Average salary: $124,280 /yearly
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...Claim reviews for appropriate coding, data mining, entity review, interviewing, law enforcement referral, and use of proprietary... ...facility, professional and pharmacy claims. Responsible for independently identifyin Investigator, Senior, Healthcare, Technology, Insurance...
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...Command Investigations LLC is a dynamic and forward-thinking investigative company that has been at the forefront of the industry since its establishment in September of 2012. With a relentless commitment to excellence, we have consistently delivered top-tier investigative...
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...the Portland office. Relocation options are available.
The Claim Team Manager's primary responsibility is to oversee the specific... ...Law, while impacting the means and methods of claim investigation and management to associates.
~ Possess a current compensation...
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...Insurance - Workers Comp Claims Rep - Portland, ME Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp _ . REMOTE WORK FROM HOME AVAILABLE Review, investigate, and resolve Workers Compensation claims. Communicate with injured employees...
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** Property Claims Senior Outside Adjuster**
**Job Category****:** Property Claims **Requisition Number****:** PROPE001188 Showing... ...of the property claims outside adjuster class. Responsible for investigating, evaluating, reserving, negotiating, and settling of higher...
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...values are to be conscientious, to be an expert, to be a partner, to be curious and to be transparent.
The Associate Claim Specialist investigates, evaluates, negotiates, and resolves low, medium and high complexity medical only claims and low complexity lost time claims...
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Join Forbes' 2024 Best Employer for Diversity!
As a claims adjuster trainee , you'll learn how to help customers get back on the road after an accident. This is not a field position which means you'll be building relationships with customers over the phone....
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...Exciting Opportunity for Aspiring Claims Adjusters!
INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!
Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless...
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...Address: USA-ME-Scarborough-145 Pleasant Hill Rd
Store Code: Claims Management (2762219)
Ahold Delhaize USA, a division of... ...and more.
Position Summary :
Initiates the investigation of more complex types of claims made against the company in order...
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...Address: USA-ME-Scarborough-145 Pleasant Hill Rd
Store Code: Claims Management (2762226)
Ahold Delhaize USA, a division of... ....
Position Summary:
Primary responsibilities include investigation of General Liability claims to determine liability exposure. This...
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...integrity are two of the main reasons why Independent Agents place business with us. Acadia is rated A+ (Superior) by A.M. Best, with an A+ claim paying ability rating by Standard & Poor’s.
At Acadia, we value our employees, our customers and our communities. Employees at...
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...day reconciliation of payments, appointments and validation
* Investigate and problem solve insurance denials on a monthly basis in order... ...revenue and to become aware of how to proactively submit clean claim
* Is patient centric in interactions and in decision making...
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...entities, and individuals calculate the true economic damage of claims or disputes.
MDD is looking for a Staff Accountant to serve... ...clients with conducting interviews during the financial investigation to accurately identify all parties involved
Perform forensic...
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...*Other Locations:**
**Job ID #:** JR20216195
**Category:** Claims **Share this job**
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Complex Property Field... ...regulatory and statutory requirements. The primary functions include investigation, evaluation, and negotiation of highest complexity claims....
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...facility managers and supervisors regarding incident reporting/investigation to ensure company standards and processes are met.o Partner... ...for workers’ compensation cases, serve as facility contact for claims questions, and interface with insurance adjusters, medical professionals...
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...Superintendent project control requirements in accordance with Standard Operating Practices & Procedures
+ Support field investigation analysis for potential claim/issue resolution practices with Project Team
+ Support field close-out, commissioning, and validation...
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...Medicare Focus Key Outcomes:
Processes, researches, investigates, and resolves Medicare Part C reconsiderations with 100% compliance... ...(SOP) to determine next steps
Evaluate medical claims documentation and coverage policy documentation to determine validity...
Full time
...responsible for conducting reconciliations for individual stop loss claim reimbursements. Additional responsibilities include handling... .../outside collection agency)
Receive escheatment report, investigate customer data and provide data to banking for potential stop pay...
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...candidate undergo personnel vetting, which includes a background investigation and enrollment upon onboarding into "Continuous Vetting.
~... ...credit hours) was taken on a pass/fail or similar basis, your claim must be based on class standing or membership in an Honor...
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...involves comprehensive handling of processes such as research, investigation, collection, documentation, and both internal and external... ...submission of detailed annual reports to the Uniformed Services Claims Office (USCO), adhering to the contractual timelines and requirements...
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