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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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Establish KPIs and metrics to track success of critical initiatives with our law firm, accounting & consulting practices; data & analytics, loss prevention and claims teams. Fifteen - Twenty years or more negotiating Professional Liability Insurance placements in a brokerage, underwriting and/or claims; ideally in all three vertical of our practice - law firms, accounting and consulting firms.
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The subject line should read "Applying for Entry Level Workers' Compensation Claims Adjuster position at Johnston & Associates - LinkedIn". Entry Level Workers' Compensation Claims Adjuster.
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Our team of specialist brokers, consultants and in-house claims management combine threat assessment, impact analysis and crisis management and response with individually structured insurance programs.
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Technical evaluation of pharmaceutical industry data sources including claims, EHR, specialty pharmacy, sales, and customer master data. 5+ years of hands-on experience using administrative claims (EMR/EHR, open and closed claims data sources)OTHER INFORMATIONEligible for employee bonus referralCandidate demonstrates a breadth of diverse leadership experiences and capabilities including: the ability to influence and collaborate with peers, develop and coach others, oversee and guide the work of other colleagues to achieve meaningful outcomes and create business impact.
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In this role you will collaborate with our team of pricing, claims, distribution, product management, underwriting and claims experts to sell and deliver consulting and technology solutions to our personal lines insurance clients.
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WTW is looking for a leader with personal lines insurance analytics experience in the North American market to join as a Property & Casualty (P&C) Director in our Insurance Consulting and Technology (ICT) practice.
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Collaborate with various functional areas across the organization, including underwriting, claims, risk control, actuarial, legal, marketing, and regulatory compliance in creating products. We are seeking an AVP - Product and Regulatory Counsel reporting to VP - Associate General Counsel.
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Understanding of Healthcare & Insurance claims analytics (SAS, R, Python) This role will be hands-on with building and implementing predictive models for healthcare organizations with strong technical skills using SAS, SQL, R, Python, Power BI, etc.
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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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Experience working with healthcare data, including but not limited to eligibility, claims, payments, and risk adjustment datasets. Amazon Redshift, Google BigQuery, and Snowflake. Apache Beam and Apache Spark.
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Analyze population health and performance improvement metrics, analyze payer claims data to monitor quality performance such as HEDIS metrics. In addition, responsibilities include analyzing population health and performance improvement metrics, synthesizing and analyzing payer claims data feeds to monitor quality performance such as HEDIS metrics.
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The Sales Field Supervisor spends most of their day meeting and closing insurance company Adjusters to pay homeowners what they are entitled to on wind and hail claims for Roofing, Siding, and gutter projects.
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Maintains effective communication directly with State agency representatives, third party payors, billing manager and verifies information regarding unpaid and late claims. Gathers and exchanges information necessary to ensure timely processing and reimbursement of claims and to promote maximum cash flow and reduce outstanding days in accounts receivable.
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claims tpa jobs Company: Metroplus Health Plan in College Point, NY
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