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📑 Claims AdjusterSummaryReports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusion an assig ...

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📑 Claims AdjusterSummaryReports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to conclusio ...

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📑 This is remote role Primary Purpose: Analyse complex or technically difficult workers' compensation claims to determine benefits due.Work with high exposure claims involving litigation and rehabilitation.Ensure ongoing adjudication of claims within ...

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📑 Job description TITLE: No-Fault Litigation Examiner DEPARTMENT: No-Fault REPORTS TO: Claims Manager OBJECTIVE: Settle/Defend No-Fault Suits and Arbitrations The Motor Vehicle Accident Indemnification Corporation (MVAIC) was created in 1958 to provide compensation for innocent victims of certain types of accidents caused by uninsured or otherwise fi ...

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📑 Job Summary Arch Insurance Group, AIGI, is looking for an experienced claims professional to join its growing Major Case Unit as a Technical Claims Supervisor. The successful candidate will have significant commercial general/auto liability complex/large exposure claim handling experience, a passion for achieving exce ...

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📑 At Adonis, we offer multiple solutions to assist medical providers in navigating the complexities of healthcare billing and receipt of payment for service. Billing and insurance related activities represent nearly $1 in every $7 collected by medical providers - and the high costs of collecting payments, as well as and other costs that stem from the ...

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📑 Job description TITLE: No-Fault Litigation Examiner DEPARTMENT: No-Fault REPORTS TO: Claims Manager OBJECTIVE: Settle/Defend No-Fault Suits and Arbitrations The Motor Vehicle Accident Indemnification Corporation (MVAIC) was created in 1958 to provide compensation for innocent victims ...

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📑 Description: Primary Purpose: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service re ...

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📑 Celebrating 50 years of excellence,NewYorkPsychotherapy and Counseling Center (NYPCC) has been atthe forefront of mental healthand wellness;assisting children, families, and individuals with behavioral and emotional challengesat our five locations throughout thecity.NYPCC is the leading pioneer of communit ...

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📑 PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrog ...

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📑 - The Claims Specialist will be responsible for reviewing claims processed by the outside vendor, including resolving provider appeals/disputes. Performs root cause analysis for all provider projects to identify areas for provider education and/or system (re)configuration. Initiates and follows through with resolution of all pended claims, (re)p ...

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📑 About E-J:The E-J Group is active in all facets of electrical contracting - we are not your typical electrical contractor. We bring experience, expertise, and a national reputation to projects that vary in size to over $300 million. Typical installations include rail systems, transit facilities, office buildings, h ...

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📑 LHH Recruitment Solutions is seeking a Claims Specialist for a plaintiff law firm. This opportunity is full time and hybrid out of New York, NY.Hours: 9:30am - 5:30pm, overtime when necessaryResponsibilitiesFormat documents and communications for clients; review documents (release/document verifica ...

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📑 JCW is currently working on behalf of a real estate and property management company that's looking to add a Property Claims Manager. As a Claims Manager, you'll be working closely with the Head of Insurance and serving as the main point of contact across the property business verticals.Responsibility:Providing direc ...

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📑 About E-J:The E-J Group is active in all facets of electrical contracting - we are not your typical electrical contractor. We bring experience, expertise, and a national reputation to projects that vary in size to over $300 million. Typical installations include rail systems, transit facilities, office buildings, hospitals, power and renewable ener ...

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📑 About The RoleBrighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary contracts, Medical Policies and Payment procedures as well as capable of manually processing claims according to all outlined Policies and Procedures. This job description is not designed t ...

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📑 LHH Recruitment Solutions is seeking a Claims Specialist for a plaintiff law firm. This opportunity is full time and hybrid out of New York, NY.Hours: 9:30am - 5:30pm, overtime when necessaryResponsibilitiesFormat documents and communications for clients; review documents (release/document verification) for production to defense counsel for quality ...

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📑 We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managing and adjudicating complex insurance claims, ensuring accuracy, efficiency, and adherence to company policies and regulatory guidelines. The ideal candidate will possess a strong background in claims processing, exceptional ana ...

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📑 About The RoleBrighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary contracts, Medical Policies and Payment procedures as well as capable of manually processing claims according to all outline ...

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📑 We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managing and adjudicating complex insurance claims, ensuring accuracy, efficiency, and adherence to company policies and regulatory guidelines. The ideal candidate will possess a strong background in claims processing, exceptional analyt ...

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📑 JCW is currently working on behalf of a real estate and property management company that's looking to add a Property Claims Manager. As a Claims Manager, you'll be working closely with the Head of Insurance and serving as the main point of contact across the property business verticals.Responsibility:Providing directive assisting in filling third p ...

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📑 OverviewAudits functions of VNS Health Plans claims. Collaborates with other Health plan departments to ensure claims are processed in accordance with established guideline and/or policies and procedures. Assists in compliance reviews of internal and Third Party Administrator's (TPA) claims processing policies and procedures. Provides feedback o ...

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📑 - The Claims Specialist will be responsible for reviewing claims processed by the outside vendor, including resolving provider appeals/disputes. Performs root cause analysis for all provider projects to identify areas for provider education and/or system (re)configuration. Initiates and follows through with resolution of all pended claims, (re)pric ...

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📑 JOB DESCRIPTION The Senior Claim Specialist, under moderate direction from the manager, investigates and settles claims promptly, equitably, and within established best practices guidelines. * Responsible for investigating; settling high exposure, high risk Employment Practices Claims. * Ensure a high level of customer ...

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📑 This is a role focused on technical claim handling for Chubb insured’s nationwide. In this role you will manage complex medical liability claims, both litigated and non-litigated. This role requires an individual to be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation ...

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📑 Description: AMENDED Under the supervision of the Director of the Special Education Unit of the Office of Legal Services, with wide latitude for independent judgment and decision-making, the Special Education Unit (SEU) Attorney engages in difficult and complex legal work having significant financial ...

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📑 AVP Claims - Allied Healthcare & MPL page is loaded AVP Claims - Allied Healthcare & MPL Apply locations USA, Atlanta USA, New York - Manhattan time type Full time posted on Posted 3 Days Ago job requisition id R0015606 Job Type:ContractorBuild a brilliant future with Hiscox The AVP, Team Manag ...

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📑 Job TypeContractorBuild a brilliant future with HiscoxSkillsThe AVP, Team Manager - MPL is a first line manager responsible for assisting in the delivery of team objectives by developing, managing, and motivating engaged, high-performance claims professionals. This person combines excellent technical claims handling, people management, and leadersh ...

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📑 Insurance Company client is looking for an experienced Claims Process Analyst.  The ideal candidate will have at least 5 years' experience, as well as knowledge of data analysis, Use Case documentation, Agile methodology, and Software Development Life Cycle.  Regulatory Compliance experience would be a plus.  Computer skills incl ...

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📑 Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty at email address [email protected] can be reached on # 630-576-1925. We have Contract role for Claims Examiner –Remote for our client Garden City NY. Please let me know if you or any of your friends would be inte ...

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📑 Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty at email address [email protected] can be reached on # 630-576-1925. We have Contract role for Claims Examiner –Remote for our client Ga ...

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📑 If you’re passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers are at the center of everything ...

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📑 Job Title: Complex Claims Specialist/Consultant - Financial InstitutionsLocation: Open to Chicago/Lisle, IL – Tarrytown, NY – Warren, NJ – Lake Mary, FL – Melville, NY – Wyomissing, PA – Radnor, PA – New York, NY – Brea, CA – DeWitt, NY – Atlanta, GAEssential Duties & Responsibilities: • Interprets more complex or unusual policy coverages and deter ...

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