Complex Claims Investigator – Fraud
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NN zoekt kandidaten voor de rol Claims Handler Special Cases in Brussel. Je onderzoekt complexe schade- en frauderisico's, coördineert onderzoeken en levert objectieve, feitgerichte analyses.
Je communiceert met collega’s, klanten en externe partners en draagt bij aan de verbetering van fraudepreventie. Een bachelor en ervaring in schadebeheer zijn gewenst, met kennis van MS Office en talen.
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Medical Review Specialist
Il y a 3 jours
Molenbeek-Saint-Jean - Sint-Jans-Molenbeek, Brussels-Capital, Belgique MCS Puerto Rico Temps pleinRegular Exempt GENERAL DESCRIPTION: Responsible for conducting clinical reviews of post-service and pre-payment claims requiring medical documentation to determine medical necessity, coding accuracy, reimbursement appropriateness, and compliance with clinical guidelines, payment policies, and regulatory requirements. Applies clinical judgment, critical...
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Manager, Personnel Background Investigations
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Molenbeek-Saint-Jean - Sint-Jans-Molenbeek, Brussels-Capital, Belgique KPMG US Temps plein 127 200 $US - 246 900 $US ContratKnown for being a great place to work and build a career, KPMG provides audit, tax and advisory services for organizations in today's most important industries. Our growth is driven by delivering real results for our clients. It's also enabled by our culture, which encourages individual development, embraces an inclusive environment, rewards innovative...
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Temporary Manager, Personnel Background Investigator
Il y a 2 semaines
Molenbeek-Saint-Jean - Sint-Jans-Molenbeek, Brussels-Capital, Belgique KPMG US Temps plein 127 200 $US - 246 900 $US ContratKnown for being a great place to work and build a career, KPMG provides audit, tax and advisory services for organizations in today's most important industries. Our growth is driven by delivering real results for our clients. It's also enabled by our culture, which encourages individual development, embraces an inclusive environment, rewards innovative...
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Claims Analyst II
Il y a 3 semaines
Molenbeek-Saint-Jean - Sint-Jans-Molenbeek, Brussels-Capital, Belgique MCS Puerto Rico Temps pleinNon-Exempt Regular GENERAL DESCRIPTION: Analyzes claims and/or adjustments submitted in Centers for Medicare and Medicaid Services Form 1500 (CMS‑1500) and Uniform Billing Form 04 (UB‑04) formats, as well as member reimbursements, by applying payment rules to determine appropriate adjudication, denial, or the need for additional information. This...
