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They will have a holistic understanding of the operational inter-connections of upstream/downstream processes including, but not limited to, provider configuration and system setup, credentialing, contracting, claims processing, and provider payment models.
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As a SACM Manager, you will be accountable for the governance and maintenance of the CMDB, configuration identification and control, and collaboration with IT Operations Management (ITOM), IT Asset Management (ITAM), and Service Management teams.
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Liaison between the Claims and Configuration teams to ensure claims rules are implemented and claims are processed accurately, while driving auto-adjudication and quality improvement.
$150,000 - $170,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Claims Adjuster are sent to client’s homes for pre-loss assessments & inventory, post-loss assessment & inventory, collections cataloging, reconstruction post loss including compiling inventory lists, photos, and in-depth client interviews.
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Understand Anthology Student platform data architecture as it relates to academic configuration and assist in data validation efforts for imported or integrated student data. Anthology Student Configuration (40.
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Collaborating across disciplines and business units, including: the office of general counsel overseeing errors & omissions issues arising from claims handling, the Brandywine (run-off) team, the Bermuda claims team and in-house coverage counsel team.
$128,500 - $215,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Manage injury claims and L&I claims in collaboration with the EHS Coordinator. As the cornerstone of both departments, the incumbent will directly manage and engage in the workload of the EHS Coordinator and HR Generalist, ensuring all practices are in strict compliance with state regulatory requirements.
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Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team. This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution.
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WebSphere RACF security, access and roles setup and configuration. New Environment setup, configuration, version upgrades using Installation Manager. WebSphere Application Server z/OS Installation, Configuration, Support and Troubleshooting.
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Basic networking skills and infrastructure skills – eg configuration and support, firewall configuration and rule creation, troubleshooting of network route and connectivity issues, wireless access point setup (Cisco Meraki; SonicWall, FortiGate.
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Department: Provider Network Operations
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Professionals in this position should have deep CRM process and configuration expertise in SAP CX across all areas of the CRM portfolio including Lead & Opportunity Management, Territory Management, Quote & Order Management, Service Tickets, Call Center, and integration to SAP ERP/ Commerce/Emarsys/CDP/CDC/CPQ/FSM/Qualtrics/BTP. Experience in SAP FSM, SAP CPQ, Emarsys, BTP is a plus.
$124,950 - $208,250 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Examples of audit subject matter includes configuration management, incident and problem management, IT asset management, IT change management, service continuity management, IT vendor management, Operating Systems, SQL and Oracle Databases, Network devices (firewalls, routers, etc.
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The Assistant General Counsel, Litigation, will be responsible for providing counsel to internal clients on a broad range of litigation and claims-related matters. Provide legal counsel to internal clients on litigation and claims-related matters.
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Ariba P2P Master data Management, Tax configuration experience. You will also play an important role in the development, configuration and deployment of the overall solution. Expertise with hands-on experience in SAP Ariba Buying, Ariba Sourcing, Ariba Supplier management & Guided buying, Catalog management Ariba Invoicing, Indirect Procurement, Setting up workflow approvals, Supplier Collaboration, Ariba integration with S/4 HANA etc.
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claims configuration jobs Company: Metroplus Health Plan in Staten Island, NY
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