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OFFSITE

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FULL_TIME

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UNKNOWN

YEAR

Workers Compensation Examiner

CONSIDERED EXPERIENCE INCLUDES: Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #ClaimsRep #WorkersComp. Diedre Moire CorporationEducation Requirements: Bachelor DegreeMinimum Experience Requirements: 2-5 yearsJob City Location: TigardJob State Location: ORJob Country Location: USASalary Range: $90,000 to $120,000.

Salary

KBSkills

ACTIVE

Workers Comp Claims Representative - Tigard, OR <table border="0"><tbody><tr><td>Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp _ .   REMOTE WORK FROM HOME AVAILABLE   Manage workers comp claims using knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedures.   Generous compensation and end of year bonus. Fully company paid benefits, matched 401(k) contribution, and opportunities to advance. Paid time off for personal and sick days and vacations from start. Excellent work environment and work-life balance, opportunity to work for a company that values leaving work at the office.   For complete details contact Greg Foss at: (609) 584-9000 ext 270   Or submit resume online at: <a href="http://dmc9.com/gbf/app.asp" rel="nofollow">http://dmc9.com/gbf/app.asp</a>   Or email to: 1000065388_10006796@najbcareers302.com Please reference #428181OR386 when responding. Diedre Moire Corporation</td></tr><tr><td> </td></tr><tr><td>Education Requirements:  Bachelor Degree</td></tr><tr><td>Minimum Experience Requirements:  2-5 years</td></tr><tr><td>Job City Location: Tigard</td></tr><tr><td>Job State Location: OR</td></tr><tr><td>Job Country Location: USA</td></tr><tr><td>Salary Range:  $90,000 to $120,000 Diedre Moire Corporation, Inc. diedremoire.com WE ARE AN EQUAL OPPORTUNITY EMPLOYER and our employment decisions are made without regard to race, color, religion, age, sex, national origin, handicap, disability or marital status. We reasonably accommodate individuals with handicaps, disabilities and bona fide religious beliefs. Jobs Career Position Hiring. CONSIDERED EXPERIENCE INCLUDES: Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #ClaimsRep #WorkersComp DISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application. Indicated location may be proximate or may be desirable point of embarkation for paid or unpaid relocation to another venue. Job descriptions may fit single or multiple presently available or anticipated positions and are NOT an offer of employment or contract implied or otherwise. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers. Linguistics used herein may use First Person Singular and First Person Plural grammatical person construction for and with the meaning of Third Person Singular and Third Person Plural references. We reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. Response to a specific posting or advertisement may result in consideration for other opportunities and not necessarily the incentive or basis of the response. Nothing herein is or may be considered a promise, guarantee, offer, pledge, agreement, contract, or oath. If you submit an application or resume which contains your email address, we will use that email address to communicate with you about this and other positions. We use an email quality control service to maintain security and a remove and dead address filter. To cancel receiving email communications, simply send an email from your address with the word remove"" in the subject line to pleaseremove@candseek4.com Or, visit the website at www.jobbankremove.com. If you have further concern regarding email received from us, call (609) 584-5499</td></tr></tbody></table>

Diedre Moire Corp.

Workers Comp Claims Examiner

salaryMin

salaryMax

payPeriod

currency

Applications Security

Claims Management

Claims Processing

Construction

Insurance Claims

Medical Treatment

Medicare

People Management

Regulations

Worker's Compensation

monster

CONSIDERED EXPERIENCE INCLUDES: Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #ClaimsRep #WorkersComp. Diedre Moire CorporationEducation Requirements: Bachelor DegreeMinimum Experience Requirements: 2-5 yearsJob City Location: AlohaJob State Location: ORJob Country Location: USASalary Range: $90,000 to $120,000.

Workers Compensation Complex Claims - Aloha, OR <table border="0"><tbody><tr><td>Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp _ .   REMOTE WORK FROM HOME AVAILABLE   Seeking individual with at least 3 years experience investigating, evaluating and adjudicating complex workers compensation cases of high exposure and severity.   Activities:   *** Investigates claims to determine coverage responsibility.   *** Establish compensability and exposure accuracy.   *** Collaborative establish medical management strategies on high dollar complex claims.   *** Reviews claims and makes resolution strategy recommendations.   *** Participates in pricing, reserving.   *** Support outside counsel in managing litigated files.   *** Identifies and appropriately processes suspicious or potentially adverse claims and those with third party subrogation potential.   *** Calculates and recommends reserves.   *** Attends negotiation, settlement and mediation sessions.   About the Company   *** Employees feel good about it.   *** The work is interesting.   *** People are encouraged to get better.   *** Team members feel important because they are.   *** Compensation is generous.   According to Tom Borg, business growth specialist and consultant, that makes this company a great place to work.   Compensation to $120,000 with annual bonus, full medical, dental and vision benefits from start date, and opportunity to advance. Paid training provided, and continued education assistance in the form of tuition reimbursement. Pension plan and matched 401(k) options available.   For complete details contact Greg Foss at: (609) 584-9000 ext 270   Or submit resume online at: <a href="http://dmc9.com/gbf/app.asp" rel="nofollow">http://dmc9.com/gbf/app.asp</a>   Or email to: 1000065389_10006796@najbcareers302.com Please reference #428181OR368 when responding. Diedre Moire Corporation</td></tr><tr><td> </td></tr><tr><td>Education Requirements:  Bachelor Degree</td></tr><tr><td>Minimum Experience Requirements:  2-5 years</td></tr><tr><td>Job City Location: Aloha</td></tr><tr><td>Job State Location: OR</td></tr><tr><td>Job Country Location: USA</td></tr><tr><td>Salary Range:  $90,000 to $120,000 Diedre Moire Corporation, Inc. diedremoire.com WE ARE AN EQUAL OPPORTUNITY EMPLOYER and our employment decisions are made without regard to race, color, religion, age, sex, national origin, handicap, disability or marital status. We reasonably accommodate individuals with handicaps, disabilities and bona fide religious beliefs. Jobs Career Position Hiring. CONSIDERED EXPERIENCE INCLUDES: Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers' Comp #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #ClaimsRep #WorkersComp DISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application. Indicated location may be proximate or may be desirable point of embarkation for paid or unpaid relocation to another venue. Job descriptions may fit single or multiple presently available or anticipated positions and are NOT an offer of employment or contract implied or otherwise. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers. Linguistics used herein may use First Person Singular and First Person Plural grammatical person construction for and with the meaning of Third Person Singular and Third Person Plural references. We reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. Response to a specific posting or advertisement may result in consideration for other opportunities and not necessarily the incentive or basis of the response. Nothing herein is or may be considered a promise, guarantee, offer, pledge, agreement, contract, or oath. If you submit an application or resume which contains your email address, we will use that email address to communicate with you about this and other positions. We use an email quality control service to maintain security and a remove and dead address filter. To cancel receiving email communications, simply send an email from your address with the word remove"" in the subject line to pleaseremove@candseek4.com Or, visit the website at www.jobbankremove.com. If you have further concern regarding email received from us, call (609) 584-5499</td></tr></tbody></table>

Adjudication

Business Growth

Consulting

File Management

Litigation

Management Strategy

Negotiation Skills

Pricing

Strategic Planning

Subrogation

Team Player

Work From Home

Data Analyst

Advanced computer skills including MS Windows, Word, Excel, and Outlook with proficiency using Power Point, Access, Visio, Adobe Professional, and internet browsers/search functions; SQL skills in SPSS or similar preferred . Strong learning aptitude to research, understand, interpret, and communicate federal and state requirements relating to Medicaid and Medicare compliance and quality assurance, including the Code of Federal Regulations, Oregon Revised Statutes and Administrative Rules .

Location: Portland, OR Description: <div>Our client is currently seeking a Medicare Data Analyst in Portland, OR! </div><div> This job will have the following responsibilities: <ul><li>Analysis and Reporting</li><li><ul><li>Evaluate line of business priorities and develop reporting systems for use at the program manager, director, and senior leadership levels to assess the effect of key program and policy decisions; provide recommendations based on analysis. </li><li>Develop, produce, implement, and maintain department dashboards and reporting tools that convey status of key process and outcome metrics for program management and evaluation using Tableau software and other tools. </li><li>Deliver reports, dashboards and analysis to department and organizational stakeholders and other audiences as necessary.</li></ul></li><li>Data Stewardship and Collaboration</li><li><ul><li>Develop and maintain deep understanding of data, data infrastructure and processes used for reporting department metrics and for measuring program performance. </li><li>Develop and maintain technical documentation such as data dictionaries and glossaries for relevant data and reports. </li><li>Create line of business level curated data sets for consumption by others in the department or organization.</li></ul></li><li>Market Research</li><li><ul><li>Keep current on systems and data sources including: Sales Force/QNXT reporting, enterprise data warehouse, CMS.gov and internal data sources such as SharePoint and Tableau. </li><li>Utilize marketing processes to provide market segmentation analysis, consumer insights, needs assessment, and technology scan with the ability to synthesize the information into a "where to play" Portfolio in Core and Adjacent markets. </li><li>Analyze and assess present and future needs, trends, challenges, and opportunities.</li></ul></li><li>Organizational Responsibilities</li><li><ul><li>Perform work in alignment with the organization’s mission, vision, and values. </li><li>Support the organization’s commitment to equity, diversity, and inclusion by fostering a culture of open mindedness, cultural awareness, compassion, and respect for all individuals. </li><li>Strive to meet annual business goals in support the organization’s strategic goals.</li></ul></li><li>Perform other duties as needed.</li></ul> Knowledge, Skills and Abilities Required:<ul><li>Knowledge of or ability to learn and understand managed health care operations and remain abreast of standards </li><li>Knowledge of or ability to learn program evaluation methodologies and analytic strategies </li><li>Strong learning aptitude to research, understand, interpret, and communicate federal and state requirements relating to Medicaid and Medicare compliance and quality assurance, including the Code of Federal Regulations, Oregon Revised Statutes and Administrative Rules </li><li>Advanced computer skills including MS Windows, Word, Excel, and Outlook with proficiency using Power Point, Access, Visio, Adobe Professional, and internet browsers/search functions; SQL skills in SPSS or similar preferred </li><li>Ability to produce reports and graphic summaries using database query tools </li><li>Ability to research, analyze, assemble, summarize material, information, and data </li><li>Ability to communicate effectively verbally and in writing, including report writing </li><li>Ability to identify and anticipate issues and act proactively to formulate plans and recommendations to address potential issues </li><li>Ability to proofread materials and correspondences to correct errors </li><li>Detail orientation, record keeping, and organizational skills </li><li>Ability to work under pressure in a complex and rapidly changing environment </li><li>Ability to work in a community (internal and external) with diverse individuals and groups and provide effective support to groups of people </li><li>Ability to build and maintain cooperative and productive working relationships with other department stakeholders </li><li>Ability to identify work goals with manager and prioritize work to balance competing deadlines in a professional manner, while managing multiple tasks </li><li>Ability to work in a confidential manner with partner, member, and provider information Significant self-direction/self-management skills with the ability to work independently and effectively as a sole contributor and as part of a team </li></ul><div>If you, or someone you know, are both interested in this position, please send and up to date resume to Ashley at awine@judge.com!</div></div>By providing your phone number, you consent to: (1) receive automated text messages and calls from the Judge Group, Inc. and its affiliates (collectively "Judge") to such phone number regarding job opportunities, your job application, and for other related purposes. Message & data rates apply and message frequency may vary. Consistent with Judge's Privacy Policy, information obtained from your consent will not be shared with third parties for marketing/promotional purposes. Reply STOP to opt out of receiving telephone calls and text messages from Judge and HELP for help. Contact: awine@judge.com <div align="center" style="background-color:#999999">This job and many more are available through The Judge Group. Find us on the web at www.judge.com</div>

The Judge Group Inc., is a leading professional services firm specializing in talent, technology, and learning solutions. We consult, staff, train, and solve. Through our work we make people and organizations better. Our services are successfully delivered through a network of more than 30 offices across the United States, Canada, and India.
The Judge Group is proud to partner with the best and brightest companies in business today, including over 60 of the Fortune 100. We serve organizations in financial services, healthcare, life sciences, insurance, government (including aerospace and defense), manufacturing, and technology and telecommunications. If you would like to learn more about The Judge Group visit www.judge.com or call toll free (800) 360-4474.

Judge Group

Medicare Data Analyst

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