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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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AXIS is seeking a Senior Claims Specialist - Excess Claims to join our North America Claims team and will report to the Claims Manager. 7 - 10+ years of claims experience (minimum 3 - 5 years general liability claims adjusting experience required.
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As a Manning Kass Workers' Compensation attorney, you'll play a crucial role in supporting business owners and employers, providing expert defense against workers' compensation claims. As a Manning Kass Workers' Compensation attorney, you'll play a crucial role in supporting business owners and employers, providing expert defense against workers' compensation claims.
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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.
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Additional recent significant cases include the indictment and arraignment of the owner of an NYC pharmacy for allegedly stealing millions from Medicaid; the sentencing of a Bronx clinic owner for defrauding New York State out of more than $4 Million in false Medicaid claims; and the extradition, arrest, and arraignment of a Medicaid fraud ringleader.
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Settles or disposes of claims of significant value to the organization (e.g., risk exposure for individual policies in excess of $10 - 50 million; high limit excess, umbrella and unique risk with high limits – marine, aviation, director/officer, etc.
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Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.) Working knowledge of health care EMR or claims systems (Epic/Clarity, eCW, Facets, QNXT, Amisys, etc.
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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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Assists TPA with provider compensation configuration by creating and testing compensation grids used for reimbursement and claims processing. Reviews and investigates claims to be adjudicated by the TPA, including the application of contractual provisions in accordance with provider contracts and authorizations.
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Vendor Claims from Nordstrom and Neiman Marcus. It designs, manufactures, distributes and retails fashion and lifestyle products including apparel, accessories, eyewear, watches, jewelry, home interiors, fragrances and cosmetics under a range of brand names: Giorgio Armani, Emporio Armani & Armani Exchange.
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With 98% of cyber insurance claims in the past five years coming from small and mid-size businesses with revenue under $2B, providing an integrated solution to help manage risk is more critical than ever.
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The Clinical Risk Manager reports to the Director of Risk Management and Patient Safety and is responsible for reviewing, summarizing, analyzing, presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality improvement activities and supporting the day to day risk management activities the Mount Sinai Health System (MSHS.
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Collaborates and guides stakeholders through the process and execution of Assignment of Claims, Novation Agreements, Protests, and Terminations to determine and ensure compliance with the Federal Acquisition Regulation (FAR), Department of the Treasury Acquisition Regulation (DTAR), Department of the Treasury Acquisition Procedures (DTAP), and Internal Revenue Service Acquisition Policy (IRSAP) supplemental regulations.
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Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
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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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claims tpa jobs Company: Metroplus Health Plan in College Point, NY
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