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ProAghas an exciting opportunity for a Crop Insurance Adjuster to join our team. As a ProAg Crop Adjuster, you will make first contact with our policy holder on the farm or ranch that has just experienced a loss.
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Description: PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
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We are seeking an experienced workers compensation adjuster toprovide front-line customer-focused handling of lost time complex claims for an assigned market. FL or reciprocal state adjuster license required; other licenses in our footprint are a plus.
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Ensures accuracy in claims escalation (denials management) while adhering to all regulations. 1+ year of experience with Claims Escalation or Insurance Follow Up (Blue Cross Blue Shield/BCBS Commercial Payers experience preferred.
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Investigates and maintains claims: Reviews and evaluates coverage and/or liability. Ensures that claims payments are issued in a timely and accurate manner. Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions or trials as necessary.
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Shadows Adjuster in claims investigation and assists by obtaining official reports, inspecting physical damage, and comparing claim information with evidence. Under direct supervision, resolves claims by investigating losses, negotiating settlements, while maintaining adequate production levels.
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The Healthcare Claims Negotiator will build and maintain outstanding relationships with providers and while adhering to client's policies and regulations, maximize savings amount for client. Monitor In-Process Claims Report in order to meet each client's expected turnaround time.
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Sometimes the job is as simple as relaying information at the right time, following our process - or making a simple status request from an insurance adjuster so we're up to date on a claim. The Claims Manager will be responsible to act as a liaison for our clients in the management of Worker's Compensation claims.
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Resolve complex claims inquiries and problems, judging when to pass complex queries on to or involve others in order to provide an effective service and clear advice to colleagues and customers.
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WHAT WE ARE SEEKING We have assignments available to help our insurance carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Commercial Claims Adjuster or Examiner positions.
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Adjudicate all claims types including Dental, Vision and Medical claims for inpatient and outpatient facilities, physician claims, In and Out of Network claims, Medicaid reclamation (HIPD), FSA, foreign claims, outpatient lab and radiology, accident and Third-Party Liability (TPL) claims, and Medicare Secondary Payer (MSP) by calculating benefit due to approve or deny, based on SPD.
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Workers Comp Claims Specialist - Remote/Work from Home page is loaded. Workers Comp Claims Specialist - Remote/Work from Home. Ensures that claims handling is conducted in compliance with applicable statutes, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
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At least 2 years of experience in claims processing, group employee benefits, insurance operations, underwriting, or business analysis. Assist in the plan to convert off and sunset the existing claims platforms.
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We are seeking a Health Plan Claims for an assignment in Remote California. You will have low fee, low cost funds such as Vanguard and a variety of other investment selections that will help you reach financial security and ultimately, financial freedom.
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Job title: Claims Processor Pay Rate: $16/hr on W2 for PE Claims Processor $17/hr W2 for SPE Claims Processor Position type: W2 Contract Location: Remote Responsibilities Working on multiple screens, hand-on with claims processing Review and scrutinize claims and process claims into the computer system as per the provided DLPs /guidelines Determine accurate claims payment or denial, identify, and elevate dubious claims or system issues to process the claim accurately.
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Title: claims adjuster Company: Geoblue King Of Prussia Pa Bjj in Spearfish, SD
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