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As a Senior Liability Adjuster, you will play a critical role in managing bodily injury and property damage claims, including those related to auto accidents, premises liability, police professional liability, and subrogation.
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Responsibilities :The Provider Claims Inquiry Team Medical Coding Auditor reviews medical records and documents supporting claims for Physical and Behavioral Health Services. Verifies and validates authorization of services, written clinical documentation of services received through Physical Health Services and Behavioral Health utilization management Departments, and information contained in the health care claims systems against claims, medical records, anomalies, abnormal billing patterns, and other indicators (e.g., services not rendered, up-coding, unbundling, etc.
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Such person shall also be required to certify as a condition of employment that he or she is fully current on any and all debts, taxes, fees, judgments, claims, and other accounts and obligations due and owing to the Philadelphia Gas Works (PGW) or has voluntarily entered into a payment agreement with PGW.
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The Statistical Analyst A will use standard SAS and/or Stata to create analytic datasets from clinical trials, health care claims, electronic medical records, and surveys; to construct and standardize analytical variables through data integration and data manipulation; to provide descriptive and analytic reports; and to perform statistical analyses.
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Primary practice of Judge Advocates is criminal litigation and operational law, they also do Civil Law: legal assistance (estate planning, family law, tax matters), tort claims (represent interest of the US in tort issues such as Federal Tort Claims Act to the Military Claims Act), labor law (arbitration hearing, equal opportunity), contract law (multi-billion dollar contracts of new military technologies and supplies.
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The Statistical Analyst A will use standard SAS and/or STATA programming skills to create analytical datasets from clinical trials, surveys, and health care claims, to construct and standardize outcome measures and other analytical variables through data cleaning and data manipulation, to provide descriptive and analytical reports, and to perform specialized statistical analyses.
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Responsibilities include:Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liability or Umbrella claims.
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Collaborates with various departments within the company, including marketing, claims, risk control, actuarial, accounting and product development to support business goals. A commitment to a disciplined education plan including Chartered Property Casualty Underwriter (CPCU) and Construction Risk Insurance Specialist (CRIS) and relevant industry sponsored seminars.
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Working closely with in-house counsel, defense counsel, broker, and insurer/TPA, recommend courses of action, including litigation management, in developing an affirmative defense, mitigating liability, and valuation of claims toward economical settlement or final disposition of third-party claims.
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File review and legal analysis of workers’ compensation claims. Leading law firm is seeking a Workers Compensation Attorney with 2-7 years of experience. Legal research and drafting of client correspondence, discovery devices, summations, appeals and appellate briefs.
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Department Claims and Dispute Resolution Locations Philadelphia, PA, Atlanta, GA, New York, NY, Washington, DC, Chicago, IL, Raleigh-Durham, NC Remote status Hybrid Remote. Claims and Dispute Resolution •Johannesburg, SA •Hybrid Remote.
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Overview Gallagher Bassett is the premier provider of global claims, loss control, and risk management consulting services, dedicated to exceptional customer service and demonstrably superior outcomes.
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This position will also provide administrative support with answering phone inquiries, receipt and processing of claims documents and records within an electronic environment, safety data entry and reports, processing payments, preparation, and distribution of correspondence, and other clerical/administrative functions under the direction of the Claims Manager.
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Work with key members of therapeutic area offices (e.g., executives, providers, administrators, billing and coding staff, claims departments, revenue cycle managers) in order to appropriately support patient access to products.
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Works under the supervision of the General Counsel and specializes in one of the following areas: charter school law, claims, commercial litigation, civil rights and torts, federal and state grants compliance, labor and employment, real estate, special education, school law and transactions (contracts.
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claims job Company: Remote Career Jobs Recruit in Bala Cynwyd, PA
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