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Collaborate with the Director of Payment Integrity to identify opportunities for financial recoveries and to ensure integrity of claims payments. Working knowledge of claims processing, correspondence and CRM platforms and adjudication strategies Demonstrated Experience with claims testing/auditing/QA.
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Career experience in a field such as insurance, interior design, art conservation, exhibition or curatorship, antiques, couture fashion or other fine articles of personal property is helpful. Strong attention to detail, with knowledge of property insurance, fine arts, antiques, high end furniture, fine textiles and rugs, and designer or couture clothing.
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Chubb is currently seeking a Workers Compensation SIU Field Investigator to join our team working in the State of New York. This individual will be responsible for investigating Workers Compensation claims to assist our team in making informed claim decisions.
$125,500 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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We provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers' compensation, along with claim services, providing expertise to meet the unique business needs of our customers.
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Collaborate with other organizational departments responsible for functional aspects of the HIV Special Needs Plan, including, but not limited to Integrated Care Management, Behavioral Health, Managed Long-Term Care, Utilization Management, Quality Management, Credentialing, Regulatory Affairs, Compliance, Corporate Affairs, Provider Network Operations, Medicare Services, Information Systems, Finance, Claims, and Member Services and Eligibility.
$157,236 a yearFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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You will assess the risk for various commercial insurance lines of business that can include Property, General Liability, Workers Compensation, Auto/Fleet, Products Liability, Inland Marine and Builders Risk. Tools or Items You Must Provide:·Windows-based PC with an image/document scanner·Digital camera·High speed internet access·Measuring device such as: laser, 100 ft.
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JOB DESCRIPTION :Essential Duties & Responsibilities:Performs a combination of duties in accordance with departmental guidelines:Manages an inventory of the most complex and high exposure Lawyers Professional Liability Claims by following company protocols to manage and oversee all aspects of the claim handling, including coverage determinations, investigations, and resolution strategies which may include pursuit of risk transfer, extensive negotiations and complex litigation management.
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Collaborates with professionals, health plan departments such as Claims and Medical Management, and the third party administrator staff and legal, as necessary, to investigate and facilitate resolution of individual grievances and appeals.
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Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability. Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health.
$93,000 a yearPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Financial and credit analysis skills, including the ability to analyze project financials/proformas, loan portfolios, financial statements, and business plans and to make independent recommendations to senior and credit risk management.
$200,000 a yearFull-timeExpandApply NowActive JobUpdated 26 days ago - UpvoteDownvoteShare Job
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Our forensic accounting experts apply their understanding of industry, accounting, finance, and economics to address complex issues that arise in dispute resolution in areas such as forensic and fraud investigations, commercial damages, bankruptcies, intellectual property, insurance claims, and business valuations.
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Director, Model Validation for SHUSA Compliance models (Transaction Monitoring, Sanctions Screening, Fraud Risk, etc) will be responsible for leading the independent validation of models used by various Compliance groups in conformance with regulatory guidance on model risk SR- and other regulatory requirements around Compliance models.
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4 years of experience working in one of the following sub service areas: Insurance Products, Underwriting, Claims, Billing & Payments, Policy Administration or Distribution. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.
$208,250 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Job Description: We are looking for a Murex Business Analyst with a specialized focus on data quality and risk model validation. Utilize hands-on experience in stress testing, Value at Risk (VaR), Fundamental Review of the Trading Book (FRTB), time series analysis, and financial instrument valuation.
$145,000 a yearFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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The Firm's ALM and balance sheet strategy efforts supported by QBSS include interest rate risk modelling, internal transfer pricing and capital allocation frameworks, industry leading research on financial money flow, investment portfolio strategy, firm-wide balance sheet optimization efforts and surveillance of balance sheet strategy trends across the banking industry.
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compensation claims risk insurance jobs Company: Deloitte in New York, NY
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