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This territory allows an experienced representative the opportunity to investigate and evaluate multi-line insurance claims through personal contact to ensure accurate settlements. use claims-handling software, company car ,and mobile applications to adjust loss in a paperless environment.
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Experience with the CHCS or civilian healthcare computer system and in processing medical claims. Provide basic claims assistance such as providing information on the status of claims.
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We have openings for full time and part time roles for a Claims Specialist at VantagePoint Benefit Administrators located in Lynbrook, NY. The Claims Specialist will be responsible for managing and handling claims for FSA/TPA/HSA/HRA/COBRA etc., liaising with clients, analyzing claim data, working with insurance providers, and communicating with internal and external stakeholders.
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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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Join our team as a Claims Quality Assurance Specialist and take the helm in ensuring our claim operations meet and exceed industry standards. Bring 5+ years of combined automobile claim experience, including expertise in Physical Damage, Casualty, and PIP claims.
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Additional Responsibilities DAY-TO-DAY: Experience in establishing new Bodily Injury claims, processing No-Fault applications, managing settlement packages, loss wages, property damage claims, mileage reimbursement, and appointment scheduling.
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The Salesforce Administrator is responsible for the configuration on PPFA’s Salesforce CRM platform used by 200+ users as our donor database as it is migrated from NGO Connect to the Non-Profit Success Pack (NPSP.
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Managing Microsoft Systems Management Server (SMS), Microsoft Operations Manager (MOM) or Microsoft System Center Operations Manager (SCOM), Microsoft System Center Configuration Manager (SCCM), and Microsoft Windows Server Update Services (WSUS.
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A minimum of 1-3 years of auto claims appraisal experience. Must have a valid New York State Auto Damage Appraiser License. The Auto Damage Appraiser/Crashbuster is responsible for preparing physical damage estimates on vehicles where a claim has been submitted for first or third party damages in the Brooklyn and Queens, NYC regions.
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As an Auto Claims Examiner, you will be responsible for accurately assessing and processing auto insurance claims. - Review and analyze auto insurance claims to determine coverage, liability, and the extent of damage.
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Experience with the following areas of law: commercial law, procurement law, employment & labor relations, claims/litigation management and anticorruption, logistics contracts, finance law. Support litigation and environmental claims, including working effectively with outside counsel.
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Assists TPA with provider compensation configuration by creating and testing compensation grids used for reimbursement and claims processing. Validates DRG grouping and (re)pricing outcomes presented by the claims processing vendor.
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Interface with Information Technology, Human Resources, Accounting, Legal, Lancer Underwriting, Claims and Customer Service Departments regarding creation and implementation of changes to systems, procedures and forms.
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Demonstrated knowledge of SAP/OPUS, claims, supply chains, Customs & Border Patrol (CBP) and compliance/FMC/PGA s. · Evaluate and process insurance claims if required. Demonstrated knowledge of SAP/OPUS, claims, supply chains, Customs & Border Patrol (CBP) and compliance/FMC/PGA s.
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Provide SAP SD Order-to-Cash support in configuration and customization including Master Data, Basic Functions, Pricing, Sales, Billing, EDI, POS and DTC processing. Lead SAP Procure-to-Pay processes, including configuration, integration, customization, master data and reporting needs.
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claims configuration jobs Company: Metroplus Health Plan in Springfield Gardens, NY
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