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Demonstrated knowledge of SAP/OPUS, claims, supply chains, Customs & Border Patrol (CBP) and compliance/FMC/PGA s. · Evaluate and process insurance claims if required. Demonstrated knowledge of SAP/OPUS, claims, supply chains, Customs & Border Patrol (CBP) and compliance/FMC/PGA s.
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Gramercy has extensive in-house experience in the areas of claims and litigation management, risk control and risk management, regulatory and compliance, underwriting, coverage analyses and business management.
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Handles investigation regarding all aspects of advanced auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority. For claims involving injuries (if handled), learns how to review, evaluate, and negotiate basic to moderate injury claims.
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Wright Public Entity serves as a management company providing claims administration, risk management & loss control, underwriting & marketing, and client services in New York for the NY Schools Insurance Reciprocal (NYSIR: '' rated by Best), NY Municipal Insurance Reciprocal (NYMIR: '' rated by Best) and Statewide Schools Health Plan. We also act as a TPA for Workers Compensation for various self-insured schools & municipalities in New York.
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Understand the basics of billing claims to insurance (Medicare/Medicaid rules) and monitor/follow up with aging reports and reconciliation. Analyze and generate revenue cycle claims and related reports.
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Billing Specialist I primary responsibilities are Account Receivable follow-up, investigate, analyze, appeal and resolve any denied or unpaid insurance claims. Prepare/submit billing data and claims to insurance companies through our Billing Systems (IMA/Carelogic.
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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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Claims adjudication experience. Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor. Assists TPA with provider compensation configuration by creating and testing compensation grids used for reimbursement and claims processing.
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Wright Public Entity serves as a management company providing claims administration, risk management & loss control, underwriting & marketing, and client services in New York for the NY Schools Insurance Reciprocal (NYSIR: ‘A’ rated by Best), NY Municipal Insurance Reciprocal (NYMIR: ‘’ rated by Best) and Statewide Schools Health Plan. We also act as a TPA for Workers Compensation for various self-insured schools & municipalities in New York.
$85,000 - $100,000 a yearFull-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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The Claims Supervisor, SIU will oversee the operation of a unit of SIU Investigators and Analysts with varying levels of experience who handle investigations on suspect claim and underwriting matters.
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Claims Specialist works under direct supervision of the Vice President of Risk Management, receiving and processing incoming workers compensation claims, assisting in the claims management process and managing communication with regard to claims.
$65,000 - $90,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Candidate must have ability to effectively interact with all levels of customers and collaborate with a team of underwriters, claims and loss control personnel. This position must collaborate with other underwriters, operations, claims, marketing, and home office management as necessary.
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We are seeking a Claims Adjuster with experience in claims processing. Title: Claim Examiner/Claims Adjuster. Consult with legal counsel on claims requiring litigation. Investigate, evaluate, and settle claims , using technical knowledge and human relations skills to ensure fair and prompt resolution of cases and contribute to a reduced loss ratio.
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This territory allows either an experienced or entry-level representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements.
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As an auto damage claims adjuster , you’ll serve as Progressive’s point of contact with customers – directing and making decisions regarding the repair process from beginning to end. Evaluate and handle claim payments and resolution of claims without payments.
$72,200 - $90,200 a yearFull-timeExpandApply NowActive JobUpdated Today
claims adjudication jobs Company: Metroplus Health Plan in New Hyde Park, NY
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