• Technical Specialist, Construction Defect

    Travelers Insurance Company (Blue Bell, PA)
    …damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills. + Extensive ... life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance with… more
    Travelers Insurance Company (08/14/25)
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  • Transition Care Manager

    AmeriHealth Caritas (Reading, PA)
    …assess and process discharge planning needs across all disciplines, including necessary case management referrals. **Work Arrangement** * This position is ... **Role Overview** Under the Direction of the Supervisor , the Transition Care Manager is responsible for...home care, skilled nursing and rehabilitation services, DME, pharmacy, case management and/ or social worker referral… more
    AmeriHealth Caritas (06/26/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …audit/appeal activity documents including Excel spreadsheets, EPIC Payor Audit Management tool, Word Documents, Outlook email/calendar, and other workflow ... in preparing reports regarding denials to include volumes, number of appeals, case resolution, and impact on revenue and trending. + Facilitates retrospective… more
    St. Luke's University Health Network (07/08/25)
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