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As a Team Leader, you will be responsible for product quality, and performance of the liability claims professionals on your team and supporting the VP Claims Manager. You may be responsible for maintaining a minor caseload, as determined to be appropriate by the VP Claims Manager.
$230,000ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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.
$170,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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4 years experience with Guidewire Cloud Claims migration. 4 years of experience working in one of the following sub service areas: Insurance Products, Underwriting, Claims, Billing & Payments, Policy Administration or Distribution.
$208,250 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Manage Social Security Disability (SSD) cases, assisting clients with the application and appeals processes, ensuring that claims are properly supported by documentation. In-depth knowledge of the New York Workers' Compensation process from start to finish, including claims, hearings, and appeals.
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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.
$93,000 a yearPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 09/23/2024 Duration: Ongoing Employment Type: Staff 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.
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Key Responsibilities:As a Field Auto Damage Adjuster, you will play a crucial role in our Auto claims handling process by writing estimates directly at customer homes, repair shops, or tow yards.
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Applicant acknowledges, understands, and agrees that any claims, disputes, causes of action, of any kind, in contract or tort, at law or equity, related to the employment of the Applicant by [BRAND BUMBLE BEE BLINDS OF FAIRFIELD COUNTY, shall be made BUMBLE BEE BLINDS OF FAIRFIELD COUNTY, and not HorsePower Brands or its affiliates.
$95,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service. JOB DESCRIPTION :Essential Duties & Responsibilities:Performs a combination of duties in accordance with departmental guidelines:Manages an inventory of low to mid complexity and exposure Private D&O and EPL claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
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Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
$89 - $146Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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At least 2 years of hands-on experience with real-world studies using large claims/EMR databases in Health Economics and Outcomes Research (HEOR). Extensive experience working with large U.S. insurance claims databases, EMR, and health outcomes research (e.g., Optum, Premier, Marketscan, Humedica, etc.
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Collaborates with workers' compensation patients, employers, providers, and claims adjusters to coordinate medical and disability services for timely return to work. The Workers' Compensation Nurse Case Reviewer collaborates with medical care providers, employers, employees, and at times, attorneys to support the appropriate return to work, the provision of necessary medical services, and the evaluation of coverage under the Plan. The Nurse Case Reviewer reports to the Casualty Department Manager.
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8 or more years of experience as a claim professional and/or claims management with a high degree of specialized and technical competence in the handling of professional and general liability claims with emphasis on hands-on file and litigation management.
$115,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The VP, Claims – Casualty & Professional Lines role is based in New York City, NY and reports to the Head of Argo Insurance in Hamilton, Bermuda. This position oversees and handles all excess casualty and professional lines insurance claims emanating from policies written by Argo Insurance in Bermuda.
$247,600ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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About the teamTreasury and Risk Management organization oversees cash management, investments, foreign exchange, capital structure, financing, sanctions screening, global risk and claims management, and internal audit functions for Amazon.
$81,100Full-timeExpandApply NowActive JobUpdated Today
claims job Company: Genesis Research in New York, NY
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