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Who are we? Produce Alliance specializes in delivery of fresh produce to restaurants and other foodservice operators at higher quality and better prices. We provide produce category management services including procurement, national distribution, information services and food safety assurance to foodservice clients across North America. With a specialized focus on fast f
Posted 14 days ago
Responsible for auditing and training claims staff on all Managed Care claims received from outside providers to ensure the Claims Examiners processed and adjudicated them accurately and consistently in accordance with outside Provider Contracts, State, Federal, CMS, DMHC and Health Plan contracts, internal departmental policies and procedures. Must maintain a productivit
Posted 16 days ago
Under the direct supervision of the Claims Processing Supervisor and the general direction of the Manager, Claims Production, this position is responsible for the accurate review, entry and processing of all claims received for payment by AAH. Principal responsibilities include Research claims for completion and appropriateness. Review and handle rejected claims as necess
Posted 17 days ago
IMA's Private Equity and M&A Practice provides buyers and targets with a range of insurance, benefits and retirement products and services designed to assist them throughout the life cycle of the M&A transaction. For M&A activity, IMA's in house Transactional Liability Practice, Project Managers and Due Diligence Specialists bring depth and experience to address financial
Posted 17 days ago
QBE Americas, Inc.
- New York, NY / Irvine, CA
Formulate and execute global catastrophe pricing strategies Strategically allocate Cat reinsurance and capital costs, enabling underwriters to effectively differentiate profitable accounts Collaborate with actuarial, reinsurance and underwriting teams to integrate insights into pricing frameworks Proactively identify opportunities for improvement and contribute to the dev
Posted 18 days ago
Crawford & Company
- Bakersfield, CA / Fresno, CA
Property General Adjuster Requisition ID 2024 25240 Job Locations US CA Bakersfield | US CA Fresno Position Type Regular Full Time Category Claims Business Unit CUS_Loss Adjusting US Excellence In Everything We Touch Position Summary Under limited supervision, resolves all types of the most serious losses, heavy commercial property losses or other assigned losses by inves
Posted 23 days ago
The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims processing and ability to identify and address non contracted provide
Posted 25 days ago
The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non contracted, per diem, case rate etc.) and adjudication and claims research when necessary. Senior Claims Specialist must have knowledge of compliance issues as they relate to claims processing and ability to identify and address non contracted provide
Posted 25 days ago
Analyzes, configures, develops, tests, implements, supports and maintains Epic revenue cycle applications, solutions and business processes to meet operational and technical requirements. Obtains and maintains in depth knowledge of software functionality and acquires as well as utilizes knowledge of operational workflows to be implemented. Areas of responsibility may be H
Posted 29 days ago
Claims Adjuster III, CA Job Locations US CA Irvine Requisition ID 2024 16316 Category Claims Workers Compensation Position Type Regular Full Time Overview The Workers' Compensation Adjuster III is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with ins
Posted 1 month ago
Support the development and implementation of the Funds compliance program, collaborating with other departments at AssetMark as well as vendors, outside counsel and sub advisors to the Funds. Assist in the ongoing implementation and execution of the Funds' risk assessment and testing program, including conducting compliance testing; evaluating, documenting and presenting
Posted 1 month ago
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