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Experience with the following areas of law: commercial law, procurement law, employment & labor relations, claims/litigation management and anticorruption, logistics contracts, finance law. Support litigation and environmental claims, including working effectively with outside counsel.
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Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication. The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy.
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Evaluates the merits of legal claims filed against or on behalf of the company, works with the appropriate executive(s) to define a strategic defense and, in consultation with the General Counsel, approves settlements of disputes where warranted.
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We have Contract role for Claims Examiner –Remote f or our client Garden City NY. Please let me know if you or any of your friends would be interested in this position. Claims Examiner –Remote- Garden City NY.
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Experience with Labor Law 200, 240(1), and 241(6), premises liability claims. 3+ years defending personal injury claims venued in NY Supreme Courts. Please consider joining our team by sending your credentials to and putting "NYC Personal Injury Defense Attorney " in the subject line.
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This position is responsible for the books and records of the municipality, minutes of meetings of the Trustees, orders to pay claims of vendors, collects property taxes, keeps the books of account and banking records for the General Fund and a Capital Projects Fund and directs the day-to-day operations of the Village.
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This includes transactions for the five New York City Retirement Systems (Systems) and their public market and private market investments; accounting practices and disclosures; procurement rules and City contracts; settlement of claims brought on behalf of and against the City; prevailing wages on City projects; records access; public policy; and proposed federal, state, and local legislation.
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Handles claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required. Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
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We manage a wide range of complex processes, with members developing skills and competencies around client service (client on-boarding, first line client support), cash management (including: payment controls, bank account management, virtual account management, cash concentration, payment formatting /settlement, reconciliation and claims), transaction support (FX Payment, Escrow, Money Market and Term Deposits), regulatory requirements, industry trends and change management.
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Be primarily responsible, with supervisory support, for all aspects of civil litigation including identifying and preserving claims and defenses, motions practice, discovery, oral argument, settlement negotiations, trials, and appeals.
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Collaborate and partner with the insured and broker in the handling and adjudication of claims. This position is a great opportunity for practicing lawyers looking to transition out of a law firm as well as claim professionals with professional liability claims experience.
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Track employee benefits (vacation days), manage workers compensation claims reporting (with assistance from Office Manager) and answering unemployment and verification of employment requests.
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Assists with the coordination and testing of system updates prior to live implementation, coordinates and responds to internal and external audits requests relative to accounts receivable, processes claims through clearing house platform(s) to determine completeness of billing and correct missing charges, refiles cases in 3M coding system for APC / APG calculation as needed, and performs other receivables assigned duties.
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The Clinical Documentation Specialist will review clinical documentation, billing information, clients’ records, and other related documents and will verify all documentation has been completed and approved for processing claims and payroll sheets.
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Direct traffic, position barricades, and arrange for towing service when necessary Immediately report any incidents or claims to Operations Manager or Shift Lead Request and collect relevant fees for use of service Assist in reconciling end of shift revenue against the ticket distribution, when necessary Communicate professionally at all times with guests, client, and teammates.
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claims adjudication jobs Company: Metroplus Health Plan in Lawrence, NY
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