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Our lawyers handle both contentious and non-contentious matters, and provide a range of specialist legal services, for many industry sectors but we have particular expertise in litigation and dispute resolution, especially in defending insurance and liability claims.
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To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements.
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AMN Healthcare proudly claims a spot on Forbes' prestigious lists not once, but twice! Your primary responsibilities will include assembling client-facing equipment for Video Remote Interpreting (VRI) and Over Phone Interpreting (OPI) services, acting as a point of contact for customers, collaborating with Account Managers, providing training on product usage and software, and ensuring successful deployment of physical equipment to final locations.
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We are looking for a Senior Liability Claims Adjuster to join our liability team. Obtain and document material claim facts on assigned claims consistent with CIRMA’s in house liability claims handling procedures.
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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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Provides market insights across all therapeutic areas by leveraging in-depth knowledge of Market Access ( Payer, IDN, Trade) landscape, healthcare reform, claims data and managed care data. Analyzes FIA, digital data, NODB, claims data to monitor and performance of managed care, co-pay dynamics etc.
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Our client, a specialty TPA for food franchises, bars, restaurants and entertainment is looking for a General Liability Claim Representative with premises liability, slip and falls, assault and battery, liquor liability (dramshop) and BI experience.
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Experience in workers compensation claims management and resolution for domestic and international cases is preferred. With operations in Israel, Poland, and the United States, the Energix group of companies has brought online nearly 900 MW, with a pipeline of nearly 7GW, leading the “green revolution” in the energy sector with its innovative solar and wind energy generation projects.
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Included in this position is working with the applicable staff from Corporate Finance, Revenue Cycle, Business Practice, Ancillary Service Areas, CBO Staff, and/or Internal Audit to document closure of action items related to defined audit events as well as the accountability of ensuring completion with corrected claims, and/or data extraction in preparation of audits.
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Work with clients to resolve issues and claims with SAG-AFTRA. Provide advice and counsel for talent related questions and SAG-AFTRA interpretation. Work with clients to resolve issues and claims with SAG-AFTRA.
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Patent litigation practice is particularly strong in the life sciences, and Section 337 claims arising from disruptive technologies. A Juris Doctor (JD) degree from an accredited law school is required.
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High school diploma or GED; one year of college level anatomy or pre-med classes or advanced medical terminology training, including ICD10 and CPT Coding; minimum two to four years’ experience in medical claims processing; word processing and data entry skills; Must have the ability to train employees and familiarity with HIPAA guidelines.
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Proficiency in Microsoft Office Suite (especially Excel and PowerPoint)Strong written and verbal communication skillsWhat Would Be Nice To Have:Working knowledge of APM and/or VBP models in developing health claims projectionsProblem-solving abilities, critical thinking skills, and the ability to model from a blank sheet of paper rather than models previously developed.
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Job Description - Claims Adjuster-Auto Damage (187913) Claims Adjuster-Auto Damage. auto damage claims adjuster. Evaluate and handle claim payments and resolution of claims without payments.
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Form a partnership with the medical case manager to maximize early return to work potential thereby reducing the need for extended disability payments, vocational rehabilitation, and other protracted claims costs.
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claims tpa jobs Company: Metroplus Health Plan in Sunnyside, NY
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