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Collaborating across disciplines and business units, including: the office of general counsel overseeing errors & omissions issues arising from claims handling, the Brandywine (run-off) team, the Bermuda claims team and in-house coverage counsel team.
$128,500 - $215,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Collaborate with the Director of Payment Integrity to identify opportunities for financial recoveries and to ensure integrity of claims payments. Working knowledge of claims processing, correspondence and CRM platforms and adjudication strategies Demonstrated Experience with claims testing/auditing/QA.
$150,000 - $170,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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AVP Claims - Allied Healthcare & MPL page is loaded. AVP Claims - Allied Healthcare & MPL. Expert knowledge of claims handling practices to include: coverage analysis, litigation management and negotiation.
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Customer Success Specialist (Bengali / Hindi / Urdu) Customer Success Specialist (Bengali / Hindi / Urdu)
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Data Management: Oversee the collection, processing, and utilization of data for training the chatbot, ensuring sensitivity and compliance with data protection regulations. AI and Machine Learning: Utilize state-of-the-art AI and machine learning techniques, including natural language processing (NLP), to train the chatbot for accurate and effective communication.
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This experience typically includes: monitoring occupant space utilization, energy and water conservation, sustainability and environmental hazards programs; coordinating alteration and renovation projects; gathering information to assess the level of customer satisfaction, i.e., surveys, interviews with tenant contacts, focus groups; monitoring real property budgetary and financial data; and, administration of repair and/or operation and maintenance contracts.
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Resilience is seeking a highly-motivated cyber insurance or privacy attorney to join itsglobal Claims and Incident Management team. Act as the lead within the Resilience Claims' internal emergency response team.
$190,000 - $225,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Recent experience in case management, home health, utilization review, and or unit clinical specialty required. He/she is responsible to ensure compliance with regulatory standards related to level of care determinations, utilization and discharge planning.
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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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Qualified candidates will have prior LTSS or Medicare Inpatient Utilization Management experience within a Managed Care setting, LTSS, MLTC MAP, will have a NYS Registered Nurse License , familiar with MCG/Milliman/Interqual Guidlines and a desire to join a great team.
$102,000 - $107,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Litigation management of Cyber and Technology Errors and Omissions (E&O) liability claims including: retention of counsel, strategy planning and analysis that may include alternate dispute resolution, direct negotiations and/or trial management.
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Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum.
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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.
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This is a full-time on-site role as an Auto Damage Adjuster at Blue Star Brothers in the New York City Area. The Auto Damage Adjuster will be responsible for handling car insurance claims, property damage assessments, and analyzing auto claims to determine coverage eligibility, along with basic clerical work, such as filing, scheduling, and assisting with parts order.
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A strong technical background in several technical areas of department focus: energy production, distribution and utilization; energy market analysis; plant simulation; energy policy; nuclear facility deployment projects; energy regulatory basis; facility site characterization; non-electric applications; coupled energy technologies; energy storage; energy systems modeling and simulation; and nuclear engineering.
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claims utilization jobs Company: Metroplus Health Plan in Newark, NJ
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