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Strong computer skills (MS Word, Excel, Outlook and various in-house claims systems -Guidewire, Genius, ImageRight is a plus. Minimum of 15 years' experience required in claims or litigation management with a career history of assuming roles with increasing responsibility.
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Advanced knowledge of reinsurance including underwriting, claims, accounting, finance and associated process, controls and systems. Education:Bachelors Degree (Accounting or Finance Major Preferred)Advanced degree and/or designation in a related field a plus (i.e. ARe or CPCU designations, MBA, CPA, MS, PhD, ACAS, FCAS, etc.
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Handles investigation regarding all aspects of advanced auto claims (coverage, liability and damages) with the exercise discretion and independence within increased level of authority. For claims involving injuries (if handled), learns how to review, evaluate, and negotiate basic to moderate injury claims.
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Wright Public Entity serves as a management company providing claims administration, risk management & loss control, underwriting & marketing, and client services in New York for the NY Schools Insurance Reciprocal (NYSIR: 'A' rated by Best), NY Municipal Insurance Reciprocal (NYMIR: '' rated by Best) and Statewide Schools Health Plan. We also act as a TPA for Workers Compensation for various self-insured schools & municipalities in New York.
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Evaluates the merits of legal claims filed against or on behalf of the company, works with the appropriate executive(s) to define a strategic defense and, in consultation with the General Counsel, approves settlements of disputes where warranted.
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Provides legal advice and counsel on active legal cases in support of corporate insurance claims. Research legal matters and manage corporate insurance policy renewal and claims. Collaborates with Directors on investigating and filing new claims with insurance.
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We have Contract role for Claims Examiner –Remote f or our client Garden City NY. Please let me know if you or any of your friends would be interested in this position. Claims Examiner –Remote- Garden City NY.
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Claims adjudication experience. Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor. Assists TPA with provider compensation configuration by creating and testing compensation grids used for reimbursement and claims processing.
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Provides leadership and direction for the revenue cycle and ensures the integrity, accuracy and effectiveness of the professional billing cycle, including charge entry, professional coding, claims processing, cash posting, denial management and placements with third party collection agencies.
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Experience with Labor Law 200, 240(1), and 241(6), premises liability claims. 3+ years defending personal injury claims venued in NY Supreme Courts. Please consider joining our team by sending your credentials to and putting "NYC Personal Injury Defense Attorney " in the subject line.
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Zurich North America is currently looking for a VP, Financial Lines Technical Claims Director. At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing your next career move.
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The Claims Supervisor, SIU will oversee the operation of a unit of SIU Investigators and Analysts with varying levels of experience who handle investigations on suspect claim and underwriting matters.
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Handles claims and other functional work involving one or more lines of business other than property (i.e. auto, workers compensation, premium audit, underwriting) may be required. Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit.
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Possess a cross-functional generalist knowledge of other disciplines including claims, risk control, audit, premium accounting, finance and legal. Arch Capital Group Ltd. is a Bermuda-based specialty insurer that provides insurance, reinsurance and mortgage insurance on a worldwide basis.
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This position is responsible for the books and records of the municipality, minutes of meetings of the Trustees, orders to pay claims of vendors, collects property taxes, keeps the books of account and banking records for the General Fund and a Capital Projects Fund and directs the day-to-day operations of the Village.
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claims adjudication jobs Company: Metroplus Health Plan in Springfield Gardens, NY
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