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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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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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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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With PWM, you will enjoy a fully remote and flexible caseload schedule, full administrative support, as well as automated claims submissions. PWM is dedicated to ensuring the best in quality-of-life enhancing medical treatments for our nation’s veterans, and is currently hiring licensed clinical mental health providers.
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Master's Degree in healthcare field (e.g. MSHA, MPH, MSN, MHA), Quality Engineering, Business Administration or related field. Supplemental course work in quality improvement, such as quality methodologies/tools, data analysis, patient safety, Lean, Six Sigma, quality engineering, and/or project management.
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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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Perform Quality Analyst functions such as defining test objectives, test plans and test cases, and executing test cases. The Virginia Department of Transportation (VDOT) Business Integrated Solutions Division (BISD) is seeking a Master Data Analyst with demonstrated experience in data analytics to work as a key member of Business Analysis and Testing Support team.
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Preferred experience may include insurance loss control, underwriting or claims; commercial building construction, compliance or other property inspections; fire safety and industrial safety occupations.
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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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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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Argo Group, a global multiline underwriter of specialty insurance and reinsurance products in the property and casualty market, offers a comprehensive line of high-quality products and services designed to meet the unique coverage and claims-handling needs of our clients.
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The American Heart Association has an excellent opportunity for a Sr. Cyber Risk Analyst in our National Center office located in Dallas, TX. (Home-based work available) The Business Technology (BT) Sr. Cyber Risk Analyst is responsible for risk identification and management across the BT department and the overall American Heart Association organization.
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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.
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As a Quality Control Associate , you will play a vital role in maintaining the reputation of Mercedes-Benz vehicles by inspecting, testing, and verifying that all service work meets the brand’s rigorous standards.
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Task 1: The contracted System Analyst candidate ("Contractor") will understand, replicate results, and produce technical documentation for the procedures and processes that the Senior Oracle Database Architect/Engineer employs for various foundationaltasks of the TMS (Traffic Management System.
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claims job Title: quality analyst in Richmond, VA
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