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Ability to assist with technical training to team claim handlers as requiredWell developed and advanced expertise and knowledge in most technically complex claims topicsPolicy language skills enabling accurate and consistent policy wording interpretationExperience in effectively following up on recommendations from technical claims audits and continuous file handling improvement.
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This senior market leader will oversee a team of direct and indirect reports responsible for provider relations and training, claims education, provider engagement, and practice transformation.
$123,800 - $154,800 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Manages an inventory of the most complex and high exposure Lawyers Professional Liability Claims by following company protocols to manage and oversee all aspects of the claim handling, including coverage determinations, investigations, and resolution strategies which may include pursuit of risk transfer, extensive negotiations and complex litigation management.
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Walk-through claims with an insurance adjuster and the insured, explaining our process. We provide high quality and cost-effective "hands-on" restoration services with appropriate turnaround times that contractors, claims professionals, and homeowners require.
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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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Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims. 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.
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The Customer Service Expert – you’ll live into Allstate’s Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each claim.
$52,500 - $85,600 a yearFull-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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The salary for the Sr. Claims Specialist position is $75,000 - $110,000 with a 25% bonus potential. Directs and monitors assignments to experts and outside counsel, ensures effective vendor and litigation management on moderate to high complexity claims including demonstrable savings.
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Attaches appropriate documents when billing manual claims including ER reports, itemized bills, implant invoices and other medical records. Submit adjustment claims to Medicaid through use of online systems.
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Performance and Employee Relations: Facilitates performance evaluations, manages disciplinary actions, handles accommodations, investigations, terminations, workers' compensation claims, and FMLA requests; manages employee separations.
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Assists in training new Employees and property claims specialists in the branches when requested by claims manager. Inspects property damage, reviews information to prepare estimates, evaluates and makes recommendations regarding coverage of claims, determines liability and total value of claims and negotiates settlements.
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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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The mission of FRS is to advance the interests of the taxpayers of Virginia by providing legal advice and services to appropriately, cost-effectively, and aggressively secure recoveries on civil claims in favor of the Commonwealth of Virginia.
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Assists in keeping the environment safe for associates to reduce the occurrence of Workers’ Compensation claims by appropriately evaluating resident transfer and mobility needs and involving therapy services as indicated.
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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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claims job Title: claim specialist in Richmond, VA
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