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The Claims Recovery Analyst I is responsible for identifying, validating, and recovering healthcare claim overpayments through Trend's Payment Accuracy Services. This role involves analyzing medical and pharmacy claims data while collaborating with providers to ensure accurate claim adjustments and resolutions.
The Compliance and Quality Coordinator supports agency operations by monitoring regulatory compliance, conducting quality assurance audits, and managing corrective action plans. Additionally, the role oversees brand management to ensure consistent professional representation across all public-facing materials and communications.
The Legal Assistant will provide comprehensive support for litigation matters, including document preparation, case file maintenance, and scheduling. They will also manage communications with clients and court personnel while ensuring all legal filings are accurate and timely.
The Senior Claims Examiner investigates, evaluates, negotiates, and resolves property damage and bodily injury claims in accordance with insurance contracts and applicable laws. They are responsible for establishing case reserves, maintaining accurate claim files, and coordinating with legal departments regarding coverage and compliance.
The Senior Claims Examiner investigates, evaluates, negotiates, and resolves property damage and bodily injury claims in accordance with insurance contracts and applicable laws. They are responsible for establishing case reserves, maintaining accurate claim files, and coordinating with legal departments regarding coverage and compliance.
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This role provides administrative, supervisory, and clinical oversight to surveyors conducting regulatory inspections for mental health and substance use disorder facilities. The consultant leads licensing surveys, complaint investigations, and ensures consistent enforcement of state and federal regulatory requirements.
The role involves managing a portfolio of delinquent commercial accounts and coordinating collection efforts through the litigation process. Responsibilities include performing skip tracing, negotiating settlements, and ensuring all actions comply with federal and state regulations.
The associate attorney will manage insurance defense and personal injury cases from inception to judgment, including drafting pleadings and conducting depositions. Responsibilities also include frequent client and carrier reporting, court appearances, and motion practice.
The role involves conducting comprehensive legal research, analyzing complex contracts, and providing structured feedback to support AI-driven legal workflows. You will also perform document review, assist with litigation tasks, and collaborate with legal teams to ensure high-quality output.
The specialist will manage trade compliance programs, including ACE reporting, C-TPAT program maintenance, and customs reconciliation filings. They will also oversee relationships with customs brokers, conduct audits, and provide guidance to internal teams on import and export regulations.
The Corporate Counsel will lead the drafting, reviewing, and negotiating of complex IT, AI, and business process outsourcing contracts. Additionally, the role involves advising business clients on legal risks and supporting employment law and corporate governance matters.
The Litigation Operations Consultant manages the litigation project portfolio and drives the adoption of new processes, tools, and workflows. They partner with legal leadership to translate business needs into actionable project and technology initiatives.
The consultant will perform complex data analysis to identify trends and provide actionable insights that drive business performance and risk outcomes. They will collaborate across departments to define problems, build data pipelines, and present findings to senior leadership.
The Legal & Compliance Officer will support the Head of Legal in managing regulatory compliance, licensing obligations, and internal corporate policies. Responsibilities include conducting B2B KYC processes, monitoring responsible gambling activities, and assisting with internal and external audits.
The Senior Corporate Counsel will serve as an embedded legal partner to Product and Engineering teams, providing guidance on privacy, AI governance, IP, and regulatory compliance throughout the product lifecycle. They will also draft and negotiate complex commercial agreements and manage legal review processes to ensure product alignment with global standards.
Provide expert compliance consulting to alternative asset firms and family offices, including developing action plans and implementing robust control measures. Collaborate with management to ensure regulatory alignment, manage risk assessments, and oversee compliance testing and training programs.
The Compliance Coordinator supports company initiatives by ensuring business operations adhere to internal policies, industry standards, and regulations. Responsibilities include maintaining documentation, monitoring regulatory requirements, coordinating internal audits, and preparing compliance reports.
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The Compliance Coordinator supports company initiatives by ensuring business operations adhere to internal policies, industry standards, and regulations. Responsibilities include maintaining documentation, monitoring regulatory requirements, coordinating internal audits, and preparing compliance reports.
The Case Manager will manage and monitor active client cases from intake through resolution while serving as the primary point of contact. They are responsible for coordinating communication between parties, maintaining accurate case files, and ensuring compliance with legal deadlines.
The supervisor will lead a team responsible for drug claims auditing and adjudication while ensuring compliance with PBM and Medicaid guidelines. They will also manage audit workflows, monitor performance metrics, and partner with internal teams to resolve complex claims issues.
The Intake Specialist serves as the primary point of contact for prospective clients, screening leads and managing the intake process. Responsibilities include maintaining accurate CRM records, scheduling case evaluations, and facilitating communication between prospects and attorneys.
The Investigative Analyst will identify trends in healthcare data to generate fraud, waste, and abuse referrals for the Healthcare Fraud Prevention Partnership. They will collaborate on analytic reports and drive outcome metrics related to leads shared with program partners.
The Senior Quality Compliance Professional monitors and evaluates quality-related processes and documentation to ensure compliance with Louisiana Medicaid and Humana requirements. They also collaborate with cross-functional teams to support audit readiness, corrective action plans, and performance improvement initiatives.
The Senior Compliance Professional develops and implements compliance policies while researching issues to ensure adherence to contract obligations. They also make decisions on complex technical project components and influence departmental strategy.
The Claims Training Specialist develops and delivers training curricula to ensure adherence to best practices and improve claims outcomes. They are responsible for identifying training needs, monitoring new hire progress, and maintaining an eLearning library to support operations.
Review, analyze, and provide feedback on immigration law documents to improve AI model accuracy and compliance. Collaborate with cross-functional teams to draft and evaluate legal content while utilizing industry-standard research tools.
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The Legal Performance Specialist reviews attorney hearing reports for accuracy and completeness while resolving performance issues such as complaints or sanctions. They also manage compliance tasks, monitor attorney training, and provide support through various communication channels.
The associate will manage annual 401(k) compliance testing, reconcile plan activity, and prepare Form 5500 filings. They will also assist with advanced plan administration tasks such as amendments, terminations, and correcting operational errors.
The Legal Director will serve as a key advisor on commercial transactions, focusing on negotiating complex SaaS and services agreements for the public sector. They will partner with cross-functional teams to drive deal closure, ensure regulatory compliance, and develop scalable legal processes.
The Regional Workers' Compensation Claims Director leads a team to deliver fair, timely, and customer-focused claim outcomes while overseeing complex claims and operational excellence. They are responsible for managing budgets, developing talent, and partnering with stakeholders to ensure profitability and regulatory compliance.
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