State Licensed Complex Loss Specialist
Virtual Vocations Inc
Specializing in complex Allied Health claims, the full-time remote State Licensed Complex Loss Specialist will manage high-exposure losses, conduct coverage analysis, and provide strategic insights to senior executives while fostering collaborative relationships with clients and internal teams. Key responsibilities Investigate and evaluate complex claims, securing necessary documentation and statements Draft reservation of rights letters and coverage denial communications for supervisor review Maintain detailed claim file documentation and provide regular updates to stakeholders on file status Required qualifications Minimum of 10 years of claims experience, specifically in complex Allied Health claims College degree or equivalent claims management experience required Active individual adjusting license for a designated home State Minimum of 10 years litigation management experience preferred Proficient in Microsoft Outlook, Word, and Excel Virtual Vocations Inc
- ...: No new grads Responsibilities:\n \n Perform complex laboratory tests on clinical samples for diagnostic purposes... ...Medical Technology or related field \n New York State Clinical Laboratory Technologist license \n Minimum of 2 years of experience working as a...Suggested
- To support utilization review cases, the full-time State Licensed Utilization Coordinator will manage medical reviews, analyze member cases for treatment authorizations, and liaise with internal and external partners while working remotely. Key responsibilities Provide...SuggestedFull timeRemote work
$90.58k - $114.59k
...the Title: Investigative Specialist 2 MedicaidOccupational... ...: City : Hauppauge State: NY Zip Code: 11788Job... ...personal caseload including complex investigations.•... ...hotel or store detective, loss prevention officer, parole... ...have a valid driver’s license or otherwise demonstrate...SuggestedPermanent employmentFull timeWork experience placementInternshipWork at officeRemote workVisa sponsorship- ...career as a Maintenance Repairman 2 within the Cook Forest State Park Complex. This is an active role which allows you to showcase your hands... ...possession of a valid Pennsylvania Class C Driver's License. Other Requirements You must meet the PA residency requirement...SuggestedFull timeSeasonal workWork at officeLocal areaRemote workDay shift
$120k
...clients with total transformation-inspiring complex change, enabling organizations to grow,... ...is that you will obtain a valid driver’s license and passport within six months of... ...considered in a manner consistent with applicable state and local laws. BCG is an E - Verify...SuggestedFull timePart timeWork experience placementWork at officeLocal areaHome office- ...Bend is seeking a field-based Risk Assessment Specialist to serve the Raleigh/Durham area from a home office... .... Ideal candidates have 3+ years in safety or loss control, strong communication, and proven ability to manage complex accounts. Located in or willing to relocate to...RelocationHome office
$72.5k - $154.3k
...Company: MarshLocation: New York, United States of America | Chicago, Illinois, United States... ...on you to: Consult management on complex client issues or trends through clear and... ...industry or relevant experience ~ P&C licensed, OR ability to obtain within 3 months of...Minimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week- ...Casualty companies in the United States, we proudly manage nearly $1... ...for a Senior Risk Management/Loss Control Consultant to join our... ...surveys on a range of moderate to complex risks, aiming to enhance... ...supervision. Must have a valid driver’s license, an acceptable driving record...Remote jobLocal areaFlexible hoursNight shift
- ...support a growing behavioral healthcare team, the remote Licensed Utilization Review Specialist will ensure clinically appropriate care and cost-... ...substance abuse or mental health licensure in the relevant state Minimum of 1 year of experience in a relevant field Ability...Remote work
- ...Support Representative for a fully remote position within the United States. This role involves providing high-quality support through our... ...of customer service experience, and hold a FINRA Series 6 or 7 license. Comprehensive benefits include health coverage and a...Remote job
- ...of Auto Liability claims, the full-time remote Tennessee Licensed Auto Liability Specialist will manage the evaluation, negotiation, and settlement of... ...preferred Possess or secure and maintain appropriate state adjuster license(s) and continuing education credits Strong...Full timeRemote work
- ...in-person, virtual, and digital tools, the full-time Ohio Licensed Neuroscience Specialist will conduct proactive outreach, facilitate discussions,... ...Physician Assistant, RN) Demonstrated ability to communicate complex clinical information and influence stakeholders Strong...Full timeLocal area
- Guided Care is seeking a part-time Licensing Specialist to manage licensing, Medicare, and Medicaid registrations with accurate, timely submissions... ...of Licensing and requires independent work in a remote-capable setup within the United States. #J-18808-Ljbffr Guided CareRemote jobPart time
- Positions Overview: Licensing Specialist The Licensing Specialist is responsible for is responsible for completing licensing, Medicare, Medicaid... ...of Medicaid provider registrations in full compliance with state Medicaid guidelines and requirements. Complete Medicare 855...Part timeWork at officeRemote work
- ...system. It is the only downstate RTF in the state that is a dual NYS Office of Mental... ...Summary Permanency - Family Connections Specialist, RTF promotes timely, successful discharge... ...to enhance services for children with complex psychiatric and behavioral health needs....Temporary workWork at officeLocal areaFlexible hours
- ...assess exposure, and provide expert guidance to reduce insured losses. You will tailor services, prepare findings, and collaborate with... ...degree, and strong communication skills. Travel and a valid driver's license required where applicable. #J-18808-Ljbffr EMC Insurance
- To support provider enrollment into the State of Nevada Medicaid Program, the remote Nevada Licensed Provider Enrollment Specialist will review and process Medicaid applications, perform outreach to providers, and ensure compliance with state and federal requirements. Key...Work experience placementRemote work
$31.25 - $36.06 per hour
...Licensing Specialist Imagen Technologies is building the AI-enabled teleradiology practice of the future. We operate the first vertically... ...are rapidly expanding this platform across the U.S.from 22 states and 2.7 million patients in 2025 to more than 35 states and...Hourly payLocal areaRemote work$28.72 - $36.92 per hour
...opportunities are posted here as they become available. AR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote The 61st Street Service... ...is primarily remote, candidates must reside in the Tri-State area (New York, New Jersey, Connecticut). Note: There may...Remote jobHourly payFull timeWork at officeLocal area- ...needed Supporting group care, as needed Who you are Independently licensed as an LCSW, LMFT, LPC or LMHC for at least 5 years Completed... ...public health programs Must be willing to cross license in other states where there is a company need (you'd be supported with this...Part timeRemote workMonday to FridayShift work
$107k - $178k
...Lead Global Trade Compliance Specialist will lead export and import operations... ...authoritiesTranslate complex trade requirements into clear... ...Qualifications:U.S. Licensed Customs Broker; Certified Customs... ...category specified by local, state or federal law SummaryLocation...Full timeLocal areaRemote work$86.21k - $141.64k
...individual to join our team as Lead Specialist, General Audit.This role will... ..., and report on highly complex business risks and controls... ...Professional accreditations, licenses, or designations required - (... ...authorized to work in the United States, without the need for...Full timeH1bWork at officeVisa sponsorshipWork visaFlexible hours$225k - $275k
...Veterinary Internal Medicine Specialist to join our Internal Medicine... ...confidence managing complex medical cases, and an interest... ...veterinary licensure in the State of New York While all ranges... ...hospitalists, residents, interns, licensed veterinary technicians, and experienced...Full timeInternshipRelocation package- Maine Drilling & Blasting Inc seeks a Licensed Blaster to perform blasting activities at job sites with supervision from Blasting Supervisor... ...expertise, pre-blast inspections, safety compliance, and cross-state transport of explosives. DOE salary plus company vehicle; high...
$88.5k - $147.5k
...of any strategy Ability to work with complex information and distill into a framework... ...care providers as required by federal and state transparency laws and implementing regulations... ...reimbursement of recruiting expenses for licensed physicians may constitute a reportable...Permanent employmentFull timeSummer workH1bWork at officeLocal areaImmediate startWorldwideVisa sponsorshipWork visaRelocation package$18 - $26 per hour
...customer and associate activity that could result in a loss to Ralph Lauren. The APC promotes and monitors compliance... ...2 lbs or greater (as needed). Must satisfy all licensing requirements (as required by state or local jurisdiction). Salary range: $18 - $26 hourly...Hourly payLocal areaShift workAfternoon shift- ...Behavioral Analysis (ABA) services, the full-time Licensed Behavioral Health Coordinator will... ...while working remotely in the Tri-State Area of Pennsylvania, New Jersey, or Delaware... ...members with autism spectrum disorder or complex psychiatric cases preferred Virtual Vocations...Full timeRemote work
$18 - $25 per hour
...healthcare organizations down. By automating licensing, credentialing, payer enrollment, and... ...completeness and accuracy in accordance with state licensing requirements Review and... ...solving skills with the ability to navigate complex licensing requirements Excellent communication...Local areaRemote work$43k - $50k
Summary The Analyst, Loss Analysis is responsible for the QC, audit and oversight of claims... ...draw valid conclusions. Certificates, Licenses, Registrations None required. Physical... ...other basis protected by applicable federal, state, or local laws. Americans with...Temporary workWork at officeLocal area$120k - $170k
...Construction Safety Specialist Arcadis is the world's leading company... ...can solve the world's most complex challenges and deliver more... ...compliance with all Federal, State and Local fire and safety regulations... ...Possess a valid driver's license. Strong communication and...Full timeContract workPart timeFor contractorsWork at officeLocal area
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