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Under general supervision, with latitude for independent initiative and judgment, the analyst will assist in a broad range of analytical, administrative and research support tasks for the Customer Claims unit.
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Manage and lead the revenue cycle management team and processes, including benefits verification, claims submission, payment posting, denials management, and revenue optimization. You will be responsible for managing and optimizing the end-to-end revenue cycle operations, including benefits verification, claims submission, payment posting, denials management, and revenue optimization.
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We are seeking a full time Summer Intern – Cyber Insurance / Claims to join the Roanoke Insurance Group division as a hybrid employee in our New York, NY office or a remote employee reporting to the SVP of Claims.
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Partner with and collaborate across functions on analytics and strategic initiatives, including, but not limited to, Underwriting, Actuarial, Reinsurance, Claims, and Operations. Experience with and exposure to various operational disciplines (underwriting, claims, IT, etc.
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Participating in indirect tax projects, including sales and use tax refund claims. Participating in indirect tax projects, including sales and use tax refund claims. ACT Consulting has an immediate need for a State and Local Transaction Tax Accountant located in New York, NY with our direct client.
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AVP Claims - Allied Healthcare & MPL page is loaded. AVP Claims - Allied Healthcare & MPL. Expert knowledge of claims handling practices to include: coverage analysis, litigation management and negotiation.
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Collaborates with Claims, Operations, IT, Vendor Management, Vendor Compliance and the Vendor Delegation Oversight Sub-committee to ensure regulatory requirements are met by delegates and FDRs.
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Provides feedback to Recruitment Director regarding concerns/complaints and grievances brought up by the Nurse and Client Facility. Provides feedback to Recruitment Director regarding concerns/complaints and grievances brought up by the Nurse and Client Facility.
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The Opportunity What you'll do:With the use of digital tools, evaluates and appraises high complexity (total loss, total burn, theft recovered, heavy (non-drivable) auto claims in accordance with the terms and conditions of the contract, corporate guidelines and state laws and regulations.
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Gallagher Bassett is the premier provider of global claims, loss control, and risk management consulting services, dedicated to exceptional customer service and demonstrably superior outcomes. Gallagher Bassett Technical Services is seeking a qualified environmental, health, and safety (EHS) professional to become a valued member of our Industrial Hygiene/Safety & Building Sciences team.
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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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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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Conduct a thorough investigation of all claims and retain outside surveyors, adjusters, experts, defense counsel, coverage counsel, as needed, based on the severity of the claim, and the facts presented.
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Collaborate with Contract Configuration Team, Grievance & Appeals, Provider Services and Claims Quality to trend. 10+ years of experience managing high volume HMO and/or PPO health insurance claims processing function across.
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System usage includes boarding, baggage service, reservations and resolving related complaints and problems such as lost and found issues. JFK Passenger Service Agent - Japan Airlines. Fluency in Japanese, Filipino, Vietnamese, Indonesian OR Chinese is a requirement.
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claims complaints jobs Company: Metroplus Health Plan in Queens, NY
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