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Claims Examiner, Medical Only AmTrust Financial Services, Inc.Claims Examiner, Medical OnlyPrinceton, New JerseyFull timeClaim adjudication requires interaction with employers, claimants, medical providers, and other parties to ensure adequate medical treatment is provided utilizing company resources in a cost-effective manner. Overview: The Workers’ Compensation Medical Only Claims Examiner is responsible for the prompt and effective investigation of workers’ compensation claims involving injuries requiring medical treatment without lost wages.
Data Exchange Analyst - Claim Ops (Tpa) Capital Rx, Inc.Data Exchange Analyst - Claim Ops (Tpa)New York, NY$96,800–$121,000 / yearKey Responsibilities: Data Integration & Mapping: Design, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 - eligibility and responses, 278 - Prior Auth, 276/277 - claim status, 999/TA1 - file level acknowledgement as well as proprietary formats. Position Summary: The Data Exchange Analyst is a crucial member of our Data Operations team, responsible for ensuring the accurate, efficient, and secure exchange of healthcare data between Capital Rx - JUDI Health and its various partners, including employers, providers, and other TPAs.
Assstant Vice President, Claim counsel Ryan Specialty GroupAssstant Vice President, Claim counselNew York, New YorkThey represent the company in high-level negotiations, monitor industry trends, and drive initiatives for operational efficiency and strategic development, fostering strong relationships for organizational success in the specialty insurance market. Job Responsibilities • Develops and implements advanced strategies for generating claims insights and advocacy, leveraging industry expertise and insights to optimize claim resolution outcomes.
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Claims and Change Specialist Luster NationalClaims and Change SpecialistNew York, NY$115,000–$145,000 / hourYour primary focus will be supporting claims analysis, contract administration, and change management activities associated with complex infrastructure construction projects, including contract research, change control, commercial management support, and coordination with project controls and construction management teams. 2-5 years of experience supporting claims analysis, contract administration, change management, project controls, commercial management, or construction management activities on large infrastructure, transportation, transit, rail, aviation, or heavy civil construction projects.
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NewContracts and Claims Specialist Luster NationalContracts and Claims SpecialistWashington, New York$90,000–$140,000 / hourWe’re seeking Contracts and Claims Specialists of various skill levels to support large, complex heavy civil infrastructure programs, including highways, roads, bridges, transit (bus and rail), aviation (international airports), and water/wastewater projects delivered through both traditional and alternative delivery methods. In this role, you will administer construction contracts from award through closeout, review change order requests and contractor claims for merit and cost, keep project records complete and organized, and help settle disagreements before they turn into formal disputes.
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