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Our Psychologists assess individuals' psychological health for disability claims using our innovative platform, ImagineOne. This cutting-edge system incorporates state-of-the-art computer-based tools and streamlines the assessment process for enhanced speed and efficiency.
$125,000 - $130,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Maintain contact with the underlying carrier(s)’ claims staff, business line leader, underwriter, defense counsel, program manager, and broker to communicate developments and outcomes as necessary.
$107,900 - $145,700 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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This individual receives and addresses member & provider inquiries, de-escalates and resolves complaints, educates clients, engages in member retention activities, and escalates issues requiring additional intervention across all Lines of Business (LOBs) within a face-to-face, telephonic, and/or Omni-channel contact center environment.
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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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Gramercy has extensive in-house experience in the areas of claims and litigation management, risk control and risk management, regulatory and compliance, underwriting, coverage analyses and business management.
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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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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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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: '' 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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An Automotive Facilities Inspector Trainee investigates and seeks resolution of consumer complaints involving automotive services and periodically inspects service providers for licensure compliance.
$52,198 - $74,135 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Autonomously makes executive level decisions such as scheduling ad-hoc committee meetings in the face of crisis, contacting key staff during emergency situations such as media presence, complaints, patient-related emergencies.
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Claims Specialist works under direct supervision of the Vice President of Risk Management, receiving and processing incoming workers compensation claims, assisting in the claims management process and managing communication with regard to claims.
$65,000 - $90,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Risk Analyst will oversee all components of Fleet compliance, including violations, collision metrics, collision repair coordination, the collision review committee, and positive claims involving City vehicles.
$58,695 - $67,499Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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We are seeking a Claims Adjuster with experience in claims processing. Title: Claim Examiner/Claims Adjuster. Consult with legal counsel on claims requiring litigation. Investigate, evaluate, and settle claims , using technical knowledge and human relations skills to ensure fair and prompt resolution of cases and contribute to a reduced loss ratio.
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Candidate must have ability to effectively interact with all levels of customers and collaborate with a team of underwriters, claims and loss control personnel. This position must collaborate with other underwriters, operations, claims, marketing, and home office management as necessary.
$115,000 a yearFull-timeExpandApply NowActive JobUpdated Today
claims complaints jobs Company: Metroplus Health Plan in Springfield Gardens, NY
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