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Familiarity with terms such as MMC, HMO, PPO, IPA and Capitation and how these payers process claims. Conducting collection activity on appealed claims by contacting government agencies, third party payers via phone, email, or online.
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You have a general understanding of healthcare topics, such as claims processing, EHRs, medical billing and coding, reimbursement models, and Medicare/Medicare Advantage. You have a general understanding of healthcare topics, such as claims processing, EHRs, medical billing and coding, reimbursement models, and Medicare/Medicare Advantage.
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All Risk Property, Commercial Liability, Automobile, Workers Compensation, Management Liability, Marine, Excess & Umbrella, Claims Management, Risk Engineering services, etc. These companies and five other subsidiaries, deliver state of the art risk financing programs, insurance products, risk engineering and claims management services that enable our clients to effectively and efficiently manage their risks.
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The Rights Management Department oversees all rights-related functions including, but not limited to, monetization across platforms, partner asset management, internal catalog management, agreement review, copyright claims, takedowns, publishing administration, neighboring rights, and synchronization licensing.
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Randstad is seeking an experienced Rebate Operations Analyst to support Commercial & Government claims processing within Order to Cash Rebate Operations, Medicaid, Managed Care, & GPOs. This is a hybrid position that requires the selected candidate to work part of the work week onsite in Whippany, NJ. Local candidates are preferred as relocation cost reimbursement is not available for this position.
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HomeSafe Alliance is seeking a highly skilled and motivated Claims Manager to assist in all aspects of claims management, supporting and promoting process improvement methodologies and best practices that enhance claims service.
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Tracks and processes claims by returning damaged goods; handling liquidation merchandise; maintaining and cleaning the clearance area; andutilizing technology to capture required reporting and documentation.
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Support activities related to the Products Liability policy including annual renewal, notification of insurance claims / legal action, investigation of related events and participation in the Risk Management Committee.
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Investigates losses/claims with illegal, fraudulent or subrogation aspects in accordance with assignment from client or assigned attorney representing insurer. Accepts assignments from customers for investigation of losses or claims and pursues investigation in accordance with the specific needs of the assignment.
$60,000 - $75,000 a yearExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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Offer user support and feedback on references and core claims library within the Medical/Legal/Regulatory review and approval system (Veeva Vault PromoMats) Provide support to markets on initial setup, ingestion and maintenance of references and a core claims library within the enterprise review and approval system (Veeva Vault PromoMats.
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Prism Specialties Art specializes in the restoration of artwork and collectables for insurance claims and is affiliated with Prism Specialties. Learning & Development: Develop your skill set within the company by increasing your knowledge and experience in the world of art restoration.
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The name of the system was branded by the Client as Content Central and is a SAAS system called a DAM. This role will harvest and enter reusable assets including images, text, claims, and metadata from existing content for upload into Veeva PromoMats.
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Analyze the impact of crash-avoidance technology on Auto insurance claims. Perform trend analysis to understand changes in the frequency and severity of insurance claims. Analyze the impact of crash-avoidance technology on Auto insurance claims.
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As a dedicated SIU investigator, you will protect USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures.
$75,540 - $135,970 a yearFull-timeExpandApply NowActive JobUpdated 26 days ago - UpvoteDownvoteShare Job
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Track cores, returns, warranty claims on a daily basis to ensure accuracy. How many years of previous experience do you have as an Automotive Service Manager? Track cores, returns, warranty claims on a daily basis to ensure accuracy.
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claims examiner jobs in Trenton, NJ
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