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Knowledge of insurance terminology, underwriting, claims handling, and laws and regulations applicable to health insurance, ACA, long-term care, Medicare supplement, or managed care plans is a plus.
$50,000 - $60,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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1 Years - Familiarity with claims processing software. Support the Release 103 Cardinal Care Managed Care 2.0 initiative which deals with Consolidation of the Medallion 4.0 and CCC Plus programs into one unified program approved by CMS as a priority.
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Manage freight claims thoroughly, ensuring issues are resolved in favor of seamless operations. As a Freight Broker, you will orchestrate the transportation of goods by coordinating with carriers to match them with loads efficiently.
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Insight Global is searching for a Bodily Injuries (Auto) Claims Supervisor to join a top TPA firm on the East Coast. · 3-5 years of experience in within Commercial Auto Trucking Claims. Serious Injury Claims (High Dollar.
$84,000 - $126,000ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Assist fleet driver with insurance claims. The Purchasing Assistant is responsible for analysis and payment upload of consolidated invoices, vendor maintenance and provide general back up of all GIP related functions.
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Under moderate supervision, provide office based telephonic medical case management with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment as well as in-house medical reviews as applicable to claim handling laws and regulations.
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Conducting outreach to employers, insurance companies, Third-Party Administrators (TPAs), and patients via telephone and email to determine the status of claims and invoices and the steps necessary to complete for reimbursement.
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Contact customer, medical provider and injured parties on claims involving medical treatment and /or disability to coordinate appropriate medical care and return to work. Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Clinical Research Counselor (CRC), or Certified Rehab Registered Nurse (CRRN) preferred.
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You’ll serve on the front lines of insurance sales, helping new customers navigate our products, processing claims and inquiries, and developing an ever-growing lead list to secure new business.
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Complete employment verifications, unemployment claims and requests for information. Provide project and administrative support as needed to Payroll/HRIS Supervisor. Randstad is seeking a payroll specialist.
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We are currently seeking an experienced Resident Workers' Compensation Claims Adjuster to provide quality, cost efficient and timely investigation of complex workers compensation claims.
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Familiarity with claims processing software Desired 1 Years. Our client has an opening for a QA Analyst rec (729759) Experience in SIT and UAT test scenario and Test Case development Required 5 Years.
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Integrated EDI healthcare transactions (837, 834, 835,270/271, 276/277, 278) with healthcare core administration platforms (Claims adjudication/enrollment) Integrate Claims, Enrollment, Provider, Authorization, Payment systems.
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Experience working in outbound call center preferred; Communicating effectively with the employer, insurance company, and TPA to understand the reasons for past due balances and identify solutions to prevent accounts from reaching this status.
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Ensures all representatives meet/exceed product and brand strategy training targets including approved product attribute/claims understanding, awareness of competitive products, as well as related disease and patient management strategies.
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claims job in Richmond, VA
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