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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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7+ years of experience in mortgage operations including loan administration, loan asset management, loss mitigation, mortgage servicing or mortgage banking. Progressive experience and significant exposure to all default areas of loan servicing including Collections, Loss Mitigation, Foreclosure, Bankruptcy, REO, Claims and Default Compliance.
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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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Understanding of provider network operations, including data management, credentialing, contract management, and claims processing. As a member of the Network Development leadership team, the Manager of Network Operations will participate in the successful implementation of provider data management tools at Texicare.
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Performance Monitoring: measure the effectiveness of fraud detection algorithms and claims management solutions, and iterate on product improvements based on data-driven insights. Product Strategy: execute a strategic roadmap for healthcare payment integrity, fraud detection, and waste management, aligning with organizational goals and market needs.
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Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.) Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or financial decision support required.
$86,000 - $165,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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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.
Full-timeExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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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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Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liability or Umbrella claims.
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2+ years of experience within hospital billing/claims processing, revenue cycle operations, revenue metrics and analytics, and revenue management or consulting experience. A Master's degree in public administration or business administration, or in an equivalent or equally acceptable program, and four (4) years of satisfactory, full-time paid experience in a major governmental agency or large corporation or foundation in management analysis or in operational direction, planning, coordination or control of which two (2) years must have been in a supervisory, administrative or consultative capacity; or.
$70,000 - $100,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Your Role:As a Senior Auto Claims Adjuster, your responsibilities include handling complex non-injury auto claims. We are actively hiring for a Senior Auto Claims Adjuster! 2+ years of adjusting complex auto claims experience required.
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The Claims Adjuster are sent to client’s homes for pre-loss assessments & inventory, post-loss assessment & inventory, collections cataloging, reconstruction post loss including compiling inventory lists, photos, and in-depth client interviews.
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These services are delivered across the five primary phases of the capital asset lifecycle (Strategy & Planning, Procurement, Execution & Construction, Operations & Maintenance, and Disposal) and include assessments to capital efficiency, governance structure and process design, contractual compliance, risk management, claims management, and project controls and analytics.
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Proficient in claims management software and Microsoft Office Suite. The Jonus Group is seeking a skilled California Workers Compensation Claims Adjuster to join our TPA client's dynamic team.
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Primary duties of the Trash Collector include: - Operating garbage trucks - Collecting and dumping trash receptacles - Following route assignments as directed Waste Management offers an excellent benefits package that includes medical, dental, vision, life, 401(k) savings and more.
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claims management jobs Company: Metroplus Health Plan in Bronx, NY
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