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Expert knowledge of claims handling practices to include: coverage analysis, litigation management and negotiation. A JD from an ABA accredited law school may be considered as a supplement to claims handling experience.
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We use best-in-class ticket and claims management systems to ensure clear and complete mark-out services for the excavator or property owner at the work site. Your Responsibilities as a Locator:Correctly, safely, and efficiently locate underground utilities, including telecommunications, electric power, cable TV, gas, water, and sewer systems.
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Responsibilities also include attending hearings, arbitrations, court conferences, drafting arguments and motions; negotiating settlements of pending cases; overseeing outside counsel and directing claims personnel with respect to legal action plans implemented on claims.
$101,253 - $132,894 a yearExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Key ObjectiveUnder the direction of the AVP and VP of Claims and Claims Team Leader you will review coverage, investigates facts of third-party claims, secure evidence, assesses, addresses subrogation/recovery/tenders, and apportions liability and settles claims at the best outcome within established claim best practices guidelines and client instructions.
$71,500 - $115,000Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Job Description - Claims Adjuster-Auto Damage (187913) Claims Adjuster-Auto Damage. auto damage claims adjuster. Evaluate and handle claim payments and resolution of claims without payments.
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Provide ongoing analysis and evaluation of client communication/health/wellness strategies to determine effectiveness, penetration, and impact to client's total claims and utilization, biometric data, and employee engagement.
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Proficiency in Microsoft Office Suite (especially Excel and PowerPoint)Strong written and verbal communication skillsWhat Would Be Nice To Have:Working knowledge of APM and/or VBP models in developing health claims projectionsProblem-solving abilities, critical thinking skills, and the ability to model from a blank sheet of paper rather than models previously developed.
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High school diploma or GED; one year of college level anatomy or pre-med classes or advanced medical terminology training, including ICD10 and CPT Coding; minimum two to four years’ experience in medical claims processing; word processing and data entry skills; Must have the ability to train employees and familiarity with HIPAA guidelines.
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You will work collaboratively across business units including but not limited to; claims, finance, risk engineering, actuary, and technical underwriting while gaining extensive knowledge in a growing and innovative industry.
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Majesco is seeking a Sr. Principal Architect for our Salesforce-native Product line ClaimVantage: Claims for Life and Health, Absence, and Accommodations. Majesco's software for core insurance functions include Policy Administration, Underwriting, New Business Processing, Billing, Claims, Product Modeling, Incentive Compensation and Producer Life cycle Management.
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To date we have digitally insured tens of millions of policyholders worldwide, delivering peace of mind, paying claims, and serving as a critical financial backstop and lifeline for consumers, families, and small businesses.
$80,500 - $137,000Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Process scrap, un-usable and usable material for warranty claims in accordance with manufacturer and company policy. The Shipping and Receiving Clerk is responsible for the receiving and shipping of parts, stock, equipment and materials required for the effective and efficient operations of the dealership.
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Submit insurance claims promptly and follow up on any delays or denials. You’ll be responsible for accurately coding medical procedures and handling insurance claims. Knowledge of coding systems like ICD-10, CPT, and HCPCS. Comfortable using medical software and electronic health records.
$27TemporaryExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Meet with customers, perform storm damage inspections on residential properties, assist with insurance claims, select project materials, collect customer payments, generate leads & set appointments & ensure 100% customer satisfaction.
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Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager.
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claims mhp jobs Company: Metroplus Health Plan in Bronx, NY
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