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WCS Healthcare Partners is seeking a local contract nurse RN Pediatrics for a local contract nursing job in New York, New York. • Specialty: Pediatrics, • Discipline: RN, • Duration: 13 weeks, • 40 hours per week, • Shift: 8 hours, days, • Employment Type: Local Contract Our client is seeking an RN for a Pediatric Foster Care position in NY. This local contract opportunity offers a competitive salary. Temp to perm role! Job Function: • Day Shift., • 9am - 5pm. Collect patient information, including medical records, insurance details, and pretreatment formalities before provider visits. * Triage patients and record vital signs such as blood pressure, temperature, respiration, and heart rate. * Assist patients with preparations for medical exams and administer prescribed medications, immunizations, or injections. * Dress external wounds and report any changes in patient condition to the provider. * Educate patients and caregivers on medications, diet, and health maintenance; document care and patient responses accurately. Job Requirements: • 1–2 years of experience working with pediatric patients in a clinic or school setting., • Graduate of an accredited practical or vocational nursing program., • Current LPN or LVN license in the state of New York. ITN1 #LI-DNP 39335 White Cap Search Partners Job ID #39335. Posted job title: RN - Pediatric Foster Care - Local Contract With WCS Healthcare Partners, every Job Seeker grows stronger, moving one step forward with each job placement. We take the time to get to know the needs and qualifications of each Healthcare professional to match you with the right clinical setting, patient population, merging your compensation and career goals with your desired work environment. Our recruiters are experts at navigating the dynamic nature of healthcare employers to get your resume in front of the right decision makers. NURSING ● Registered Nurses (RN) ● Licensed Practical Nurses (LPN) ● Travel Nursing ● Quality Assurance/Review, Performance Improvement, HEDIS ● Nursing Leadership ● Case Management ALLIED HEALTH ● Technologists: Medical, Laboratory, Cardiac, RadTech, X-Ray ● Therapy: Physical, Occupational and Speech Therapy ● Social Work: LCSW/LMSW, Case Management, Care Coordination ● Med Support: Medical Assistants, Phlebotomy, Surgical/Sterile Techs ● Pharmacists and Pharmacy Techs ● Dental Hygienist, Dental Assistants OPERATIONS & FINANCE ● Practice Management ● Clinical Operations ● Administrative Support ● Reception, Clerical, Call Center ● Claims Appeals/Denials/Reimbursement ● Insurance Pre-Authorizations ● Medical Billing/Coding • 401k retirement plan, • Weekly pay

Under the general direction of the Law Division Chief and reporting to Assistant Law Division Chief, with latitude for independent judgment and initiative, responsibilities include, but are not limited to, the following:. The Bureau of Law & Adjustment is responsible for investigating and adjusting

This is your opportunity to join AXIS Capital a trusted global provider of specialty lines insurance and reinsurance.

Senior Data Analyst would be fully responsible for the process to develop dashboards, easily digestible data visualizations and other reports to support a data driven claims operation. The Senior Data Analyst would assume full ownership of providing descriptive analytics to various divisions within

Oversee and manage assumed reinsurance excess of loss and proportional business emanating from QBE Re's casualty and property book of business including an emphasis on Cedent audits. Experience handling Casualty and Property Insurance/Reinsurance claims. Experience managing Casualty Lines claims.

This includes recording premiums from agents, tracking claims activity, and applying payments to outstanding receivables. While insurance experience is ideal, we are open to a candidate who is eager to learn the ropes and can deliver accurate, timely financial reports for their assigned accounts. Up

Under the general direction of the Law Division Chief and reporting to Assistant Law Division Chief, with latitude for independent judgment and initiative, responsibilities include, but are not limited to, the following:. Claims Specialist Level II, Law Division (Non-Tort). The Bureau of Law & Adjus

This role will deliver prompt and accurate claims service to policyholders and agents for both multi-peril crop insurance (MPCI) and crop hail claims by completing field inspections, communicating with involved parties, performing investigations, determining appropriate adjustments and administering

Job Description FlatRate Moving® is seeking an experienced and detail orientated Claims Associate to join our Customer Service & Claims Department. Responsibilities include but are not limited to: • Investigate, negotiate and settle routine and moderate claims over the phone or mail;, • Provide exceptional and timely service which ensures prompt and fair settlement of claims in accordance to company policies and guidelines;, • Review and interpret all pertinent documents;, • Evaluate each claim assigned and conduct investigation(s) when necessary;, • Maintain proper files for claims by collecting and organizing all relevant documents; and set up new claims using company software;, • Complete company reports as required; and, • Work closely with other department(s) to quickly resolve claims and issues. Requirements: • Excellent computer skills using computer software including Microsoft Office products and other pertinent software(s);, • 2-3 years experience in the claims/customer services field;, • Excellent communication skills (written and verbally) and telephone skills;, • Negotiation and problem-solving skills; and, • Ability to work independently and in a team environment;Company DescriptionFlatRate Moving is a high-end, national moving company with offices in major cities throughout the US: New York, Los Angeles, San Francisco and Miami. In addition to our residential clients, we also cater to commercial, international and military clients.FlatRate Moving is a high-end, national moving company with offices in major cities throughout the US: New York, Los Angeles, San Francisco and Miami. In addition to our residential clients, we also cater to commercial, international and military clients.

Job Description Works-in-Progress Associates (WPA) is currently seeking an experienced Superintendent to join our team! This position is in-person, Monday-Friday, 6pm – 2am shift, working at Jacobi Medical Center, 1400 Pelham Pkwy South, Building 1, Bronx, NY 10461 with an anticipated duration of 6-8 months. Scope of Work NYC H+H Jacobi Medical Center (JMC) is upgrading the entire fire alarm system throughout Building 1, meeting all code requirements. This includes complete replacement of the existing fire alarm system, removal of fire alarm panels, installation of new fire alarm devices, installing a post fire smoke purge system and pressurization system, installing a new Fire Alarm Command Center (FACC), and Mechanical/Electrical/Plumbing (MEP) upgrades throughout. Responsibilities include, but are not limited to: • Daily coordination with Capital Projects team, • Daily Construction oversight including maintenance of project records, evaluations of means and methods, and periodic inspections., • Cost Management, • Negotiations, Change Order Reviews and Recommendations. CM would be responsible to validate scope, cost, and proposed quantities for labor, equipment and materials necessary., • Monitor Vendors’ compliance with Progress Schedules, notify Capital Projects team of any anticipated delays., • Compare Contractors’ ongoing Progress Schedules to the initial and master Progress Schedules and prepare variance and critical path analyses as necessary., • Provide analysis and review of any notices of delay that Vendors may submit, including by maintaining a log of such notices., • Manage procedures for Vendors to follow regarding expeditious processing of submittals and request for information that require the CM’s, Designer, and/or HHC’s approval, including without limitation shop drawings, material samples and specifications., • Develop plan(s) which can utilize the PLA for Overtime, Weekend, Second Shift and Third Shift work as needed., • Quality Assurance & Control, • Dispute Avoidance and Claims Mitigation, • Performance & Productivity Assessments of the contractor and their vendors, • Coordinating with HHC’s vendors for delivery and installation of furnishings, signage and equipment., • Baccalaureate Degree in engineering/architecture and/or construction related field from an accredited college or university is preferred., • OSHA 30 certification is required, • A driver's license valid in New York State., • Demonstrated proficiency with all applicable software packages including but not limited to MS Office and Adobe Acrobat., • Must be authorized to work in the United States, • Ability to build and strengthen long-lasting client relationships by providing reliable service and project solutions., • Ability to communicate clearly and effectively with all management levels., • Must have excellent interpersonal, oral, and written communication skills., • Must have strong organizational and time management skills., • Must be able to adapt and prioritize, meeting deadlines, in a fast-paced environment., • Operate with a sense of urgency, quickly responding to clients., • Demonstrated leadership, responsiveness, and accountability., • Detail oriented with strong analytical skills., • Proactive and take initiative.Company DescriptionWPA is a woman-owned Owner's Representative firm and we manage construction projects for mostly nonprofits including schools, hospitals, libraries, etc. in the New York City area. We have been in business for over 30 years and have completed well over 400 projects. We currently have somewhere between 40-50 employees. Because we are a woman-owned firm we are on contracts with larger Construction Management firms such as LiRo, Hill International, Jacobs, Tectonic, Gilbane, etc. and we help them to meet their WBE goals. We provide Project Managers, Inspectors, Estimators, Office Engineers and so on. Currently we are on about 10-15 different contracts.WPA is a woman-owned Owner's Representative firm and we manage construction projects for mostly nonprofits including schools, hospitals, libraries, etc. in the New York City area. We have been in business for over 30 years and have completed well over 400 projects. We currently have somewhere between 40-50 employees.\r\n\r\nBecause we are a woman-owned firm we are on contracts with larger Construction Management firms such as LiRo, Hill International, Jacobs, Tectonic, Gilbane, etc. and we help them to meet their WBE goals. We provide Project Managers, Inspectors, Estimators, Office Engineers and so on. Currently we are on about 10-15 different contracts.

Job Description This is a paid freelance, remote position. If you’re an experienced writer with a finger on the pulse of the TV world, CBR wants you to join its award-winning writing team! CBR is the oldest and most respected comic book culture website in the world. It is the internet’s first and final stop for nerd culture, news, commentary and community. Our editorial team is looking for writers to create fun, informative, and engaging TV articles that our discerning audience demands, with the eye-catching aesthetic they crave. The selected candidate will have tremendous career growth and internal development opportunities within the organization. Please visit and review your familiarity with our range of topics before applying. In your cover letter, make sure to tell us how your knowledge of the specific vertical you’re applying for will complement CBR’s coverage. Your Responsibilities: • Write articles in CBR’s house style (following the requisite training), • This will include writing three regular sized Lists (1,400 words), and Long Lists (2,000 words)., • This will include fact-checking, formatting, linking, and image sourcing/very basic editing (sizing, brightness, etc.), • Brainstorm, pitch, and develop original content ideas that’ll be published on-site, • Accept and apply any/all feedback received by the editorial team, • Consistent and timely payments, • Remote freelance position to work anywhere in North America, • A passion for the TV industry, writing, and a drive to grow within the industry, • Broad working knowledge of the TV industry (including Game of Thrones/House of the Dragon, sci-fi shows like Lost, and Westerns such as Yellowstone and 1883), • Up to date with new anime, • The ability to analyze content and pull directly from the source material to back up claims, • A sharp eye for grammatical details, • Excellent command of the English language, • Ability to write high-quality articles with swift turn-around times, • Comfortable working in an entirely virtual environment If you are interested in this role, please send us the following documentation by uploading it in the relevant fields below: • Your CV Please note that a writing evaluation may be required as part of our application process. CBR is part of the Valnet Publishing Group. Valnet , founded in 2012, is a global digital publishing and media investment Company that owns and operates over 25 authoritative brands across diverse verticals, including entertainment, sports, technology, automotive, gaming, lifestyle and travel. Valnet is committed to producing premium content, and we therefore require all our contributors to adhere to our Editorial Standards, including a prohibition on using Artificial Intelligence. Powered by JazzHR SbfmdEbeNq

Job Description Doctor of Pharmacy (PharmD) degree, active Pharmacist license, and minimum 1+ years Pharmacist experience required. Applicants who do not meet these qualifications will not be considered. We are seeking a licensed Staff Pharmacist for a per diem opportunity covering a specialty independent retail pharmacy in the Bronx. These roles offer flexible scheduling and potential for ongoing PRN work with a well-regarded pharmacy group serving locations across the five boroughs. Schedule: Coverage needed ongoing(MondaySaturday) Pharmacy Hours: * Monday Friday: 9:00 AM 6:00 PM * Saturday: 10:00 AM 5:00 PM * Sunday: Closed (Additional PRN coverage may be requested at locations in Manhattan and other boroughs.) Responsibilities: * Verify prescriptions for accuracy and compliance * Process billing and reimbursement claims * Support operations in a high-volume specialty pharmacy * Deliver professional pharmacy services in an independent setting System/Software: * MicroMerchant (required for retail assignments) Requirements: * Active NY State Pharmacist License (in good standing) * Recent experience in retail or specialty pharmacy * Local to the NYC area * Experience in independent pharmacies preferred (not big box retail) * Must be flexible and willing to float between pharmacy locations For more information about this position and other opportunities with RPh on the Go, please contact . Send your updated resume to or call . Compensation for this position ranges from $55.00 to $63.00. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here. This posting is open for 60 days after the posting date.

Job Description SPCSHP, part of independent group MSQ Partners, has spent 25 years helping brands make meaningful human connections through curiosity and belief. As a diverse community of creative specialists, we like to think of ourselves as “explorers, not settlers” — building partnerships with ambitious brands including such as Chase, Dairy Queen, BOTOX® Cosmetic, Early Warning and Dropbox. With a range of proprietary offerings and tools and a team of over 100 diverse crew members, we are constantly growing and are thrilled by the prospect of you joining our next endeavor. SPCSHP is looking for a Senior Copywriter as part of a creative team.. The team will work with the Creative Director to lead an exciting piece of new business in the pharma space. They will work closely with an Art Director as a creative team to maintain brand consistency and excellence. The ideal candidate will be collaborative with various members of the creative discipline and other agency disciplines (including account, production, design, strategy, and analytics) to oversee all campaigns from start to finish. Role + Responsibilities: • Ensure that creative presentations to the client meet the highest professional standards., • Collaborate with all disciplines across the agency to produce projects of creative excellence., • Be comfortable with production and post-production with minimal supervision., • Ability to bring strong conceptual ideas that are strategically correct, on brief and mindful of FDA regulations, • Become an expert on brand claims and guidelines., • Provides proactive contributions to the client’s business, demonstrating best-in-class campaigns, • Works with Account leads to secure and drive new initiatives for clients, • Prepares and delivers presentations representing the creative with in-depth knowledge of why choices are being made, • Approx 5 years of experience in pharmaceutical advertising, • A proven track record of successful campaign ideation and execution within the pharmaceutical advertising space., • An interest in or experience within the beauty industry or dermatology space., • Portfolio of work demonstrating conceptual capabilities in all mediums, • Exceptional writing and presentation abilities The salary band for this role is $105 - $140k. Where a prospective new hire's base salary will fall within this band depends on several factors including their qualifications and experience, the skill level required in the role, market rates, and the salaries of existing crew members at SPCSHP within the same role to maintain equity.

Prior experience and acceptance in formal dispute resolution forum (e. We are currently seeking a Principal Dispute Resolution for our Construction Consulting Practice in our New York, NY or Alexandria, VA office. Significant experience in contract dispute resolution and construction claims, litiga

Own the product roadmap and strategy for our Claims Engine Team. Our goal is to build the most intelligent, scalable, and efficient claims platform in mental healthcare. This includes claims submission and reconciliation tooling, automations, APIs, and related data models.

Demonstrates aptitude in evaluating, analyzing and interpreting information; demonstrates expertise in particular line of business; excellent analytical skills; excellent written and verbal communication skills; the ability to multi-task; excellent time management and organizational skills; ability

Manage, plan and develop the operational activities of DFRP, ICP and SNAP-CR Directors as they administer their specific program areas which are responsible for initiating adverse actions on cash assistance cases due to information obtained via computer matches, sanctioning individuals who fail to c

WCS Healthcare Partners is seeking a local contract nurse RN Case Management for a local contract nursing job in Brooklyn, New York. • Specialty: Case Management, • Discipline: RN, • Duration: 13 weeks, • 40 hours per week, • Shift: 8 hours, days, • Employment Type: Local Contract Our client is one of the largest non-profit OPWDD organizations in New York, specializing in care for IDD adult patients diagnosed with varying degrees of Cerebral Palsy. The client is very flexible with scheduling, allowing RN case managers to start/stop their day for personal reasons if/when necessary, as well as setting their own schedule on a weekly basis, within reasonable day-time hours. Job Function: • Day Shift., • 9am - 5pm or 8am - 4pm., • Oversee direct support professionals in a various home-care settings. Settings range from small houses to apartment complexes., • Responsible for about 2 houses with about 5-10 patients in each, at most. This person will be expected to float between houses each day of the week as per required by patients' needs but will only need to report to one home each day. They will not need to float among multiple houses in a single day., • This is a hands-off nursing position where the candidate will be directing DSP's on how to care for the patients and not doing the hands-on care taking work themselves., • Handle documentation on a regular basis. Job Requirements: • New York State RN License., • 1 year of RN experience in a similar setting., • OPWDD or Case Management experience required. Disclosure: The hourly rates and/or salaries listed may or may not reflect total compensation packages including bonus and fringe benefits, etc., nor are the advertisement(s) posted a guarantee of a certain compensation package for a position or bona fide offer of employment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. ITN1 #LI-DNP 38855 White Cap Search Partners Job ID #38855. Posted job title: RN Case Manager - Local Contract With WCS Healthcare Partners, every Job Seeker grows stronger, moving one step forward with each job placement. We take the time to get to know the needs and qualifications of each Healthcare professional to match you with the right clinical setting, patient population, merging your compensation and career goals with your desired work environment. Our recruiters are experts at navigating the dynamic nature of healthcare employers to get your resume in front of the right decision makers. NURSING ● Registered Nurses (RN) ● Licensed Practical Nurses (LPN) ● Travel Nursing ● Quality Assurance/Review, Performance Improvement, HEDIS ● Nursing Leadership ● Case Management ALLIED HEALTH ● Technologists: Medical, Laboratory, Cardiac, RadTech, X-Ray ● Therapy: Physical, Occupational and Speech Therapy ● Social Work: LCSW/LMSW, Case Management, Care Coordination ● Med Support: Medical Assistants, Phlebotomy, Surgical/Sterile Techs ● Pharmacists and Pharmacy Techs ● Dental Hygienist, Dental Assistants OPERATIONS & FINANCE ● Practice Management ● Clinical Operations ● Administrative Support ● Reception, Clerical, Call Center ● Claims Appeals/Denials/Reimbursement ● Insurance Pre-Authorizations ● Medical Billing/Coding • 401k retirement plan, • Weekly pay

Claims Investigator Proficiency.

More particularly, the ideal candidate will be able to analyze insurance coverage issues and resolve claims according to certain Best Practices and within stated authority limits relative to the Private Company D&O/Management Liability Segment across diverse industries. The ideal candidate will have

Responds to member and provider inquires and requests concerning benefits, claims and complaints within a call center environment in order to ensure high quality customer service to members and providers. Receives calls from members and providers. Elderplan and HomeFirst, our Medicare and Medicaid m

In this role, the responsibilities include actively managing commercial claims for high severity, complex general liability, and auto accounts, as well as the associated excess and umbrella policies, in jurisdictions throughout the United States. Maintain contact with any/all associated claims carri

The Claims and Provider Payment Modernization Manager represents Healthfirst Operations in the support of defined claims-related and/or provider payment modernization efforts. Claims And Provider Payment Modernization Manager. Exposure to claims, provider payment, provider onboarding, or contracting

The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing Hiscox's strong brand bu

Manager, Claims Modernization Reporting And Analytics. The Manager, Claims Modernization Reporting and Analytics is responsible for the successful implementation of strategic initiatives as a part of a large team of Business, Data and Project Analysts. The Manager will take lead on projects aimed at

Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Presents at roundtables to senior claims leaders and underwriters on cases going to trial and provides advice/insight on others claims going to trial. Ability to influence claims stakeholders and to effec

We are looking for a candidate with strong expertise in Claims, bringing at least 10 years of experience across various lines and types of claims with a particular focus on Property claims. Skills: Analytical Thinking, Claims Settlement, Communication, Critical Thinking, Customer Value Management, D

With a company culture rooted in collaboration, expertise, and innovation, we aim to promote progress and inspire our clients, employees, investors, and communities to achieve their greatest potential.Our work is the catalyst that helps others achieve their goals.In short, We Enable Possibility?.Arc

We are looking for a Billing + Claims Support Representative to join our Customer Support team. Billing + Claims Support Representative. We are looking for someone who has support experience, working with health insurance claims, and wants to bring their talents into a "for purpose" space.

Cyber claim handlers also assist with client and broker policy review and trends. Cyber experience or understanding, including computer security, forensics, and network restoration, would also be helpful. Cyber Senior Claims Specialist / New York City.

Job Description Responsibilities: • Create demand for Sight Sciences products within both company and industry-compliant guidelines, • Develop effective sales presentations to differentiate product(s) compared to current surgical glaucoma offerings with Ophthalmic surgeons within the assigned territory, • Analyze data and manage territory to create an effective business plan, including regular sales forecasting, • Maintain knowledge of current trends in the industry and competitive products, • Manage territory budget and resource, • Complete administrative paperwork in a timely manner and provide reports to the Manager regarding established average call activity and feedback from physicians, • Attend various sales training workshops, sales meetings, national/regional conferences, and relevant trade shows, • Maintains direct contact with customers after and after the sale:, • Pre-sale: Responds to customer inquiries to determine appropriate product literature and pricing schedules; influences production and shipping schedules, • Post-sale: Responds to customer inquiries (RMA, status, delivery, etc.). Resolves production scheduling and shipping or invoicing problems; determines the validity of warranty claims and schedules repair resources, • Support company goals and objectives, policies, and procedures that comply with FDA Quality System Regulations (QSR), ISO 13485, and any other applicable domestic or international requirements, • Maintain a professional and credible image with key physicians, distributors, consultants, vendors, and co-workers Skills/Qualifications: • 5+ years of sales experience, with preferably a minimum of 3 years of medical sales experience in ophthalmology, with a proven track record of success, • Successful sales track record in the medical device industry, • Strong relationship-building skills, • Strong sales presentation skills, • Ability to work independently and as well as within a strong team environment, • Bachelor’s Degree or equivalent experience, • Valid driver's license to travel to customer locations

Job Description Company: We are a leading retail insurance brokerage dedicated to providing exceptional insurance solutions and personalized service to our clients. With a strong commitment to customer satisfaction and industry expertise, we strive to exceed expectations and build lasting relationships. Position: Customer Service Representative Location: Brooklyn, NY (11229) Schedule: Monday - Friday from 10:00 am - 6:00 pm (closed all federal holidays and weekends) Job Description: As a Customer Service Representative, you will be an integral part of our client-facing team, responsible for delivering outstanding service and support to our valued customers. You will handle general inquiries, help customers make their payments, provide information about insurance products and policies, process policy changes, and ensure that each customer interaction is handled with professionalism and efficiency. Responsibilities: • Serve as the first point of contact for clients seeking assistance or information regarding their insurance policies and claims., • Respond promptly and courteously to client inquiries via phone, email, and in-person visits., • Educate customers on various insurance products, coverage options, and policy features., • Process policy changes, endorsements, and payments efficiently and accurately., • Maintain accurate records of client interactions and transactions using our CRM system., • Collaborate with our sales team to identify cross-selling opportunities and enhance customer retention., • Resolve customer complaints and issues promptly to ensure customer satisfaction and loyalty., • Proven experience in a customer service role, preferably in the insurance or financial services industry preferred but not required, • Excellent communication skills, both verbal and written., • Strong interpersonal skills and the ability to build rapport with customers., • Detail-oriented with good organizational and multitasking abilities., • Proficiency in using CRM software and other relevant computer applications., • A proactive attitude with a commitment to delivering high-quality service., • A team player who can also work independently when needed., • Competitive compensation package including base salary and possible performance-based incentives., • Paid time off (vacation, sick leave, holidays after 90 days of employment)., • Ongoing training and professional development opportunities. Equal Opportunity Employer: We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. All qualified applicants will receive consideration for employment without regard to any protected status. Job Type: Full-time Benefits: • On-the-job training, • Paid time off Work Location: In person

PRIDE Health is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in New YOrk, New York. • Specialty: Clinical Document Improvement Specialist, • Discipline: RN, • Start Date: 09/22/2025, • Duration: 13 weeks, • 40 hours per week, • Shift: 8 hours, days, • Employment Type: Travel Position: Chart Review (Special Investigations Unit Clinical ) Hybrid Position Shift: 9am - 5pm Requirements: 5 years of healthcare fraud detection, investigation, or auditing, & In-depth experience and knowledge of coding regulations including ICD-10, CPT, HCPCS, AMA, etc. Job Description • Review medical records to validate clinical and coding assessments, as well as medical coding, and review healthcare claims to determine the accuracy and compliance of billed codes with relevant regulations, standards, policies, and procedures., • Conduct audits of high-risk claims and billing patterns to ensure adherence to healthcare regulations and MetroPlusHealth policy, and detect potential FW.A, • Assist in preparing documentation for audits, recoupments, compliance/legal reviews, and regulatory inquiries., • Collaborate with other SIU team members to evaluate suspected cases of fraudulent activities, such as over-utilization of services, upcoding, and billing for non-medically necessary services. PRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. With our robust and abundant travel nursing and allied health employment options across the U.S., PRIDE Health will allow you to help change the way the world lives and heals as it connects you with the industry’s leading healthcare organizations. Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors. • Weekly pay, • Holiday Pay, • Guaranteed Hours, • 401k retirement plan, • Cancelation protection, • Referral bonus, • Medical benefits, • Dental benefits, • Vision benefits

This is a 6-month onsite contingent position providing administrative and claims/zone support services at the New York Branch. Support claims operations during weather-related events, including CAT loss reports and other CAT response activities. Previous experience in administrative support, claims

AmTrust Financial Services, a fast growing commercial insurance company, has an immediate need for a Claims Adjuster II - WC.The adjuster is responsible for the prompt and efficient examination, investigation, settlement or declination of worker's compensation insurance claims through effective rese

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Complex Claim Director - Employment Practices Liability (EPL). Join us as a Complex Claim Director - Employment Practices Liability (EPL) to play your part in that transformation. You will be responsible for handling all aspects of complex Employment Practice Liability claims, with opportunity to ha

The AVP, Senior Claims Analyst is responsible for, but not limited to analysing, and processing claims under the applicable (re)insurance contracts, performing claims audits, providing analysis to underwriters and reserving actuaries, and participate in and lead collaborative projects in support of

The work of DFS includes managing the ACS budget; submission of monthly claims for revenue; processing of payments to provider agencies and vendors; monitoring the financial health of provider agencies through financial review and audits; maintenance of the ACS bank accounts; centralized oversight o

This is your opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance.We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders.We also proudly maintain an entrepreneurial, disci

Summer Interns in the Disputes, Claims, & Investigations group work primarily as financial consultants on engagements within a litigation setting. Common engagements include: forensic accounting, fraud investigations, shareholder disputes, intellectual property disputes, employment disputes, quantif

Claim your career growth as a Claims Service Specialist at GEICO's Melville, NY office and be a part of one of the fastest-growing auto insurers in the United States! If you are motivated, all about solutions, and empathetic to the needs of customers, come grow a fulfilling career with us! Through o

Safety & Loss Control Specialist.Hybrid – Lakewood, NJ or Brooklyn, NY.Healthcare | Risk Management | Insurance.A leading provider of innovative claims handling and risk management solutions in the Healthcare sector is seeking a Safety & Loss Control Specialist.This role will be responsible fo

As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met.

Associate Disability Claim Examiner. When you join Prudential, you'll unlock a motivating and impactful career all while growing your skills and advancing your profession at one of the world's leading financial services institutions!. The Associate Disability Claim Examiner will be responsible for

This is also an opportunity to develop experience in every single aspect of the dynamic world of cyber coverage. This position will handle demanding and complex first party Cyber Claims, including Data Breaches, Business Interruption, Contingent Business Interruption, and Extortion claims. The Evere

We're looking for a Tax Director who can continue to shape our global tax function and make a real impact. Tax compliance (including sales tax, fringe benefit tax) and governance in each territory we operate. You'll oversee tax strategy, lead R&D tax credit claims, and collaborate closely with teams

Developing valuation models using option pricing theory, Monte Carlo simulation, binomial trees, contingent claims analysis, and other financial engineering techniques, especially as it applies to valuing financial instruments (i. Leading work streams within and participating in client-facing projec