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Collaborate with the Director of Payment Integrity to identify opportunities for financial recoveries and to ensure integrity of claims payments. Working knowledge of claims processing, correspondence and CRM platforms and adjudication strategies Demonstrated Experience with claims testing/auditing/QA.
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Allied Universal® is hiring a Claims Investigator. Investigate insurance claims for a variety of coverage to include workers' compensation, general liability, property and casualty and disability.
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Following-up and escalating when compliance standards are at risk to assure timely disposition & swift resolution Access QNXT Claims processing system, such as Claims, Memos/Alerts, UM Documents, Provider Summary, DMS, etc.
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Sponsorship not Offered for this Role Responsibilities The auto liability claims department is looking for an experienced Claims Examiner to handle moderate complexity auto claims within our organization.
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Department: Provider Network Operations
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New Hot The Customer Care Navigator will interact face-to-face with customers, assisting in providing complete resolution of customer concerns including claims, benefit and enrollment inquiries through health plan navigation, health and wellness coaching and community referrals.
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The individual will work in concert with the operational risk management team, including the vendor risk management and business continuity management teams, to ensure close coordination, integration, transparency and awareness of information risks across all risk management programs.
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Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated claims professional to join our team. Field claims experience with multi-line property and casualty claims and wind/hail.
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Promote and provide recommendations on Engagement / Statement of Work (SOW) in alignment to the IT Vendor Management Strategy levers such as consolidation, and co-terming, or transformation to out-come based models, with supporting analysis.
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This includes overseeing a penetration testing program, reducing vulnerabilities, and partnering with vendor management to assess supplier cyber risk. The group is led globally by the Chief Information Security Officer, with regional representation by the Regional Information Security Officers in EMEA and APAC. There are five global functional teams across our pillars of Governance, Strategy, Awareness, Risk Advisory and Monitoring & Metrics.
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Associate in Claims (AIC) Claim Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation.
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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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Expertise in using SAP product stewardship functionality (Product Compliance, Dangerous Goods, SDS Authoring, Vendor SDS management, Global Label Management). In SAP, we author safety data sheets (SDSs) and labels, manage vendor SDSs, manage master data, classify dangerous goods, and produce EHS-related chemical reports out of our system.
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Assist in regulatory exams, internal audits, and third-party risk management reviews as it pertain to evidencing vendor oversight. The AML Vendor Oversight, Compliance Officer will be responsible for managing AML vendor relationships across SoFi Technologies, Inc. This includes monitoring and reporting on performance, ensuring consistent evaluations occur, and documenting oversight which can be evidenced to internal and external examiners.
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As such, Skanska HR is the sole authorized representative of Skanska USA to execute any agreements with search firms, employment agencies or any employment vendor ("Vendor"). As a condition precedent to any entitlement for payment, a Vendor shall have both (1) Skanska USA Placement Agreement, and (2) an Engagement Job Order executed by an authorized Skanska HR representative.
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vendor claims jobs Company: Metroplus Health Plan in Brooklyn, NY
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