📑 Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Professional Protector Plan is seeking a Claims Specialist to join our team. Adjust claims for the Professional Protector Plan® (PPEL) a division of B&B Protector Plans, Inc. and other select profes ...
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📑 Job Details Description Join an amazing team that is consistently recognized for our achievements and culture, including our most recent Forbes award of being one of America's Best Midsize Employer for 2023! Position Summary: If you’re passionate about helping people ...
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📑 Job Summary: One of the ways we serve the State of Arizona is to oversee the Workers’ Compensation System. We are currently looking for a talented individual who will provide technical expertise and knowledge to advance the priorities of the Division and Agency. Job Duties: The Workers' Compensation Manager ( ...
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📑 CopperPoint has an exciting opportunity for a fully remote Claims Adjuster Senior, Indemnity. The ideal candidate must possess Colorado jurisdiction technical claims knowledge with additional knowledge of Arizona jurisdiction preferred. The Claims Adjuster Senior, Indemnity is responsible for analyzing time loss workers’ compensation claims to ...
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📑 A Brief Overview This position is responsible for the operational leadership and claims performance of the property, casualty, or physical damage claims within the AgriBusiness (AG) Operations. This includes administrative management, managing operational expenses, and measurement of individual/team performance, productivity, s ...
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📑 Job Summary: The Division of Fee For Service Management (DFSM) is looking for a highly motivated individual to join our team as an Program Project Specialist 1 . Under the direction of the Provider Network Manager, this position will assist with claims projects and claims testing responsibilities, along with p ...
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📑 Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a small company culture where your ideas will be heard with big company expertise to help you succeed. With over 30 specialty and proper ...
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📑 Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a small company culture where your ideas will be heard with big company expertise to help you succeed. With over 30 specialty and proper ...
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📑 Job Description Description Responsible for ensuring that unpaid and partially paid claims are resolved in an efficient and timely manner. Resolves EOB discrepancies and researches refunds. Monitors and ensures that collections, net, gross and days in accounts receivable targets are met. <br/ ...
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📑 Job Information CSAA Insurance Group (CSAA IG), a AAA insurer, is one of the top personal lines property and casualty insurance groups in the U.S. Our employees proudly live our core beliefs and fulfill our enduring purpose to help members prevent, prepare for and recover from life's uncertainties, and we're proud of t ...
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📑 Job Summary: Communicates with patients, government agencies and third party payers to gather, process and record information to receive appropriate reimbursement. Communicates with departments for charge information, coding updates, and other information for claim appeals. Completes billing and collection processes a ...
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📑 Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having sup ...
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📑 Initial Review Date: 02/20/24** **Any complete applications received after the review date will only be forwarded to the hiring committee at their request. SALARY GRADE: A2/A3 - H Full Salary Range: $126, - $178, annually* *Actual placement is based on applicant’s verified education and ...
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📑 Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having sup ...
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📑 Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having sup ...
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📑 **** BI-LINGUAL SPANISH PREFERRED **** **** REMOTE opportunity for experienced candidates **** Job Summary: Responsible for investigating and confirming the facts of loss for advanced automo ...
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📑 Position Overview : The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG cla ...
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📑 Job Classification: Operations - Insurance Operations Prudential is a company of thoughtful, ambitious professionals working together across a multitude of fields. Together, we are building a better financial future for our customers and our communities around the world. At Prudential, we understand that a company is only as good as its ...
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📑 Job Classification: Operations - Insurance Operations Prudential is a company of thoughtful, ambitious professionals working together across a multitude of fields. Together, we are building a better financial future for our customers and our communities around the world. At Prudential, we understand that a company is only as good as its ...
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📑 ** We're currently seeking experienced Material Damage Auto Adjusters to join our team! If you are within the central or eastern time zone and have superior multitasking skills, enjoy investigating and providing outstanding customer service, apply with us today!** Job Summary: Responsible for in ...
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📑 Job Classification: Operations - Insurance Operations At Prudential, we make lives better by solving the financial challenges of our changing world. Bring your experience and unique insights to a collaborative culture focused on meeting our customer needs! Enabling Solutions is transforming our Enterprise-wide operating model to be a cus ...
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📑 Helping careers take flight. Reshaping an industry. Enable your career to be Made on Duck Creek. WHO WE ARE: Duck Creek Technologies is the intelligent solutions provider defining the future of the property and casualty (P&C) and general insurance industry. We are the platform upon which modern insurance systems are b ...
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📑 Zurich North America is hiring multiple Service Contract Associate's to join our Vehicle Service Contract team! We are open to hiring talent in Central to Pacific time zones to work a shift between the hours of 7am – 8pm Central Standard Time. Service Contract Associates are responsible for a variety of tasks: Field inc ...
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📑 Description Receive specific case proposal requests and review for completeness, reject when necessary and gather missing information. Underwrite cases including setting rates, aggregate factors, and coverage terms/conditions according to negotiated MGU agreements with insurers/reinsurers. Design sto ...
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📑 Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other Administrators. Provider Performance Enablement (PPE) is responsible for the financial and operational activities of provider networks and this position involves extensive interaction with P ...
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📑 Job Summary: This position manages two teams: Healthcare Analytics and Data Governance. The Healthcare Analytics team translates Medicaid claims, encounters, membership and other data into consumable actionable insights via summaries, visualizations and recommendations. It also enables AHCCCS to make data-d ...
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📑 Job Summary: The Division of Fee For Service Management (DFSM) is looking for a highly motivated individual to join our team as an Audit Compliance Supervisor . Under the direction of the Audit and Prepayment Manager, this position is responsible for the oversight of a variety of audit types including but not ...
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📑 Job Summary: The Healthcare Analyst will work in the Office of Data Analytics translating Medicaid claims, encounters, membership and other data into consumable actionable insights via summaries, visualizations, and recommendations. Major duties and responsibilities include but are not limited to: <br ...
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📑 We are growing… come grow with us! Are you looking to join a company that values their employees and offers opportunities for career growth? Surgery Partners Shared Service Center is looking for motivated employees to join their team remotely! Competitive pay and full benefits offered, as well as comprehensive training to ensure success ...
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📑 Description : Responsible for product life cycle management of personal lines products and for the development of drafting policy forms and contracts, coverage analysis, and the tracking of new and existing state statutes and regulations that may impact the personal lines portfolio. Essential Duties ...
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📑 Job Summary: The Attorney 4 position that will provide legal representation and services to the Industrial Commission of Arizona, including to its members, Director, Deputy Director, and the Commission's various divisions, to include: the Special Fund in uninsured workers' compensation claims, second injury claims, su ...
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📑 Job Summary: The Division of Fee For Service Management (DFSM) is looking for a highly motivated individual to join our team as a Prepayment Nurse. This position will work independently to ensure compliance with regulations and policies and provide timely resolution of multiple cases assigned. This position will also ...
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📑 Job Summary: The Division of Fee For Service Management (DFSM) is looking for a highly motivated individual to join our team as a Pre-Payment Review Supervisor . Under the direction of the Prepayment and Audit Manager, this position is responsible for ensuring clinical documentation that is submitted by provid ...
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📑 Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having sup ...
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📑 ExperiencedNP or PAfor group in the Fresno CA area Job-3863 *seeking an experiencedFamily Medicine NP or PAfor this expanding facility * M-F Schedule, preference for someone that can see all ages *Must have at least 2-3plus years of experience with at least 2 of those years in primary care * Qualified to practice by certification in the State of C ...
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📑 NOTE: Primarily looking for candidates in Central or Mountain Time Zone Only. Job Summary: Responsible for investigating and confirming the facts of loss for basic automobile accidents. Applies analytical thinking to determine coverage, liability, damages and otherwise adjusts and negotiates clai ...
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📑 NOTE: Primarily looking for candidates in Central or Mountain Time Zone Only. Job Summary: Responsible for investigating and confirming the facts of loss for basic automobile accidents. Applies analytical thinking to determine coverage, liability, damages and otherwise adjusts and negotiates clai ...
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📑 Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Luminare Health (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self-funded health benefits plans that manage costs – without compromising benefits – ...
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📑 Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having sup ...
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📑 Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. The Care Coordinator I will coordinate the with the Care Team Lead and Care Team Member Services Manager to ensure the team has the resources required to satisfy member enrollment and maintenance in ...
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📑 Advertisement Closes 5/9/2024 (8:00 PM EDT) 24-02594 Unemployment Insurance Auditor I (FFTL) Pay Grade 14 Salary $3, Monthly Employment Type EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | HR/WK Hiring Agency Education & Labor Cabinet | Office of Unemployment Insurance Location Location Varies Description This position will serve ...
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📑 Insurance Verification Coordinator Ignite Your Career With CORA! As an Insurance Verification Coordinator at CORA, you would verify and document all third-party payers and review patient admissions and payer contracts. In this role, you would ensure patient insurance information, benefits, and authorizations ...
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📑 We're looking for a highly motivated individual to fill the role of Sales/Territory/General Manager/in Ag/Heavy Equipment/Trucking Industry. Excellent customer service skills a must. Preferred applicants will have a minimum of 2 years management experience or a combination of 5 years diesel repair and service manageme ...
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📑 Dane Street, a certified Great Place to Work company, is in search of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine & Rehabilitation physician to process utilization reviews. Worker's Compensation experience is preferred but, not required. This telework oppor ...
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📑 Job Summary: The position will serve as an encounter subject matter expert. Will provide analytical support and technical expertise for encounter (post adjudicated claim) operations. The position will also manage Contractor encounter submissions from EDI submissions to mainframe processing, ensuring accuracy, complete ...
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📑 “WE BUILD TRUST WITH FARMERS AROUND THE WORLD BY SUPPORTING THEM TO SUSTAINABLY IMPROVE THE QUALITY AND FLAVOR OF THEIR PRODUCTION.” is a Business Unit of Limagrain, an international agricultural co-operative founded and managed by farmers. specializes in the breeding, production, and sale of vegetable ...
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📑 Job Summary: Assures the appropriate utilization of health care services for those members identified as having the need for inpatient and outpatient pre-services, concurrent and post-service clinical review. Evaluates the appropriateness of post-service code submission on facility and professional claims and com ...
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📑 Job Description : The Cost of Care Mgr leads and manages multiple cost of care initiatives enterprise wide (e.g. local, within each state, across business segments and at the enterprise level) and drives their execution. Understands, predicts and implements measures to control healthcare costs and to make healthcare mo ...
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📑 Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Provi ...
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📑 At Zimmer Biomet, we believe in pushing the boundaries of innovation and driving our mission forward. As a global medical technology leader for nearly 100 years, a patient's mobility is enhanced by a Zimmer Biomet product or technology every 8 seconds.As a Zimmer Biomet team member, you will share in our commitment to providing mobility and ...
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