Average salary: $55,866 /yearly
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...Job Description
Job Description SIU FIELD INVESTIGATOR
$80,000 - $95,000 Annually
Greater Los Angeles CA area or The Greater... ...SUMMARY:
Investigates all aspects of referred questionable claims to the Special Investigation Unit including in-person recorded...
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...continuing to expand our team of Private Field Surveillance Investigators !
We are looking for Experienced Licensed Investigators... ...lasting impact. Join us and become a trusted partner in insurance claims management and fraud investigations, delivering certainty and...
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...Job Description
The Claims Processor ensures efficient claims processing for services provided. They perform a spectrum of clerical chores that culminate in determinations for payment of claims to providers for authorized services rendered; specifically for HMO patients...
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Claim Specialist - Property Field InspectionUS-CA-Santa BarbaraJob ID: 2023-35234Type: Regular Full Time# of Openings: 1Category: Claims and InvestigationSanta Barbara, CAOverviewBuild your career at one of the top companies for professional growth in the U.S.! Khakis optionalAt...
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...interview, drug screening, medical evaluation, and background investigation
* Subject to post-employment random drug and/or alcohol... ...combination of education and experience:
DD-214 - If you are claiming Veterans' Preference or eligible Veterans' Service, provide a...
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Relocation
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Relocation bonus
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...assignment.
Maintain member billing case load with thorough investigation until a resolution is reached, while adhering to contracted... ...Necessary Screens
HIS Oracle
Member Grievance COG
Claim Adjudication
Standard Reports (SRR)
Utilization Management...
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Full time
...screening, interviewing, checking references, conducting background investigations and follow up with candidates to maintain interest and/or... ...Responsible for Worker’s Comp plan administration to include claims administration on the carrier and employee side of Worker’s Comp...
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...Citizen (Form FS-240))
Must successfully complete a background investigation, including a FBI criminal history record check (fingerprint... ...credit hours) was taken on a pass/fail or similar basis, your claim must be based on class standing or membership in an Honor Society...
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...stakeholders through the process and execution of Assignment of Claims, Novation Agreements, Protests, and Terminations to determine... ...(Form FS-240))
Must successfully complete a background investigation, including a FBI criminal history record check (fingerprint check...
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Day shift
Monday to Friday
$100k - $138k
...preserving a competitive experience modification rate (EMR).
Investigate workplace mishaps and accidents in conjunction with the risk... ...of accidents and near-misses.
Assists with property damage claims and implements training and/or revised protocols to provide preventative...
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...that do not require personal attention of the pharmacist, including those to physicians.
Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by...
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.... Formed by a proven and experienced executive leadership team, Angeion is bringing novel ideas and fresh approaches to notice and claims administration. For more information, please visit our website, .
About the position
The Data Analyst will be working with high...
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...Reports (DTTR) and the Monthly Membership Reports (MMR) and related reconciliation processes.
Analyze and interpret healthcare data, claims, enrollment files, HEDIS data and encounter information to identify trends and opportunities for risk adjustment optimization....
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...organization that provides health care coverage for residents in Santa Barbara and San Luis Obispo counties. We are currently seeking a Claims Customer Service Supervisor in our Santa Barbara office location.
Job Description
~ We're looking for a RN that likes to make...
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...and friendly manner via phone or in-person
Explain and educate customers on repair process on a high level, including insurance claim information and processes.
Maintain a broad knowledge base of insurance partner requirements regarding authorizations, billing, and...
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...negotiates contracts, change orders, and inspection reports; certifies payment requests; maintains construction records; and prepares claims on grant-funded projects using office automation software.
* Coordinates with consultant architects and engineers (as needed)...
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...and administer front office activities including scheduling appointments, validating insurance, and payment authorization.
Input claims, process payments, perform account collections, and conduct billing research.
Respond to telephone inquiries in a positive and professional...
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...some weekends, weekdays, and holidays as needed
About Us
Chili's was born in Dallas, Texas in 1975. Since then, we've boldly claimed our place in the casual dining industry as the place to go for Big Mouth burgers, house smoked ribs, full on fajitas, and hand shaken...
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...Authorization Specialist position is responsible for coordinating, processing and obtaining authorizations to ensure efficient insurance claims submissions and statement processing for services and/or medications rendered by Ridley-Tree Cancer Center, Sansum Clinic, Cottage...
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...excuses, and answers questions of jurors; maintains juror attendance records and compensation due jurors; processes reimbursement claims; records challenges.
# Provides specialized clerical support to various court programs and/or court-related programs and functions...
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