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This job is responsible for assisting patients by communicating with insurance payors via various methods (i.e. telephone, fax, internet) to determine eligible benefits and acquiring Pre Certification(s) when deemed necessary by the insurance payor. Additionally responsible for communicating the liability to the patient after the Pre Certification has been obtained and ensuring the Pre Service pro
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SHIFT No Weekends SCHEDULE Full time Hourly Wage Estimate $15.86 $22.21 / hour Learn more about the for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate i
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Processes patient claims quickly and accurately and ensures there are no errors or issues in the claim. Follows up on unpaid claims for final claim resolution. Must communicate with customers in a patient, professional and friendly manner. Follows up on denied claims as identified through carrier denials. Investigates claims issues and make recommendations to management for process improvements. U
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Responsible for the investigation, negotiation and resolution ofclaims in accordance with policy provisions, Michigan No Fault Act and applicable law. This is a Full time, Exempt role. Responsibilities/Essential Functions Must have or secure and maintain appropriate states adjuster license(s) and continuing education credits as required by the state Reporting responsibilities to the Michigan Catas
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Responsible for coverage determination, investigation, evaluation, negotiation and resolution of first party Commercial Property claims. The Commercial Property Adjuster regularly interacts with Insureds, Agents, Underwriting and Special Accounts. The Commercial Property Adjuster serves as a coverage resource to others, internally and externally. Claim assignments are nationwide requiring the Comm
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As an eLearning and IP Intern, you'll join a team of passionate specialists who enjoy a fast paced, agile product development culture. You'll work with team members, product managers, instructional designers, sales team members and customers to enhance products and drive growth. In this internship you will be in charge of day to day learning management system (LMS) administration tasks, troublesho
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Individual contributor responsible for using technical and analytical skills to provide the overall risk control assessment, evaluation, consulting and technical support of risk exposures. Recognized as an expert in healthcare risk control. Under general management direction works within broad limits of authority requiring a high degree of technical complexity and coordination. May have regional i
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At QBE, our purpose is to give people the confidence to achieve their ambitions inside and outside of work. From development opportunities, to flexible work options and highly competitive reward and benefits packages, we understand the importance of living our values when it comes to our people. Everything we do at QBE is underpinned by our company's cultural elements because we know it's not just
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Prime Therapeutics
- Eagan, MN / Bloomington, MN
Our work matters. We help people get the medicine they need to feel better and live well. We do notlose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Pharmacy Claims Auditor Job Description The Pharmacy Claims Auditor is responsible for the selection and auditing of claims, educating Prime's network pharmacies and driving contract compliance, and supporti
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Responsible for the accurate and timely processing of claims. Description 75% Researches and processes claims according to business regulation, internal standards and processing guidelines. Verifies the coding of procedure and diagnosis codes. 20% Resolves system edits, audits and claims errors through research and use of approved references and investigative sources. 5% Coordinates with interna
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Casualty Adjuster Requisition ID 2021 13161 Job Locations US GA Atlanta Position Type Regular Full Time Category Claims Business Unit Crawford Claims Solutions Excellence In Everything We Touch Position Summary Resolves casualty claims of moderate to complex exposure by inveestigating losses and negotiating settlements. Responsibilities Examines claims forms, policies and endorsements. Conducts
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Senior Property Adjuster Requisition ID 2021 13267 Job Locations US MA Boston Position Type Regular Full Time Category Claims Business Unit Crawford Claims Solutions Excellence In Everything We Touch Position Summary Reviews and providesrepair estimates formoderately complex to highly complex residential and commercial property claims by conducting thorough field investigations to evaluate dama
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Senior Claims Examiner Workers Compensation Requisition ID 2021 13097 Job Locations US NY Hauppauge Position Type Regular Full Time Category Claims Business Unit Broadspire Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on moderate to difficult cla
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Markel International
- Chicago, IL
This position will be responsible for the resolution of high complexity and high exposure claims. The position will have increased responsibility for decision making within their authority and work with minimal oversight. Job Description Investigate, negotiate and settle complex medical malpractice, specified medical, and general liability claims. Confirms coverage of claims by reviewing policies
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Hogan Transportation
- Troy, IL
Job Description Property & Casualty Claims Adjuster Hogan Transportation is a 100 year old full service, multi faceted transportation company operating throughout North America with a tradition of unparalleled, personalized service to clients, utilizing first class equipment and advanced technology. We have a need for a Property & Casualty Claims Adjuster to help us support our business. Do you ha
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