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Q.B.E North America
- Philadelphia, PA / Pittsburgh, PA
Respond to crop claims by completing field inspections, communicating with involved parties, performing investigations, determining appropriate adjustments and administering insurance policies to ensure compliance with state and federal regulations. Primary responsibilities Complete field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, and
Posted Today
Provide design and oversight of complex actuarial specifically related to analyzing and implementing changes that impact pricing and risk assumptions of Part D Lead actuarial efforts that affect new and existing business Provide direction for the development of competitive analysis Determine the impact of various actions on premiums and various product proposals Mentor and develop your elite team
Posted Today
Online reporting of all worker's comp claims into the insurance company's website. Review, investigate and report all WI AFI worker's compensation claims. Communicate with the employee, his/her supervisor to determine if the claim will be time or wage loss. Manage work comp files and make sure to all parties are kept updated regarding Dr. visits, change in medical status/care, updates to work rest
Posted 2 days ago
Q.B.E North America
- Sun Prairie, WI / Topeka, KS / Missoula, MT / 59 more...
Respond to crop claims by completing field inspections, communicating with involved parties, performing investigations, determining appropriate adjustments and administering insurance policies to ensure compliance with state and federal regulations. Primary responsibilities Complete field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, and
Posted Today
Morgan, Lewis & Bockius LLP, one of the world's leading international law firms, seeks highly motivated mid level or senior level attorneys to join our Labor & Employment Practice Group in the Philadelphia and Los Angeles office. Practice Description The Morgan Lewis Labor and Employment Practice strives for excellence in client service. For more than half a century, our lawyers have helped client
Posted Today
The Personal Insurance Client Advisor will work in a team environment with all members of the Personal Insurance department, including but not limited to the sales team and management team, to effectively respond to our clients¿ needs and requests and to properly protect their assets. Responsibilities Accept and process premium payments from clients. Advise clients on preferred premium paymen
Posted Today
STATEMENT The Provider Audit and Reimbursement Settlement Associate position's primary role is to process the acceptability of annual Medicare cost reports and to accurately and timely process final settlement of less complex healthcare providers (non hospitals). ESSENTIAL DUTIES & RESPONSIBILTITIES To perform this job successfully, an individual must be able to perform each essential duty satisfa
Posted 6 days ago
The Life Technology Solutions practice at Milliman, Inc. is looking for a senior leader to be involved with Integrate implementations as the Technical Lead. Integrate TM is Milliman's industrial modeling solution that leverages MG ALFA to provide highly automated, scalable, governed, orchestrated modeling processes. The Technical Lead has primary responsibility for the development and deployment o
Posted 7 days ago
The Life Technology Solutions practice at Milliman, Inc. is looking for a Model Architect to be involved with Integrate implementations. Integrate is Milliman's industrial modeling solution that leverages MG ALFA to provide highly automated, scalable, governed, orchestrated modeling processes. The Model Architect is responsible for the configuration and structure of Integrate as well as the corres
Posted 7 days ago
The Life Technology Solutions practice at Milliman is looking for a senior actuary to be involved with Integrate ® implementations as the Senior Actuarial Developer. Senior Actuarial Developers will lead the MG ALFA Formula Database development (including UDF’s, Capital Modeling, etc.). The Senior Actuarial Developer typically oversees the development process of an entire feature includi
Posted 7 days ago
West
- Plymouth Meeting, PA
A Claims Associate at Health Advocate researches and resolves medical claims questions. It's a great role for learning a lifelong skill in understanding health benefits. This is an entry level role in which we will train you to understand Health Benefit Plans, claims processing guidelines and health coding practices This role is a great way to learn about medical plans and enhance your career in t
Posted Today
West
- Plymouth Meeting, PA
A Claims Specialist at Health Advocate is a dedicated service professional who understands benefit plans and wants to help members. A successful candidate will work on the members' behalf to understand claims adjudication guidelines and resolve medical billing issues for our membership. It's a rewarding position that encompasses investigation and communication skills If you have previous health ex
Posted Today
Coordinating team of insurance verification specialists to ensure compliance and adherence to all MPCS and payer policy and procedures as well as maintaining an adequate service level to the patients and customers. Monitoring Team Productivity, coach to success of company expectations and goals, Efficiency and working with department Manager. Responsible for directing the billing and administrativ
Posted Today
Analyst/Manager, Reimbursement Policy Insights (Remote) (00001MWP) Our RPI Service Line plays an integral role in helping our pharmaceutical and biotechnology clients anticipate reimbursement challenges and create targeted reimbursement strategies that maximize patient access at every stage of the product life cycle. Clients count on our RPI team to develop strategies that adapt to the changing p
Posted Today
Verifying information for accuracy Posting patient line items Processing patient payments and refunds Reviewing posting audits Processes transfers to/from other Rotech companies and locations Enters, audits and posts offset line items Other duties as required Qualifications Applicants should possess a high school diploma or equivalent Strong verbal and written communication skills Familiarity with
Posted Today
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