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Maintain relationships with the Trust, Third Party Administrator (TPA) and legal counsel to resolve open claims. Coordinate the investigation of loss control activities on campus claims through negotiation, mediation to resolve claims and lawsuits.
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Assist claim adjusters with authorization of medical procedures and treatment; make recommendations regarding FCE's and IME's when appropriate + Follow 'Claims Handling Best Practices' in administration of all required claim activity and documentation of same + Follow all local, state, and federal laws (e.g., FMLA, ADA, Workers' Compensation) and Wegmans Policies and Work Rules; comply with national case management standards as well as nursing code of conduct.
$68,610 - $85,770ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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We provide high quality and cost-effective "hands-on" restoration services with appropriate turnaround times that contractors, claims professionals, and homeowners require. As we strive to accommodate our customers and their restoration needs, Prism Specialties expanded into art restoration, document restoration, and textile restoration.
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Assists the Claims Manager or VP, Field Claims in the overseeing and handling of claims. Makes recommendations to and participates with Claims Manager in developing and evaluating claims procedures.
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A majority of the work activity involves field SIU requiring the investigator to obtain high quality videotape documentation of claimants who have filed workers compensation and liability/personal injury claims.
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The Investigator's primary focus is to investigate the insurance claims field for a variety of coverage to include workers' compensation, general liability, property and casualty, disability, life, and healthcare.
$18 - $22 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Process warranty claims. JJE is a proud subsidiary of Federal Signal Corporation (NYSE: FSS). As the leading distributor of public works equipment, Joe Johnson Equipment (JJE) provides mobile infrastructure-maintenance equipment to municipalities and contractors across Canada and the US. Through our branch network, we sell, rent, lease, service and support vacuum trucks, refuse & recycling collection vehicles, street sweepers, sewer cleaners, and inspection cameras.
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We are looking to add a Workers Compensation Claims Specialist to join our Creative Risk Solutions team in Waukee, IA. If you nodded yes, check out our open Workers Compensation Claims Specialist position and apply.
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Billing Solutions - Athelas RCM offers AI-driven, full-cycle revenue cycle management solutions that optimize claims submission, ensuring insurers pay every dollar they owe for work performed by healthcare providers.
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Bills medical claims for all Medicaid, MCO and Commercial Insurance payers for all assigned programs. Works and resolves daily denials received from all payersFollows up on outstanding accounts receivables for all payers Processes all refunds and claim adjustments requests received by complianceSubmits refunds to payers in a timely manner to resolve credit balancesEnsures the claims and denials are followed up on in a timely manner to ensure collection of paymentUtilizes claims management to track and report on claim status and to ensure a timely follow-up process is followed.
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Serve as the liaison with insurance brokers, carriers, and attorneys on all insurance matters, including claims resolution and subrogation. Direct efforts to improve employee work safety efforts to reduce frequency and severity of claims as guided by the Minimum Loss Standard Prevention (MLSP) guidelines and best practices initiatives.
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As a claims adjuster trainee , you'll learn how to help customers get back on the road after an accident. We'll also teach you the insurance stuff - providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims.
$58,500 - $60,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Collaborate with clinical staff, leadership, and other departments (Quality, Patient Safety, Patient Relations, Security, Finance, Regulatory, Compliance, Ethics, Claims/Insurance, and Legal) to integrate risk management principles into daily operations.
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We are seeking a dedicated Property Adjuster Specialist for our Rochester, NY to join our field Team. As a Insurance Property Adjuster Specialist, you will work within established guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members.
$65,090 - $124,330 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Create future claims projections and renewal modeling using underwriting standards and tools. Analyze fully insured plans and renewals to identify opportunities for claims mitigation and to ensure proper application of underwriting practices.
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claims job in Rochester, NY
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