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The Deputy Chief Operating Officer (DCOO) is a member of MetroPlusHealth's Senior Management team and is vital in providing assistance with the oversight, management, and supervision of Operations, in a matrix organizational structure including: PMO, Process Improvement, Provider Network Operations, Call Center, Credentialing, Facilities, Enrollment & Membership, Vendor Management, Customer Success, and Claims.
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This position is for an Auto Estimator, handling claims resulting in property damage to vehicles. Claims Appraiser - Auto Estimatics. You may be the first point of contact to meet with our insureds, explain coverage, estimate vehicle damage, and help them through the claims process while providing Remarkable® service.
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The Jonus Group is seeking a skilled California Workers Compensation Claims Adjuster to join our TPA client's dynamic team. 3+ years of experience as a Workers Compensation Claims Adjuster handling California Indemnity claims.
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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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Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution.
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Department: Provider Network Operations
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QualificationsEstimating knowledge using CoreLogic and/or Xactimate is required, along with the ability to navigate within Corelogic suites and guidewire claims handling platforms. Collaborates and consults with our Inland Marine/Builders Risk Underwriting and Engineering partners to determine liability and identify risk conditions to drive continuous improvement toward claims handling and risk management excellence.
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Must have experience in: payment integrity, fraud detection, claims analysis. Performance Monitoring: measure the effectiveness of fraud detection algorithms and claims management solutions, and iterate on product improvements based on data-driven insights.
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Assist clients with the completion and filing of victim compensation claims with the State Office of Victim Services. The Domestic Violence Victim Advocate is a part of the Crime Victims Assistance Bureau (CVAB) within the Special Victims Division, reporting directly to Adrianna Barona, immediate supervisor, under the overarching authority of the Chief of CVAB.
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AVP Claims - Allied Healthcare & MPL page is loaded. AVP Claims - Allied Healthcare & MPL. Expert knowledge of claims handling practices to include: coverage analysis, litigation management and negotiation.
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The team deploys the firm's capital for proprietary investment strategies and facilitates client transactions, investing in a broad array of products including corporate bonds, corporate loans, trade claims, post-reorg equities, litigation claims, structured products and public equities.
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Technicians maintain detailed records of all work performed, including parts used, labor hours, and diagnostic findings, to facilitate billing, warranty claims, and future reference. With a rich heritage in the automotive industry, we are proud to announce our expansion as we integrate the Genesis franchise into our esteemed family that already includes Mercedes-Benz and Audi. Our journey began with a commitment to delivering the pinnacle of automotive excellence.
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Gather evidence and prepare individual claims for student debt relief; LAFLA represents these clients by, among other things, seeking discharges of their federal loans when they have attended fraudulent for-profit schools or when they are disabled, stopping administrative wage garnishment, federal benefit offsets, and income-tax intercepts, and fighting illegal debt collection practices.
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Get exposure to civil law, including legal assistance (estate planning, family law, tax matters); tort claims (represent interests of the U.S. in tort issues such as Federal Tort Claims Act/Military Claims Act); labor law (arbitration and equal opportunity); and contract law (legal review of multi-billion dollar contracts of military technologies and supplies.
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Strategic legal and compliance partner- provide strategic advice to the business to ensure compliance with applicable U.S. laws and company policies, including federal and state antikickback and false claims laws, the federal Food Drug and Cosmetic Act (FDCA) laws, federal and state transparency laws (e.g., Open Payments), the PhRMA Code, state laws, and antitrust laws.
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claims job Company: Metroplus Health Plan in College Point, NY
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