3 apd claim representative ii jobs found

The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay while supporting the goals of the Case Management department and of CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identifies the necessity of the review process and communicates issues of concern to the appropriate claims staff/customer Collects data and analyzes information to make decisions regarding certification or denial of treatment Documents all work in the appropriate manner Promotes utilization review services with stakeholders Additional duties as assigned   KNOWLEDGE & SKILLS:  Must have thorough knowledge of both CPT and ICD coding Ability to interface with claims staff, attorneys, physicians and their representatives, as well as advisors/clients and coworkers...

We’re thrilled that you are interested in joining us here at the Amynta Group! Senior Vice President Review and underwrite R&W opportunities Conduct due diligence to analyze the risk to be insured, including (i) reviewing asset and merger agreements, disclosure schedules, data room materials and financial and operational records of prospective insureds, (ii) leading conference calls with the proposed insured and their advisors to discuss the risk to be insured; and (iii) preparing conference call agendas Negotiate and draft insurance policies with insurance brokers, the proposed insureds and their advisors.  Ensure underwriting file completion upon binding of R&W opportunities. Manage, train and mentor a team of R&W underwriter, including review submissions and provide mentoring to junior associates to determine whether an insurance proposal can be offered for transactional insurance products including recommendation on pricing and key terms of coverage and...

We’re thrilled that you are interested in joining us here at the Amynta Group! Vice President, US tax Review and underwrite Tax opportunities Conduct due diligence to analyze the risk to be insured, including (i) reviewing relevant material, (ii) leading conference calls with the proposed insured and their advisors to discuss the risk to be insured; and (iii) preparing conference call agendas Negotiate and draft insurance policies with insurance brokers, the proposed insureds and their advisors.  Ensure underwriting file completion upon binding of risks.  Review claims and provide any necessary support related thereto to the claims team. Collaborate with colleagues from Ambridge Europe/Canada to assist in cross-border underwriting  The Amynta Group (the “ Company ”) is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of any ground of discrimination protected by applicable human rights...