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Confidential
A company is looking for a Benefits Specialist. Key Responsibilities: Support and improve benefit administrative process Resolve benefits matters and ensure employee support Administer leave requests and manage terminations Qualifications:...
Confidential
A company is looking for a Program Integrity Specialist. Key Responsibilities: Review potential quality of care issues and ensure compliance with CMS rules and regulations Provide mentorship, training, and support to clinical staff Develop and...
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A company is looking for an MCP L3 Integration PLM. Responsibilities: Integrate Adaptive IP Applications with existing L3 functionality in the MCP platform Align tools strategy across SAOS NE and MCP Lead a virtual team to deliver industry...
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A company is looking for an Auto Claims Specialist to work remotely. Key Responsibilities: Review and research accident claims to investigate possible leads Contact patients, insurance representatives, and attorneys to verify relevant details...
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A company is looking for a Claims Specialist II. Key Responsibilities: Investigate and process bodily injury claims, auto physical damage, and property damage liability claims Review coverage and claims process with customers, set reserves, and...
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A company is looking for a VA Claims Specialist for a virtual work from home position. Key Responsibilities: Research and resolve claims for Veterans? Affairs, ChampVA, and Tricare File correct UB04?s and 1500 HCFA?s with subrogation...
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A company is looking for a Claims Support Specialist. Key Responsibilities: Order reports such as police reports, fire reports, or public record searches Update client systems with information or documents Handle incoming and outbound mail,...
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A company is looking for a Claims Support Specialist. Key Responsibilities: Order reports such as police reports, fire reports, or public record searches Update client systems with information or documents Handle incoming and outbound mail,...
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A company is looking for a General Liability Claims Specialist. Key Responsibilities: Investigate coverage and liability of claims, analyze information, and issue applicable coverage letters Evaluate, negotiate, and resolve claims within...
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A company is looking for a General Liability Claims Specialist. Key Responsibilities: Investigate coverage and liability of claims Evaluate, negotiate, and resolve claims within delegated authority Analyze information gained from discovery...
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A company is looking for a Workers Compensation Claims Specialist for a virtual, work from home position. Key Responsibilities: Billing worker?s comp insurance carriers on behalf of medical providers, obtaining and verifying claim information,...
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A company is looking for a Warranty Claims Adjusting Specialist. Key Responsibilities: Accurately documents information in timely and efficient manner per departmental procedures Determines coverage, liability, and damages with minimal...
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A company is looking for a Workers Compensation Claims Specialist. Key Responsibilities: Billing worker?s comp insurance carriers on behalf of medical providers Reviewing medical provider account notes, resolving disputed and denied accounts,...
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A company is looking for a Remote Structural Engineer. Key Responsibilities: Develop detailed designs of structures using specialized software such as AutoCAD and Revit Perform complex analysis on the structural integrity of steel and concrete...
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An organization is seeking an Analyst, Revenue Integrity. Responsibilities: Daily analytics and decision making related to Epic charge flow, ensuring charges post daily Daily work queue monitoring to identify charge router issues, trends, root...
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A company is looking for an Integrity Policy Associate. Key Responsibilities: Conduct research on emerging policy issues and assist policy specialists Collaborate with internal stakeholders to develop review procedures for enforcing policies...
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A company is looking for a Claims Examiner to work remotely. Key Responsibilities: Process health insurance claims using the QNXT Processing System Utilize knowledge of medical terminology, coding, and HIPAA regulations Read and interpret...
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A company is looking for a Client Interaction Project Manager Account Integration Specialist 2. Key Responsibilities: Project manage customer on-boarding and campaigns for variable print or pre-media throughout the lifecycle Analyze and review...
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A company is looking for a Claims Rep II to work remotely. Key Responsibilities: Investigate and resolve insurance claims while providing exceptional customer service Manage a high volume of incoming telephone calls and actively listen to...
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A company is looking for a Senior Claims Counsel. Responsibilities: Handle title insurance, escrow, and administrative claims under the supervision of the Chief Claims Counsel Investigate and research claims to determine coverage and evaluate...
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A healthcare organization is seeking an Integrated Telepsychiatrist specializing in geriatric psychiatry within an integrated primary care setting. Key Responsibilities: Conduct virtual psychiatric evaluations and provide brief,...
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A company is looking for an Accommodation Specialist. Key Responsibilities: Respond to new accommodation requests and provide necessary forms and notices Assess employees for return-to-work potential and make accommodation suggestions Create...
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A company is looking for a Catastrophe Claims Service Leader. Key Responsibilities: Consistently meets band level behaviors, production, quality and/or customer service goals Manages and resolves escalated customer communications, concerns,...
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A company is looking for a Senior Associate Claims Adjuster for a remote/home based position. Key Responsibilities: Maintains positive customer relationships and accurately documents information Determines and adjudicates claims, communicates...
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A company is looking for an Appeals Specialist. Key Responsibilities: Analyze and research denied medical claims and lead efforts to resolve claims issues on behalf of the member Process appeals within federally mandated timeframes Establish...
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A company is looking for a Post Payment Claim Analyst III. Key Responsibilities: Triage, investigate, and resolve instances of healthcare error, waste, and abusive conduct by medical professionals after payment is issued Conduct reviews and...
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An organization is seeking an Intake Specialist for remote work. Key Responsibilities: Accurately and timely enter referrals and communicate with referral sources Select appropriate inventory and services in key databases Utilize technology to...
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A company is looking for a Short Term Disability Claims Representative. Key Responsibilities: Make claim/customer eligibility determinations and manage ongoing claims Communicate with claimants, employers, and medical professionals to gather...
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A company is looking for an Individual Life Claims Analyst II. Key Responsibilities: Analyze and determine appropriate action steps for accurate and prompt evaluations of claims Communicate with external and internal customers to obtain...
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A company is looking for a PAP Specialist. Key Responsibilities: Accurate and timely data entry, inventory selection, and communication with referral sources Scheduling equipment pick-up appointments and providing instruction on usage...
