• MultiPlan (Atlanta, GA)
    …Medical Coding Specialist is responsible for providing billing analysis of claims and applying coding standards and federal regulations to ensure correct billing ... and other documentation as needed. Assist with, create or enhance internal claim and review recommendations. Communicate with co- workers and management regarding… more
    JobGet (04/27/24)
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  • Toyota Boshoku America, Inc (Hopkinsville, KY)
    …or team members. 3. Research and investigate compliance issues regarding workers ' compensation injuries and claims , attendance, corrective actions, harassment, ... I. General Summary: Performs a variety of complex and routine administrative, technical, and professional HR...records that are related to leaves of absence and workers ' compensation. 4. Complete Oracle and Kronos system entries.… more
    JobGet (04/27/24)
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  • People & Culture Specialist - TFGH

    Emory Healthcare/Emory University (Decatur, GA)
    …aspects of the role is essential for success. + HR issues can be complex , and the specialist should demonstrate strong problem-solving skills. This includes ... and excellence of our academic community. **Description** As a People and Culture Specialist , the primary focus of the role is to ensure the efficient administration… more
    Emory Healthcare/Emory University (04/23/24)
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  • Procurement Specialist

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …Analyst 3 by the presence of responsibility for serving as a technical specialist for highly complex procurement activities. Differs from Procurement Supervisor ... Procurement Specialist Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4467782) Apply  Procurement Specialist Salary $3,649.00 - $7,157.00… more
    Louisiana Department of State Civil Service (04/12/24)
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  • California Workers Compensation…

    Crawford & Company (Brea, CA)
    Excellence In Everything We Touch We are always searching for Workers Compensation Claim Examiners in the California region to join our awesome team! The purpose ... not a job post. Position Summary Administers and resolves non- complex short term claims of low monetary...adjusting reserves, as necessary, during the processing of the claim . + Identifies wage loss expenses and wage exposures… more
    Crawford & Company (04/17/24)
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  • Sr Workers Compensation Specialist

    Schwan's Company (Marshall, MN)
    …difficult assignments; certification or progression toward the American Educational Institutes Worker 's Compensation Claim Law Specialist Certification ... an appetite for more. We are hiring a Sr Workers Compensation Specialist to work out of...requirements, company policies and facts to negotiate and document claims of a moderately- complex to complex more
    Schwan's Company (04/14/24)
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  • Claims / Surveillance Investigator

    Allied Universal (Charleston, WV)
    …(4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims + High school diploma with a minimum of six (6) ... experience conducting complex insurance investigations or adjusting complex claims + Ability to be properly...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
    Allied Universal (04/26/24)
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  • Property Claims Manager (State Risk…

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …desk examiners and claim adjusters in responding to insured commercial property claims * Review and determination of complex coverage issues * Maintains ... Property Claims Manager (State Risk Adjuster 6) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4476650) Apply  Property Claims Manager… more
    Louisiana Department of State Civil Service (04/20/24)
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  • SIU / Claims Investigator

    Allied Universal (Pittsburgh, PA)
    … with red flags that suggest fraudulent behavior In relation to an Insurance claim . The SIU Specialist must use their extensive knowledge of Insurance policies ... claims for a variety of coverage to include workers ' compensation, general liability, property and casualty and disability...Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
    Allied Universal (04/25/24)
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  • Social Worker (Local Recovery Coordinator)

    Veterans Affairs, Veterans Health Administration (Tuskegee, AL)
    Summary The Local Recovery Coordinator (LRC) is a Social Worker assigned within the Mental Health- Recovery Programs Service Line, located at Central Alabama ... Careers - Social Work: https://youtube.com/embed/enRhz\_ua\_UU The Local Recovery Coordinator Social Worker will function to do the following: Implement policies &… more
    Veterans Affairs, Veterans Health Administration (02/14/24)
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  • Insurance Specialist

    Atlas Oil (Birmingham, MI)
    …needs of the portfolio companies to provide optimum coverage, costs, and claim settlements. + Provide day-to-day claims managements services, including filing ... claims . + Extensive experience in Liability insurance handling ( Workers ' Compensation, Auto and General Liability) is a must!...and General Liability) is a must! Additional training in Worker 's Compensation claims management is a bonus.… more
    Atlas Oil (04/18/24)
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  • Medical Billing Specialist & Accounts…

    Limitless Male (Omaha, NE)
    …The Medical Billing Specialist & Accounts Receivable should have thorough claim processing knowledge at a complex level. Thorough understanding of ... in the game by becoming better husbands, fathers, and co- workers . We do it through various avenues of testosterone...department standards: productivity; quality; and attendance + Resolution of complex and high dollar claims + Demonstrate… more
    Limitless Male (04/20/24)
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  • Program Data Analyst & Fraud Investigation…

    State of Massachusetts (MA)
    …and oversee investigation of data results. The Analyst reviews and analyzes complex multi-party cases concerning alleged fraudulently claim activities or other ... the Unemployment Insurance (UI) program which provides temporary income assistance to Massachusetts workers who are unemployed through no fault of their own and who… more
    State of Massachusetts (03/26/24)
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  • Care Management Specialist II

    LA Care Health Plan (Los Angeles, CA)
    Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 10945 ... safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of… more
    LA Care Health Plan (04/27/24)
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  • Leaves, Accommodations & Benefits…

    Suffolk University (Boston, MA)
    …as the initial contact for employee leave requests, accommodation requests, and worker 's compensation claims . + Work with Suffolk's third-party leave administer ... Leaves, Accommodations & Benefits Specialist Staff Exempt Boston, Massachusetts Apply Description At...sensitive information + Oversee and manage all aspects of Workers Compensation. Work closely with claims adjusters… more
    Suffolk University (03/04/24)
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  • Construction Management Specialist *Revised

    Sacramento County (Sacramento, CA)
    Construction Management Specialist *Revised Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/3647866) Apply  Construction Management ... assistants to the Resident Engineer on the construction phase of a single, complex public works project or multiple projects of less complexity. The Construction… more
    Sacramento County (02/23/24)
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  • FEMA - Program Delivery Specialist

    CDM Smith (St. Louis, MO)
    …37068BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
    CDM Smith (02/17/24)
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  • Life Safety and Environmental Risk…

    State of Colorado (Denver, CO)
    …analyzes life safety related data from a variety of sources, such as worker compensation claims , investigating accidents or other incidents or other incidents ... Life Safety and Environmental Risk Specialist - Colorado Mental Health Hospital in Fort...from multiple sources including the most current state identified workers compensation claims system, and EOC data… more
    State of Colorado (04/27/24)
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  • Revenue Cycle Specialist - Plastics…

    Houston Methodist (Houston, TX)
    …Service Standards. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with management to target complex claims and reduce aging of accounts by providing verbal ... for resolving all outstanding third-party primary and secondary insurance claims for professional services. This Specialist is...Specialist is required to perform collections activities on complex denials and prepare complex appeals on… more
    Houston Methodist (04/10/24)
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  • Program Specialist (Human Resources…

    Veterans Benefits Administration (Salt Lake City, UT)
    …Resources office. Provide guidance to employees and supervisors in the submission of workers ' compensation claims due to an occupational injury and/or disease. ... serves as the immediate supervisor. The incumbent serves as a Program Specialist responsible for providing performance management and technical support for the… more
    Veterans Benefits Administration (04/26/24)
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