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We have assignments available to help our insurance carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions. 10 most current years of P&C commercial claims adjusting experience with insurance carrier or TPA.
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The Workers’ Compensation Claims Adjuster (Lost Time) reviews, analyzes, investigates, makes liability decisions and approves the release of benefit payments up to authorized levels on initial, continued and reopened claims.
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SIU investigates auto, property, Workers' Compensation, and liability claims of varying complexity in which specific indicators have been identified; and coordinates with law enforcement and / or the state fraud bureaus for regulatory compliance and criminal prosecutions.
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We are a nationwide risk mitigation company seeking private investigators to conduct surveillance for clients who suspect fraudulent insurance claims. Ethos is looking to hire a part time, experienced Insurance SIU / Claims Field Investigator in the Las Vegas, NV area.
$22 - $25 an hourPart-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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WHAT WE ARE SEEKING We have assignments available to help our insurance carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.
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Our client, an rated Insurance Carrier, is seeking to add a Workers' Compensation Claims TPA Oversight Specialist This person would be responsible for promptly evaluating and reviewing New Jersey and Pennsylvania Workers’ Compensation claims handled by Third Party Administrators (TPA) for adherence to company’s best claim practices.
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Under minimal supervision, the Workers Compensation Claims Adjuster, reviews, analyzes, investigates, makes compensability decisions, set appropriate reserves, and approves the release of benefit payments up to authorized levels on initial, continued, and reopened claims.
$48,300 - $94,500 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Appeals and Recovery Support Specialist position investigates, examines and reviews claims’ appeals, recoveries, and escalations in accordance with state and federal insurance regulations, government statutes, and NCQA/CMS standards.
$21.65 - $32.99 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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If required, liaise with the Workers' Compensation Claims Coordinator during injury follow-up discussions and the implementation of Stantec's 'Early and Safe Return to Work' program at a local level.
$30 - $41.97 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Job Description: As an Insurance Defense Litigation Attorney, you will handle a diverse caseload of insurance defense matters, representing clients in litigation involving insurance claims.
RemoteExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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Follows the required guidelines, activities, and pacing delineated in the WGU Instructor Practitioner guide, Cohort Seminar course of study, and/or TPA course of study. Amenable partner with other WGU Teachers College departments including Program Mentors to provide effective support for students regarding Cohort Seminar Requirements and TPA completion.
$27,199.99 - $40,799.99 a yearPart-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Consult with the ICN leaders, professionals, and various Risk & Brand Protection compliance groups (Anti-Corruption, Cyber Security, CoRe Procurement, etc.) Critically review business relationship submissions in the Third Party Risk Management Gateway, the system used to clear potential business relationships within specified time frames.
$66,200 - $135,800 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The AVP will play a key leadership role on the HQRI team, partnering directly with the HQRI leadership team, leaders across the enterprise, including Market leadership, and external companies to create Medicare Risk Adjustment strategies to support Humana's industry leading position.
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Enters workers' compensation claims into the TPA online website, completes C3 and submits all relevant information to the TPA. Determines if workers' compensation claims should be accepted or denied, if any loss time will result, and reports findings to the TPA.
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Certified Professional in Healthcare Risk Management (CPHRM) preferred. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
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tpa compensation claims risk insurance jobs Company: Nordstrom in Las Vegas, NV
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