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Provide support on client engagements by managing project activities, communications, and timelines, aggregating and synthesizing data, conducting analyses, developing solutions...
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...SUMMARY/RESPONSIBILITIES
Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system... ...and senior claim examiners that affect claims payment. Act as consultant to claims staff in complex claim issue resolution. Work...
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...POSITION SUMMARY/RESPONSIBILITIES
Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children’s Health Insurance Program) according to departmental and regulatory requirements. Maintains audit standards as defined...
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** Claims Customer Relationship Consultant - Energy market**
75886
We are seeking a Claims Customer Relationship Consultant to focus on relationship building and business development strategies.
In this role, you will collaborate and partner with business units,...
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Full time
Apprenticeship
...Claims Reconciliation Representative
Fidelity TalentSource is your destination for discovering your next temporary role at Fidelity Investments. We are currently sourcing for a Claims Reconciliation Representative to work in Westlake, TX!
The Role
The Claims Reconciliations...
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Temporary work
1 day per week
...Come be a part of what makes us so special!
The Opportunity
As a dedicated Business Operations Analyst I with Claims Quality Assurance, you will consult with the business to understand and define opportunities and recommends solutions by analyzing data and providing...
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...Company:
Description:
Claims Specialist
SUMMARY:
As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim....
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**About Capgemini**
Capgemini is a global leader in consulting, digital transformation, technology and engineering services. The Group... ...:** _Programmer/Analyst_
**Organization:** _BSv_
**Title:** _Claims PA1_
**Location:** _TX-El Paso_
**Requisition ID:** _073609_...
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...Your future? Let's build it!
Volt is immediately hiring for Claims Adjuster II in Grapevine, Texas.
**STRONG CORE VALUES**
**Nine Paid Company Holidays**Health/Dental/Vision Insurance – partially paid by the company**Continuing Education Assistance**Employee...
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...Description
Summary
Claims Analyst is responsible for accurate and timely research of all providers claim inquiries according... ...for hospital, ambulatory surgery, and physician providers
Consults and coordinates with various internal departments, external resources...
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We are seeking a Claims Advocate with a proven ability to navigate the complexities of general commercial and workers' compensation claims. The Claims Advocate will be responsible for consulting on and managing claims with clients, maintaining relationships with carriers...
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Holiday work
Work from home
Flexible hours
...provider, Samsung SDS has completed a number of SCM/logistics consulting and system development projects for the last 30 years. Based on... ...global top-level third-party logistics company.
As a Logistics Claims Attorney, you identify significant legal issues and you are a...
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Immediate start
Flexible hours
...Job Description:
A third-party administrator (TPA)is looking for a Claims Manager to join their team. The ideal candidate will have comprehensive knowledge and hands-on experience in managing commercial auto, bodily injuryand litigated claims. This Claims Manager will...
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...Job Purpose
The Claims Manager is responsible for overseeing and directing delegated Managed Care Claims adjudication and manage our medical claims department.
In addition, you will be responsible for contributing to the growth and success of HealthTexas while upholding...
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Work experience placement
Monday to Friday
...decision-making skills.
* Solid computer multitasking skills.
* Evaluate workers' compensation, general liability, and bodily injury claims to determine liability, extent of damage, and exposure.
* Manage third-party damage/injury claims to include negotiations and...
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Local area
...driven company who is invested in your future!
Job Summary
Under Supervision, This Position Is Responsible For Processing Complex Claims Requiring Further Investigation, Including Coordination Of Benefits And Resolving Pended Claims.
Required Job Qualifications:...
...2238 Silicon Drive
Clerical
Day Shift
POSITION SUMMARY/RESPONSIBILITIES
Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of service delivered to...
Full time
Day shift
...industry leader in pricing sophistication, telematics, digital photo claims and, more recently, device and identity protection.
We... ...system and LMS
Builds relationships to provide on-going consultation; Actively works to ensure that learning practices are...
Contract work
Remote job
Work visa
...for all non-clinical denials
Monitors all denials for trends and issues and reports findings to supervisor
Bills or re-bills claims as necessary
Ensures the client follows all state and federal rules and regulations both billing and HIPAA
Completes assigned...
Holiday work
Temporary work
Flexible hours
...Purpose
Responsible for the oversight of claims handling within a specific claim unit to ensure accuracy and consistency in the assignment of the claim process
Essential Duties& Responsibilities
Responsible for management of day-to-day operations within a specific...