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...Job Description
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Job Summary
The Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to suport Molina's Prospective and...
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...management, providers, and office staff
Provides training and education to network of providers on how to improve their risk adjustment knowledge as well as provide coding updates related to Risk Adjustment
Builds positive relationships between providers and Molina...
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Hourly pay
Full time
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...Experienced Claims Adjuster **Job Number**
: 189760 Join one of FORTUNEs 100 Best Companies to Work For!
Develop your claims career... ...have the benefit of continued coaching from a supportive team. Remote work allowed for some positions with others offering options...
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Flexible hours
...accountability (attendance, communication, flexibility, adaptability, interpersonal skills, teamwork and cooperation).
Researches tracers, adjustments, and re-submissions of more complex claims.
Adjudicates or re-adjudicates high volume of claims in a timely manner to ensure...
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...Job Description - Auto Damage Adjuster (189587) ****
Auto Damage Adjuster **Job Number**
: 189587 **This position's territory will be for the Greater Los Angeles and East Los Angeles area.** As an **auto damage claims adjuster**, youll serve as Progressives point...
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...You are here: / US,Westminster-CA,Field Property Claims Adjuster **Field Property Claims Adjuster**
**Field Property Claims Adjuster**
Description & Responsibilities Qualifications Featured Benefits Description & Responsibilities **Advance your career at Liberty Mutual...
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**Senior Property Field Adjuster**
**Primary Location:** Long Beach , CA **Other Locations:**
**Job ID #:** JR20216936
**Category:** Claims **Share this job**
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Senior Property Field Adjuster $2,000 Sign-on Bonus External Hires
As a member of our...
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**Claims Adjuster - Workers Compensation**
**Claims Adjuster - Workers Compensation**
**The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply to you please use the 'Apply' option.**
Claims Adjuster - Workers...
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We are seeking a dedicated Director of Quality & Risk Adjustment to join our team. In this role, you will play a pivotal part in guiding our health plan's Risk and Quality initiatives, ensuring they align seamlessly with our organizational goals. As a subject...
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Property Field Adjuster
Do you want to use your customer service skills in a role where you can make a difference in people's lives? Are you looking for more than just a job, but a career with endless opportunities for growth? Come join our passionate Property Claims...
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Homeowners Property Field Adjuster - CA in Gardena, CA at National General Insurance **Location:**
**Experience:**
Not Specified **Job Description**
**Primary Purpose:**
Responsible for confirming coverage, investigating, negotiating, setting reserves...
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Location:
Homeowners Property Desk Adjuster - CA in Gardena, CA at Direct Auto Insurance **Location:**
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Responsible for confirming coverage, investigating, negotiating, setting...
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...Job Description
Job Description
Work Location - Kansas
Job Summary
The AVP, Quality Improvement & Risk Adjustment is responsible for leading health plan execution for Risk Adjustment and Quality for all lines of business, ensuring alignment of strategy and...
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Immediate start
...special projects as assigned.
Qualifications:
· High School diploma or GED required
· 2+ years of experience as a Medical Claims Adjuster
· MS Office (Excel, Word and Outlook) proficiency required
· Knowledge of Current Procedural Terminology (CPT)/Healthcare...
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...great place to work.
Great Place to Work®
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Workers Compensation Claims Adjuster | Long Beach, CA (Hybrid)
PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits...
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...highly proficient written, verbal, and presentation skills to effectively communicate to both technical and non-technical audiences adjusting style to fit the target audience including multiple levels of management [preferred]
Equivalent education and/or experience may...
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...bonuses
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Full health... ...required
In the interest of community wellness, our company has adjusted our business operations. As such, all interviews will be...
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...timely notes and documentation
Must be willing and capable of providing treatment for the following: Mental Health Consultation, Adjustment Disorder, Greif/Loss, Anxiety, Cognitive Behavioral Therapy, Depression, Panic Attacks/Disorders, Personality Disorders, Stress /...
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Relocation bonus
Monday to Friday
Job Summary:
Reviews claims and makes payment and benefit determination. Conducts research as it relates to claims processing for medical appropriateness, and diagnosis, using ICD-9 codes and CPT codes as required.
Essential Responsibilities:
Reviews claims...
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...Supervisor Patient Financial Services - 100% Remote. We welcome residents within CA.
This position is responsible for billing services... ...receivable reconciliation and reporting, cash posting, claims adjustments and credit and collections functions for ministries within...
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