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Keeps Building Manager informed at all times in the areas of: property conditions, tenant complaints, suggestions for improvement of property performanceAnswer telephones, make copies, scans, and faxes, distribute incoming mail and faxes, and other general clerical functions for the property.
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1 year of experience in any of the following areas: Grievances and Appeals, Claims, Regulatory Compliance, Customer Service, or related fields required. Bilingual in English and in one of clients Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese.
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Job responsibilities Primary function is to investigate, evaluate and resolve new and existing high-profile complex claims, including: Concussion/CTE sports injury claims Toxic product exposures (Talc, benzene) Opioid public nuisance litigation claims PFAS groundwater contamination MTBE First and Third party Environmental Property damage and bodily injury exposure.
$105,000 - $132,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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They have presented oral and written evidence before arbitration panels in proceedings involving disputes between investors and governments concerning investors' expectations, regulatory regime changes, indirect expropriation, sovereign insurance claims, and damages quantification.
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Maintain and Provide Oversight of Quality Assurance Systems including: Deviations and Investigations; Corrective and Preventive Actions; Product Complaints; Change Control; Document Control; and GxP Training.
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Works daily Accounts Receivable accounts via online work file and/or hard-copy reports; checks claims status, re-submits claims, and writes appeal letters. 1-2 years of experience in medical billing or health claims, with experience in billing systems in a health care or insurance environment, and familiarity with ICD/CPT coding.
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Try and/or arbitrate cases and prepares motions in liminie and summary documents Draft post-trial motions Prepare for and participate in appeals Provide legal opinions to claims clients Investigate and pursue subrogation litigation as appropriate Manages projects.
$82,000 - $146,125 a yearFull-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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The RoleSenior Claims Specialists at Willis Towers Watson drive proactive adoption of risk mitigation strategies and positive outcomes for clients who experience losses. Advocate for timely, optimal resolution of claims, including escalation/negotiation with claim service providers on disputed claims.
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Lead investigations and responses to SDOH (State Department of Health) and CMS (Center of Medicaid and Medicare) complaints. This role is responsible for the investigation and resolution of all Medicare and Medicaid lines of business complaints and grievances.
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As a Senior Benefits Leave Specialist, you'll be at the forefront of coordinating support for all leave of absence cases and workers’ compensation claims. Experience with managing leave of absences cases (FMLA/Disability/ADA) claims case management.
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Collaborate with the Corporate Safety Director on worker's compensation claims and lead the emergency response team. Collaborate with the Corporate Safety Director on worker's compensation claims and lead the emergency response team.
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The NYU Student Health Center is seeking a per-diem dermatologist (7 - 14 hours per week) to provide consultations on referral from our primary care services for common problems including acne, psoriasis, pigmented lesions, and other presenting complaints.
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We are seeking a talented Grievance & Appeals Specialist who will be responsible for responding to written/verbal grievances, complaints, appeals, and disputes submitted by members and providers in accordance with NCQA, CMS, State, and other regulations.
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OGC addresses myriad legal issues, including compliance and risk management, litigation strategy, municipal finance and pension investment transactions and disclosures, agency audits, settlements of claims brought on behalf of and against the City, employee discipline, records access, public policy, and proposed federal, state, and local legislation.
$120,000 - $135,000Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Reports necessary complaints and partners with CSM/NRC to ensure full resolutionFiles weekly site visit and customer contact reports for service improvement purposesEducates and trains physicians and hospital personnel – OR, Radiology, Central Sterile Processing, Biomedical and Information Technologies – ontechnical matters relating to our technology-enabled procedures.
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claims complaints jobs Company: Metroplus Health Plan in Newark, NJ
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