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Overall, the role will focus on the following areas: Self-funded market (MSO/TPA), fully-insured market, maintain a presence with existing City Agency and Daycare business (for Gold and GoldCare) and the Individual Coverage Health Reimbursement Arrangement (ICHRA) Market.
$64,579 - $80,723 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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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.
$150,000 - $157,236 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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WMG's corporate Legal Department is located at corporate headquarters in NYC (and also in London) and supports WMG's recorded music labels, music publishing companies and all operating companies and departments in various legal matters, including litigation and claims, digital licensing, mergers and acquisitions, anti-piracy, securities, compliance and employment.
$180,000 - $200,000 a yearFull-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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In the Neurology department, we treat acute stroke patients with tPA - Thrombectomy cases are transferred. Employed by PAGNY for NYC Health + Hospitals/Metropolitan , located on First Avenue & 97th Street in Manhattan, accommodate over 313,000 outpatient visits, nearly 70,000 emergency room visits and more than 13,000 inpatient admissions annually.
$223,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Technical skills in healthcare regulatory compliance, Medicare, Medicaid reimbursement, Start, HIPAA privacy laws, Fraud & Abuse and False Claims law. Develop and deploy education focused on identified business processes to mitigate the risk of noncompliance in areas vulnerable to error or noncompliance such as billing, coding, Stark laws, fraud & abuse laws, false claims or other identified risk areas.
$225,000 - $275,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Consult on all pharmacy benefit programs to increase sales and revenue for Keenan core business (healthcare, schools, municipalities, commercial, TPA, COE), Keenan Pharmacy legacy Marketing Partners, Keenan Pharmacy acquisitions and AP offices across the country.
$100,000 - $125,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Gallagher also offers claims and information management, risk control consulting and appraisal services, human resource consulting, and retirement services to clients around the world. You will have exposure to all divisions and service lines with the opportunity to work in one primary area: Gallagher Global Brokerage, Gallagher Benefit Services, Risk Placement Services or Gallagher Bassett Services.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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If you are interested in the exciting, high paying and rewarding career of an Independent Claims Adjuster, apply now; and we will send you an immediate email with more details. Our focus is to assist you by training you for Success as a Licensed Independent Claims Adjuster.
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Licensed Claims Examiner (Based on state) Must possess or have ability to quickly obtain a license in each jurisdiction requiring a license to adjudicate first party claims within 120 Days.
$126,400 - $180,480 a yearFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Interfaces with the HRA/TDC on-site investigators reporting potential claims as well as cases of concern by preparation of preliminary reports, and determination of priority of investigation given risk management assessment Acts as a resource person by presenting relevant risk management issues for discussion and evaluation.
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Zurich Certified Insurance Apprentice including an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support area. High School Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support area OR.
$117,500 - $192,500 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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In conjunction with Underwriting Associate, retain key assigned renewals and lead coordination of Loss Control and Claims Service plans for service level accounts. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
$80,500 - $137,000Full-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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In this role, you will be responsible for representing our clients in insurance-related legal matters, defending against claims, and providing expert legal counsel. Handle general liability cases, including but not limited to personal injury, property damage, and negligence claims.
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Oversee the response to our insurers for insurance claims/suits against the entities or with adjusters and agents for damage claims from storm, flood, fire, wind, etc. Oversee the response to our insurers for insurance claims/suits against the entities or with adjusters and agents for damage claims from storm, flood, fire, wind, etc.
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Contribution and participation includes data collection, analysis, implementation of and compliance with risk management and claims activities, support of and participation in Continuous Quality Improvement (CQI) teams, consistent adherence to the specific rules and regulations of the BronxCare Health System (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting, (c) Infection Control Policies and Procedures and (d) Patient and Customer Service.
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claims tpa jobs Company: Metroplus Health Plan in New York, NY
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