medicine [or Internal Medicine/Family Practice]Minimum 5 years experience in reviewing disability claims across both medical and psychiatric conditions.
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Communicate and collaborate with Controllers Group, FP&A and functioning in a high visibility senior management level with reinsurance placement (ceded Re), finance controllers, actuarial, treasury, claims, legal, systems, etc.
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Process scrap, un-usable and usable material for warranty claims in accordance with manufacturer and company policy. The Shipping and Receiving Clerk is responsible for the receiving and shipping of parts, stock, equipment and materials required for the effective and efficient operations of the dealership.
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Reinsurance Claims Analyst. Our client is seeking an accomplished claims professional to technically manage an assigned workload of global Property and Casualty multi-line reinsurance claims, ensuring all claims are handled in accordance with regulatory guidelines, while applying Company and Best Practices.
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Devising solutions in response to member dissatisfaction/ complaints/issues to support ongoing organizational improvement efforts. About NYC Health + Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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Oversee the response to our insurers for insurance claims/suits against the entities or with adjusters and agents for damage claims from storm, flood, fire, wind, etc. Oversee the response to our insurers for insurance claims/suits against the entities or with adjusters and agents for damage claims from storm, flood, fire, wind, etc.
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The Senior Revenue Cycle Specialists responsibilities include identifying patient reimbursement issues, ensuring that claims, denials, and appeals are efficiently processed, and resolving billing-related issues.
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Develop and lead the strategic revenue areas of individual giving and major gifts, annual fundraising appeals, and foundation relations, identifying, cultivating and soliciting prospective donors and funding organizations.
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You will work collaboratively across business units including but not limited to; claims, finance, risk engineering, actuary, and technical underwriting while gaining extensive knowledge in a growing and innovative industry.
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Processes workers compensation claims and conducts the preliminary investigations. This position will have both administrative and strategic responsibilities when it comes to planning, implementing, and maintaining HR programs, policies, and procedures including but not limited to, benefits administration, employee, and labor relations, leave of absence management, workers compensation, talent acquisition and compensation, within the New York office and throughout the enterprise.
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claims complaints appeals jobs Company: Metroplus Health Plan in Newark, NJ
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