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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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4 years experience with Guidewire Cloud Claims migration. 4 years of experience working in one of the following sub service areas: Insurance Products, Underwriting, Claims, Billing & Payments, Policy Administration or Distribution.
$127,950 - $208,250 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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As a Field Auto Adjuster, you will play a crucial role in our Auto claims handling process by writing estimates directly at customer homes, repair shops, or tow yards. We’ve been an industry leader in pricing sophistication, telematics, digital photo claims and, more recently, device and identity protection.
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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.
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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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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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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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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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Basic understanding of 1st and 3rd party fraud (claims to charge-off timing, chargeback recovery rights, etc.) Partner with claims, policy, strategy, and product teams to deliver data insights and analysis that inform critical decisions and help achieve goals.
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Provide high level application support and troubleshooting of corporate claims processing applications (QNXT). Experience with application support (claims processing system a plus) Familiarity with key Medicare and Medicaid managed care functions including claims, enrollment, and Medical Management.
$62,353 - $82,992 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Uhsguest.com Contact Information: Nicole Baez HR Coordinator/Recruiter Qualifications Position Requirements: Proactive, assertive articulates knowledge and understanding of payer claims processing philosophies.
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IalAssists the VP Finance & Administration with organizational Human Resources support including administration; disability claims; unemployment; and Workers' Compensation claims/ premium aud.
$70,000 - $80,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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This includes collision, property damage related to autos, rental and towing and some comprehensive; typically excludes fire, theft, flood, lightning, diminished value claims and any claims that involve injuries.
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This position requires the Claims Manager to be in the office located in Richmond, VA full time (this is not a remote position). Preferred skills include: familiarity with ICD-10 codes; medical terminology certification; dental claims processing experience; and knowledge of Basys (system vendor.
$80,000 - $95,000 a yearFull-timeExpandApply NowActive JobUpdated 8 days ago
claims job Company: Allstate Benefits in Richmond, VA
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