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Collaborate with other organizational departments responsible for functional aspects of the HIV Special Needs Plan, including, but not limited to Integrated Care Management, Behavioral Health, Managed Long-Term Care, Utilization Management, Quality Management, Credentialing, Regulatory Affairs, Compliance, Corporate Affairs, Provider Network Operations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
$150,000 - $157,236 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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The Provider Configuration Analyst will be responsible for the configuration of MetroPlusHealth’s systems to ensure that claims are processed according to Provider contracts. Conduct ongoing reviews of systems and processes to ensure accurate and optimum setup for both provider and claims.
$85,000 - $95,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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WMG's corporate Legal Department is located at corporate headquarters in NYC (and also in London) and supports WMG's recorded music labels, music publishing companies and all operating companies and departments in various legal matters, including litigation and claims, digital licensing, mergers and acquisitions, anti-piracy, securities, compliance and employment.
$180,000 - $200,000 a yearFull-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Technical skills in healthcare regulatory compliance, Medicare, Medicaid reimbursement, Start, HIPAA privacy laws, Fraud & Abuse and False Claims law. Develop and deploy education focused on identified business processes to mitigate the risk of noncompliance in areas vulnerable to error or noncompliance such as billing, coding, Stark laws, fraud & abuse laws, false claims or other identified risk areas.
$225,000 - $275,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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A deep knowledge of claims adjudication typically achieved through a minimum of seven years’ experience adjudicating General Liability Bodily Injury Claims claims with exposure of $100,000 or more.
$126,400 - $180,480 a yearFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Gallagher also offers claims and information management, risk control consulting and appraisal services, human resource consulting, and retirement services to clients around the world. You will have exposure to all divisions and service lines with the opportunity to work in one primary area: Gallagher Global Brokerage, Gallagher Benefit Services, Risk Placement Services or Gallagher Bassett Services.
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If you are interested in the exciting, high paying and rewarding career of an Independent Claims Adjuster, apply now; and we will send you an immediate email with more details. Our focus is to assist you by training you for Success as a Licensed Independent Claims Adjuster.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Interfaces with the HRA/TDC on-site investigators reporting potential claims as well as cases of concern by preparation of preliminary reports, and determination of priority of investigation given risk management assessment Acts as a resource person by presenting relevant risk management issues for discussion and evaluation.
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Zurich Certified Insurance Apprentice including an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support area. High School Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support area OR.
$117,500 - $192,500 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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In conjunction with Underwriting Associate, retain key assigned renewals and lead coordination of Loss Control and Claims Service plans for service level accounts. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
$80,500 - $137,000Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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In this role, you will be responsible for representing our clients in insurance-related legal matters, defending against claims, and providing expert legal counsel. Handle general liability cases, including but not limited to personal injury, property damage, and negligence claims.
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Contribution and participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement (CQI) teams, consistent adherence to the specific rules and regulations of the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient and Customer Service.
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Recent proven experience working for or working with Tier 1 multi-line insurance carriers across both retail and commercial lines to deliver innovation / transformational technology orientated workExperience with data, analytics &/or software and deep knowledge of the insurance value-chain, particularly in areas such as underwriting/distribution, customer analytics, digital and technology & claims.
$180,000 - $204,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Oversee the response to our insurers for insurance claims/suits against the entities or with adjusters and agents for damage claims from storm, flood, fire, wind, etc. Oversee the response to our insurers for insurance claims/suits against the entities or with adjusters and agents for damage claims from storm, flood, fire, wind, etc.
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Assist Director of Human Resources with the Company’s employee relations function including resolution of disagreements and investigations of alleged discrimination or harassment claims. Agility Worldwide is a national fitness studio with more than 200 gyms open in 20 states.
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claims adjudication jobs Company: Metroplus Health Plan in Bronx, NY
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