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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.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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The Manager Quality Engineering, Post Market Surveillance will manage the Post Market Complaints Engineering Team and will be responsible for the complaint engineers completing medical device complaint investigations, product evaluations and the development of process strategies, procedures, goals, and metrics to ensure ongoing compliance to the overall complaint handling process and Terumo Medical Corporations policies and procedures.
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Investigate and resolve food quality and service complaints(CAPA). PCQI, SQF Practitioner, HACCP, FSMA,FSVP, ORGANIC, KOSHER, GLUTEN FREE-BRC. Oversee the creation and maintenance of all pre-requisite programs such as GMP, Allergen Control, Sanitation, SOP, SSOP, Recall, Traceability, Food Security, Raw Materials Testing, and Finished Product Testing.
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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.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Manage injury claims and L&I claims in collaboration with the EHS Coordinator. As the cornerstone of both departments, the incumbent will directly manage and engage in the workload of the EHS Coordinator and HR Generalist, ensuring all practices are in strict compliance with state regulatory requirements.
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Proficiency with CI/CD tools (i.e., Jenkins, GitLab CI/CD), configuration management (i.e., Ansible, Puppet), and containerization platforms (i.e., Docker, Kubernetes). Create and participate in Roadmap and Strategic planning initiatives including Infrastructure Automation (creating systems, OS configuration, and application deployments as code), Continuous Delivery (building, testing, deploying applications quickly and in an automated manner) and Site Reliability Engineering (operate systems; monitoring, orchestration, and designing for operability and security.
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Providing guidance to the North American claims teams regarding coverage issues, coverage disputes and claim handling issues, time-limited demands, and emerging issues, including strategic direction, as well as recommending and approving outside coverage counsel assignments.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Software and Image deployment management software such as Microsoft Systems Center Configuration Manager (SCCM), Intune and Autopilot. Mobile Device Management (MDM) platforms such as InTune and Airwatch.
$130,000 - $160,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Leading the configuration of OneStream including but not limited to : Workflows, Data Sources, Transformation Rules, Business Rules and Calculations, Dashboards, Data Management Sequences, Cube / Master Data, System Security.
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Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.) Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.
$86,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Technology Expertise: Proficient in macOS operating system deployment, configuration, and troubleshooting. The ideal candidate will possess expertise in macOS, JAMF, SCCM, Intune, and project management.
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Understand medical billing, coding, insurance claims processing, and revenue cycle management. Review and process complex claims related to Maven's fertility treatments, procedures and applicable medications, and expenses related to additional paths to parenthood in accordance with company policies and benefits plan designs.
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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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Manage and maintain Windows and Mac systems using Intune and JAMF Pro, respectively, ensuring optimal configuration, performance, and security. Deep expertise in Intune, JAMF Pro, NinjaRMM, ServiceNow, or FreshService.
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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.
$125ExpandUpdated 12 days ago
claims complaints configuration jobs Company: Metroplus Health Plan in Newark, NJ
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