• Claims Advisor, Professional Liability

    Sedgwick (Concord, NH)
    …but not limited to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and Casualty Underwriter (CPCU), ... + Identifies and investigates for possible fraud, subrogation, contribution, recovery , and case management opportunities to reduce total claim...Associate in Risk Management (ARM), Associate in Insurance Claims (AIC), Certified Professional… more
    Sedgwick (09/25/24)
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  • Clinical Fraud Investigator II

    Elevance Health (Manchester, NH)
    …Coordinates with concerned unit/brand as appropriate regarding approved interventions such as recovery of overpayment, pre-payment audit of claims or putting ... in-depth investigations on identified providers and members as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
    Elevance Health (09/25/24)
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