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Description The Claims Research & Resolution Representative 2 ... & Resolution Representative 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..
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Description The Claims Research & Resolution Specialist 2 ... & Resolution Specialist 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..
Description The Senior Claims Research & Resolution Professional manages ... Research & Resolution Professional manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and..
A law firm in Providence, RI is seeking a skilled Nursing Home/Assisted Living Facility Attorney to join their team. The ideal candidate will have substantial experience in handling legal matters related ..
Senior Healthcare Claims Manager The candidate leads adjuster recruiting and hiring efforts. Participates in training of various positions within the branch. Leads compliance and best practice reporting. Technical proficiency of the ..
Job Information Humana Pharmacy Claims Specialist, Remote in Newport Rhode ... Rhode Island Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy..
Claims Advocate/Paralegal The candidate will manage a high-volume caseload. Communicate by telephone with VA, clients, clients' families, medical providers, etc. according to protocol. Develop and apply knowledge of the VA appellate ..
Providence office of our client seeks veterans disability associate attorney with experience. The candidate will intake evaluation and evidence development. Will claim and appeal filing before the Department of Veterans’ Affairs. ..
Job Overview: A well-regarded law firm is seeking a Commercial Real Estate Associate to join its team. The ideal candidate will have 2–5 years of verifiable experience in commercial real estate ..
Description The Claims Research & Resolution Professional 2 ... & Resolution Professional 2 manages claims operations that involve customer contact, ... contact, investigation, and settlement of claims for and against..
Claims Advocate/Paralegal The candidate will manage a high-volume caseload. Communicate by telephone with VA, clients, clients’ families, medical providers, etc. according to protocol. Develop and apply knowledge of VA appellate system ..
Description The Claims Review Representative 4 (formerly Team ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims Review Representative 4..
Senior Claim Counsel PCL D&O and Transactional Liability Duties: Follow operational policies to analyze, investigate, and resolve BSI claims of varying levels of severity with limited supervision from claims management. Prepare ..
Job Information Humana Medical Claims Processing Representative 2 in Newport ... Rhode Island Description The Medical Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted..
... Process Improvement Professional/HGB (TRICARE Benefits, Claims processing exp.) Remote Nationwide in ... evaluation of variable factors. Responsibilities Claims Oversight Senior Process Improvement Professionals ... and accurate processing of TRICARE..
Description The Claims Educator is responsible for ensuring ... ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of ... resubmissions, and overall adjudication of..
Description The Claims Processing Representative 2 reviews and ... and adjudicates complex or specialty claims, submitted either via paper or ... via paper or electronically. The Claims Processing Representative 2..
Description Assist local pharmacies with claims adjudication to support medication access ... the direction of the Pharmacy Claims Team Leaders & the Pharmacy ... Team Leaders & the Pharmacy Claims..
Job OverviewA nationally recognized law firm is seeking a highly qualified Insurance & Reinsurance Litigation Associate Attorney with 4 to 7 years of relevant experience to join its litigation team. This ..
Job Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Newport Rhode Island Description The Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple aspects related to reviewing pharmacy ..