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Assist with initial client consultations, policy review, assessment, review, and analysis of supporting physician documentation, gathering of medical records, preparation of initial claim submissions, and continued proof of loss.
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Position is located in Nassau County and is full time in the office. Our client is a prominent Long Island Personal Injury Law Firm. They specialize in the representation of clients within Personal Injury, Medical Malpractice, Worker's Compensation, Mass Tort, and more.
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Past working history at a Personal Injury Law Frim on the plaintiff's side is a huge plus. Experience with: No-Faults, medical requests and drafting of pleadings. Main Responsibilities/Requirements: Support attorneys through the claims process and beyond.
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Review and process High Dollar claims and conduct quality reviews of claims and logic changes/updates. Advanced claims adjudication experience, including facility, professional, and ancillary claims.
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Act as key point person during open enrollment and assist employees with any issues Review all payroll reports. Manage Workers Comp, FLMA, and Short-Term Disability programs Create a safety-first environment keeping employees up to date on the latest requirements.
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Review and prepare quotation proposals on new business submissions. Review and prepare quotation proposals on new business submissions. RPLU or CPCU designation desired. The Underwriting Account Manager will have a thorough understanding of PRI’s strategies and appetites and will use internal and external data to make appropriate individual and portfolio risk decisions.
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You will also be connected with a full support team that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. Host Healthcare is seeking an experienced Cardiovascular Operating Room Registered Nurse for an exciting Travel Nursing job in Hartford, CT. Shift: Inquire Start Date: 09/16/2024 Duration: 13 weeks Pay: $2612.5 / Week.
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Conducts chart review for appropriateness of admission and continued length of stay; Facilitates throughput. Conducts clinical reviews and interacts with third party payers to obtain approval of hospital days, pre-certification and post-discharge eligibility in relation to clinical course.
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While someone from Farmers or a Farmers agency owner may contact you if you elect to share your information below, we encourage you to review additional information available at recruitment. Compensation for this position is solely up to the Farmers agency owner, which may include base salary, base salary plus commission, or commission only arrangements.
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A Day treatment facility located in Flushing, NY is looking for an RN Clinical Review Nurse. The Senior Director of Clinical Review will monitor the Clinical Review Nurse's activities and outcomes, ensuring compliance with established regulatory and contractual requirements.
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Actively manage multiple RFQs including activities such as but not limited to; sourcing, data entry, cost review, and pricing. Update tracking databases (Smartsheet, excel) with new opportunities for real-time reporting.
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Euromoney Magazine and the International Tax Review have consistently rated Deloitte's transfer pricing group as a top practice, both in the United States and globally. Transfer pricing on a global scale - a multidisciplinary field that integrates economics, business, finance, legal, and tax principles in the analysis of global intercompany transactions.
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Must have 1-3 years of experience in acute care utilization review/appeals backgroundBenefits of the Registered Nurse Clinical Reviewer:The salary for this position is $50 / hr5 Sick daysSchedule of the Registered Nurse Clinical Reviewer:This is a Full-time position (6 months contract) The is a remote positionResponsibilities of the Registered Nurse Clinical Reviewer:Conduct reviews up to and including the appeal level.
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Excellent communication and writing skills, and be very organized and self-directed. Bi-Lingual is a plus Strong organizational, communication, multi-tasking, and computer skills are required. Comfort with medical and financial information is a plus.
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Process-driven and comfortable communicating and interacting with high-level professionals. Must be process-driven and comfortable communicating and interacting with high-level professionals. Ability to work in an office in a full-time capacity.
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review job in Garden City, NY
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