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The Team Coordinator for Business & Systems Integration supervises day-to-day activities and staff involving auditing, training, business requirements development, system testing, KPI metrics, and reports for the operational areas including claims, system admin, and enrollment.
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Works closely with the MedStar VP, Risk Management to manage financial aspects of the MedStar's medical professional liability and corporate general liability claims program including establishing and maintaining a sound claims-reserving program that ensures that liability exposure is timely and adequately recognized and recorded.
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Experience working with managed care claims, third-party liability, Medicaid waiver programs, and provider enrollment; Knowledge and expertise in managed care claims, third-party liability, Medicaid waiver programs, and/or provider enrollment.
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Work with other Ally functions to ensure optimal efforts are taken to recover potential losses (e.g. repo, restitutions, assumptions, insurance claims, etc. Building a Family: adoption, surrogacy and fertility assistance as well as paid parental and caregiver leave, Dependent Day Care FSA back-up child and adult/elder care days and childcare discounts.
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May handle litigated claims, including negotiating with plaintiff attorney, or coordinates litigation with defense counsel as required. Develops and applies a working knowledge of estimating practices and procedures relating to the adjustment of property claims.
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With guidance of MSH VP, Risk Management, oversees the handling of claims at MWHC including reserves, communication with patients and or families, documentation, evaluation, and patient bill holds.
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Report all claims, accidents, and incidents to HR (Human Resources) and the Area/Regional VP immediately, while handling appropriately, with urgency, care, and concern. Adhere to Evolution's employment and payroll policies and procedures to limit exposure to employment claims and litigation.
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As a dedicated Sr Auto Appraiser, you will within defined guidelines and framework responsible to investigate, evaluate and appraise vehicle damage claims for both repairable and total loss vehicles to ensure estimate accuracy in compliance with state laws and regulations.
$61,110 - $116,800 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Knowledge, skills, and abilities related to white collar crime; money laundering; insurance claims; generally-accepted accounting principle violations; telemarketing fraud; check kiting; contract and procurement fraud; asset misappropriation; securities fraud; financial statement fraud; bankruptcy fraud; credit card fraud; embezzlement; evidence integrity analysis; damage assessment; tracing illicit funds; locating hidden assets; forensic intelligence gathering; and/or regression analysis.
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Maintains all documents required to file Medicaid claims, including the documentation of students' progress according to DCPS Policy and Procedure. Eligible for Instructional Credentials from the Office of the State Superintendent of Education (OSSE.
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2+ years of experience in oncology research using secondary data sources such as healthcare claims and registry data. Solid knowledge of various health data sources (claims/Medicare, EHR, registries) and Medicare Part A, B and D data.
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The Skydio team combines deep expertise in artificial intelligence, best-in-class hardware and software product development, and operational excellence to empower a broader, more diverse audience of drone users - from first responders to insurance claims adjusters, utilities, and more.
$116,875 - $147,800 a yearFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Refer damage claims on commercial crops or livestock to Fish and Wildlife conflict specialists. you will schedule and proctor tests for various programs including Goose Identification, Wildlife Rehabilitation, Hunter Education, Falconry and Trapping.
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If so, we are looking for a Part-time Materials Engineer/Materials Scientist with broad design and manufacturing expertise to join our national Materials Science practice group to provide investigation, analysis, reports, and testimony where technical and scientific answers are needed to help resolve civil and criminal litigation and insurance claims.
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Go in-network with expert support: We handle credentialing, enrollment, and claims processing so you don't have to. Guaranteed payment: We pay you twice a month, regardless of whether your claims are accepted by insurance companies.
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claims job in Mclean, VA
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