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They will have a holistic understanding of the operational inter-connections of upstream/downstream processes including, but not limited to, provider configuration and system setup, credentialing, contracting, claims processing, and provider payment models.
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Understanding of provider network operations, including data management, credentialing, contract management, and claims processing. As a member of the Network Development leadership team, the Manager of Network Operations will participate in the successful implementation of provider data management tools at Texicare.
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Job Title: Research Associate – Downstream Processing. We are seeking a highly motivated, early career individual to join the Process Development Team at Forte Protein Inc. The Research Associate will be involved in upstream processes, downstream purification, and process-scale chromatography, as well as tangential flow filtration or process scaling pilot studies.
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Working knowledge of claims processing, correspondence and CRM platforms and adjudication strategies Demonstrated Experience with claims testing/auditing/QA. Keep abreast with regulatory requirements as it impacts claims processing.
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With oversight from the Program Officer for Travel Coordination, the Program Coordinator, VR&P Processing will play an important role completing pre-arrival processing responsibilities under the Reception and Placement (R&P) Program, as part of the Processing team within IRC's Resettlement, Asylum, and Integration (RAI) Department.
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The Claims Adjuster are sent to client’s homes for pre-loss assessments & inventory, post-loss assessment & inventory, collections cataloging, reconstruction post loss including compiling inventory lists, photos, and in-depth client interviews.
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Collaborating across disciplines and business units, including: the office of general counsel overseeing errors & omissions issues arising from claims handling, the Brandywine (run-off) team, the Bermuda claims team and in-house coverage counsel team.
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Manage injury claims and L&I claims in collaboration with the EHS Coordinator. As the cornerstone of both departments, the incumbent will directly manage and engage in the workload of the EHS Coordinator and HR Generalist, ensuring all practices are in strict compliance with state regulatory requirements.
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Processing - Knowledge of material processing for metals (e.g., welding forging, heat treat, machining, forming), polymers and composites (e.g., autoclave curing, lay-up, co-curing, repair), sealants and finishes processing (e.g., plating, painting, surface preparation, fay surface sealing, fillet sealing), and ceramic (e.g., high temperature processing, machining) and electronic materials (e.g., soldering, printed circuit board cleaning, conformal coating.
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Work environment includes, but is not limited to, a normal office environment and construction site as well as climate extremes found in a poultry processing operation, feed mill, hatchery and a waste water treatment facility.
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Signal Processing Engineer must obtain and hold a TOP SECRET-Level 2 security clearance (with SCI access) have a strong technical background in Digital Signal Processing and communications theory.
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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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Bachelor’s Degree in Metallurgical, Mineral Processing, Chemical, Mechanical or Electrical Engineering with a minimum of fifteen (15) years of experience in mineral processing plants with proven engineering and troubleshooting skills.
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The Admission Processing Assistant is critical to the day-to-day operations of the Admission Operations team, providing the application and data processing responsibilities of the Admission and Enrollment Management teams in order to meet strategic enrollment goals of the University.
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Experience with batch processing/scheduling frameworks like Apache Airflow, and event processing frameworks like Apache Kafka/Streams etc. Experience building robust large-scale data pipelines and storage solutions using Python, Pyspark, Databricks, Google/Azure clouds, WCNP, Apache Airflow, and other relevant tools.
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claims processing jobs Company: Metroplus Health Plan in Elmhurst, NY
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