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Job ResponsibilitiesConfirms coverage of claims by reviewing policies and documents submitted in support of claimsDirects and monitors assignments to experts and outside counsel, ensures effective vendor and litigation management on moderate to high complexity claims including demonstrable savingsAnalyzes coverage and communicates coverage positionsPrepare coverage position letters on matters typically in litigation without assistance of outside coverage counsel.
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The Claims QA Manager will build and manage a team of quality assurance professionals providing guidance coaching and oversight to enhance work product. The Claims QA Manager is responsible for assuring the Claims Department is adhering to established best practices by evaluating claim handling performance and creating impactful training that drives professional growth and exceptional service.
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The Medicaid Billing Specialist is responsible for the accurate and timely editing, preparation, submission of electronically and manually processed claims to third party payers in accordance with policies and procedures.
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Ensure Proof of Claims, Motions for Relief, Payment Change Notices, Post Petition Fees and Costs are prepared by counsel, are accurate and all aspects of the bankruptcy are handled according to investor guidelines and timeframes.
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Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
$133,700Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Investigator – you’ll confidently and independently investigate claims by performing detailed reviews of damage and interpreting policies to determine coverage. The Effective Communicator – you’ll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process.
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The Claims team is currently seeking an experienced Auto Adjuster to join in their Worcester MA - Richmond, VA - Itasca, IL or Howell, MI office location. Be responsible for some to all aspects of each claim, including informal hearings, arbitrations and small claims litigation and maintaining a high level of productivity, confidentiality, and customer service.
$50,000 - $60,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Maintain licensure through completion of yearly Continuing Legal Education (CLE) requirements of the District of Columbia, to include the Court of Appeals for Veterans Claims and the U.S. Federal Circuit Court.
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A Brief OverviewWe are looking for a highly capable Senior Technical General Liability Bodily Injury Claims Specialist to join our team and work from any of our US offices (Chicago, IL, New York City, NY, Omaha, NE, Richmond, VA, Rockwood, PA, San Antonio, TX, or Scottsdale, AZ.
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Ability to drive scientific excellence, understand key technologies, build models, and communicate effectively within R&D.5+ years in FMCG or Consumer HealthcareExperience in Consumer Science/Products Research (qualitative & quantitative research, consumer modelling, upstream/front end consumer need definition AND downstream/product validation and claims substantiation)Excellent analytical skills, including strategic thinking.
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Advanced analytical and quantitative skills with demonstrated ability in using data and metrics to identify root causes▪ Basic understanding of 1st and 3rd party fraud (claims to charge-off timing, chargeback recovery rights, etc.
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Qualified candidates ideally have prior experience handling fire, water, smoke, and natural disaster claims in the restoration/mitigation industry. Benefits: Pay is up to $24 per hour, based off experience and any IICRC certificationsPaid vacation timeSix paid holidays: New Year's Day, Memorial Day, July 4th, Labor Day, Thanksgiving Day and Christmas DayCompany vehicle provided to lead technicians during work hoursEligible for health, dental, and vision insurance after 30 daysPossibility for overtime hoursResponsibilities:Professionally represent the company’s mission, vision, and values.
$16 - $24 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Submit adjustment claims to Medicaid through use of online systems. Bulk mails all manual claims to individual payers daily. Attaches appropriate documents when billing manual claims including ER reports, itemized bills, implant invoices and other medical records.
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We are looking for a Director software Engineering to lead our modernization journey of Fraud disputes and claims processing. Software Engineering - Fraud disputes and claims. By applying, you consent to your information being transmitted by Disability Solutions to the Employer, as data controller, through the Employer’s data processor SonicJobs.
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Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. Identifies and refers claims with Major Case Unit exposure to the manager.
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claims job Title: return to in Mechanicsville, VA
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