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Job Summary:The primary objective of the Claims Analyst in the role is to support the Senior Cargo Claims Manager. Cargo Claims at NFI.The secondary objective of the Claims Analyst is to support the claims team as a whole when time permits by helping the Work Comp team with projects and support when and if time allows or in emergencies.
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Maintains the Sales Floor and merchandise presentation in the Freezer/Cooler/Deli area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up, cleaning, and organizing product displays; removing damaged goods; signing and pricing merchandise appropriately; completing required audits, paperwork, logs, and other required documentation; and securing fragile and high-shrink merchandise.
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With a focus on complex, commercial and niche markets, the company provides loss adjusting, claims and risk management services, forensic technical services as well as auditing and pre-risk surveying.
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The Auditor Payment Integrity audits claims submitted to IBX to verify accuracy of provider payments and charges. Four (4) or more years' experience which includes two (2) or more of health care Provider Audit experience and may include two (2) or more years of health care Claims or Customer Service experience.
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Claims Adjuster Trainee. claims adjuster trainee. Well also teach you the insurance stuff providing in-depth training on property damage and insurance contracts so you can confidently and independently adjust claims.
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The ideal candidate will have 5 or more years of experience as a lawyer and/or claim professional with a high degree of specialized and technical competence in litigation management and the handling of complex coverage issues, high exposure and/or long term exposure claims and coverage litigation.
$80,500 - $137,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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Proven hands-on experience developing generalized linear models in a commercial lines setting including loss ratio, frequency/severity, pure premium, claims modeling. Experience coding in Python, R or SQL.Knowledge of visualization tools such as PowerBI.Experience developing models in cloud-based tools in Azure such as Databricks, Snowflake, Github.
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Investigates losses/claims with illegal, fraudulent or subrogation aspects in accordance with assignment from client or assigned attorney representing insurer. Accepts assignments from customers for investigation of losses or claims and pursues investigation in accordance with the specific needs of the assignment.
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Functional knowledge & understanding: Claims management process, US/RoW Insurance market (general & focus group), US legal and regulatory environment, Alternative resolution approaches. Job Title: Claims Manager - Executive Risk.
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General Claims Adjuster-Sign On Bonus. Reviews Claims Office Operations and conducts quality assurance evaluations (Commercial Claims only). Successful demonstration/completion of the Claims General Adjuster prerequisites, proficiencies, and exams, as required based on unit of assignment.
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For 29 years, we have continued to commit ourselves to the utmost degree of integrity and professionalism specializing in all aspects of insurance defense investigations to include; claims investigations, SIU investigations and Vendor Management Programs.
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Assist in the processing of long-term care insurance claims, ensuring all necessary documentation is completed accurately and submitted in a timely manner. Handle tasks such as sending pay stubs, running CBCs, and setting up caregivers in Payroll & Wellsky.
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You will work on matters defending clients accused ofhealthcare fraudinvolvingFalse Claims Actdefense, complex litigation involving theAnti-KickbackStatuteandStark Law,Foreign Corrupt Practices Actandinternal investigations.
$225,000 - $295,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medical claims; analyzing and optimizing bill review procedures and systems; and leading a team of experienced medical bill review auditors, nurse auditors, med-legal nurse, negotiators and related staff in an environment of continual performance improvement.
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aflac claims jobs in Philadelphia, PA
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