Average salary: $61,638 /yearly
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- ...Molina Healthcare is hiring a Provider Claims Adjudicator. This position is remote; however candidates must live in Ohio. This position is heavy inbound phone calls from Providers. This position will be assisting Providers with live claim adjustments, eligibility...SuggestedFull timeLive inWork at officeRemote workMonday to Friday
- ...Personnel Security Specialist to support the Office of Security Programs within the U.S. Marshals Service. The role focuses on adjudication of initial background investigations and reinvestigations, requiring strong analytical skills and attention to detail in a...SuggestedWork at office
Mayvin®
Arlington, VA5 days ago $90k - $110k
...LOCATION: Fully RemotePOSITION SUMMARY: The Adjudicator is responsible for providing suitability and national security adjudicative support in accordance with the relevant adjudicative guidelines, executive orders, and customer policies. This is completed through applying...SuggestedContract workInformation Discovery Services, LLC
New York, NY5 days ago- ...AI Response Adjudicator is a remote review track for evaluating AI outputs across ai response adjudicator specialist operations workflows. Reviewers grade workflow correctness, policy adherence, and stakeholder fit; flag operational risk; and document the right next step...SuggestedHourly payFor contractorsWork experience placementRemote work10 hours per week
AuraOne, Inc.
New York, NY4 days ago - ...Join Our Team as a HHS Adjudicator! Who We Are: At Protection Strategies, Inc. (PSI), a Service-Disabled Veteran Owned Small Business, we engage with industry professionals to provide top-tier security solutions and personnel security expertise for the U.S. Government....SuggestedFor contractorsWork at officeFlexible hours
Protection Strategies
Seattle, WA5 days ago $45k - $48.8k
...Supervisory Organization Employment Security Commission-Will Rodgers Memorial Office Building Job Posting Title Adjudicator Agency 290 EMPLOYMENT SECURITY COMMISSION Job Posting End Date Refer to the date listed at the top of this posting, if available. Continuous if date...SuggestedFull timePart timeWork experience placementWork at officeWork visaState of Oklahoma
Brooklyn, NY1 day ago$54k - $55k
...information, and have a knack for making thoughtful, detail-oriented decisions, this could be a great fit for you. As a Determinations Adjudicator , you’ll play an important role in the member experience at Zion HealthShare. You’ll review medical records and sharing requests...SuggestedTemporary workWork at officeZion HealthShare
Utah13 hours ago- ...Protection Strategies, Inc. (PSI) is seeking a Background Investigations Adjudicator to evaluate candidates for employment and access to classified information. You will apply guidelines and judgment to make fair determinations based on investigative findings, supporting...Suggested
Protection Strategies
Washington DC4 days ago - ...Rand Mutual Assurance is seeking a Clinical Claims Adjudicator to support adjudication of disease and accident claims in line with COID Act and Non-COID VAPS policies. The role involves updating ICD10 codes, pre-authorisation adjudication, and managing complex claims with...Suggested
Rand Mutual - RMA
Warrenton, NC13 hours ago - ...Mayvin is seeking a Personnel Security Specialist/Adjudicator to support the U.S. Marshals Service. Based in Arlington, VA, this full-time role focuses on adjudication of background investigations and reinvestigations, requiring strong analytical skills and federal...SuggestedFull time
Mayvin®
Arlington, VA2 days ago - ...role of Immigration Judge. The position requires a law degree and active membership in the bar, along with relevant litigation and adjudication experience. Immigration Judges will adjudicate immigration cases, preside over court proceedings, and exercise independent...Suggested
Executive Office for Immigration Review
Indiana, PA4 days ago - ...Resource Solutions, Inc. (GRS) is seeking an enthusiastic, motivated, and talented individual for the position of Personnel Security Adjudicator. Job Description: Summary: The Personnel Security Adjudicator will perform adjudications support and administrative services...SuggestedFor contractorsWork at office
GRS
Washington DC5 days ago - ...THE JOB AT A GLANCE As the Clinical Claims Adjudicator, you will be reporting to the Team Leader: Clinical Claims Adjudication. You will be responsible for providing support on the effective and efficient adjudication of disease and accident claims in line with COID Act...SuggestedPermanent employment
Rand Mutual - RMA
Warrenton, NC5 days ago - ...Gila River Indian Community in Sacaton, AZ is seeking a Human Resources Adjudicator to support the adjudication of background investigations and ensure employment decisions comply with established policies. The role emphasizes fair, accountable tribal workplace practices...SuggestedFull time
Hirepulse
Sacaton, AZ4 days ago - ...Wellcove is seeking a claims adjudicator focused on Long-Term Care claims. Responsibilities include reviewing claims and policy provisions to determine payment or denial, applying policy features, and ensuring timely, accurate communications with stakeholders. This role...Suggested
Wellcove
New York, NY5 days ago - ...Human Resources, Marketing and more. Join us now to do purposeful work with our diverse and respectful team . Job Title: Claims Adjudicator Job Summary This position is primarily responsible for adjudicating all medical and non-medical provider claims and...Full timePart timeLocal area
Miami Jewish Health
Miami Beach, FL4 days ago $19 per hour
...while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration. Overview The Claims Adjudicator is responsible for adjudicating and adjusting medical and/or dental claims against established criteria, and in accordance with...Hourly payContract workWork at officeIndependent Health Association
Buffalo, NY14 hours ago- ...Effectively and accurately applies policy conditions of coverage, processing guidelines and cost containment knowledge into the adjudication of global health claims and comprehensive cases. ESSENTIAL JOB DUTIES AND RESPONSIBILITIES: Processes all types of global...Work experience placementWork at office
Best Doctors Insurance
Doral, FL3 days ago $70k - $80k
...Personnel Security Adjudicator (Junior) - (9139) Share this job as a link in your status update to LinkedIn. Job Title Personnel Security Adjudicator (Junior) Job Description Cape Fox Facilities Services is seeking Personnel Security Adjudicators for a Federal...Temporary workLocal areaCape Fox Federal Contracting Group
Washington DC3 days ago- ...Senior Claims AdjudicatorNaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our Corporate Office in Birmingham, AL. This is an on-site position.NaphCare is a family owned, medical technology company that has been delivering high...Full timeWork experience placementWork at office
NaphCare
Birmingham, AL4 days ago - Location: Peoria, IL (Travel as per client need) Job Type: Contract Job Description Certification: Needs Adjuster License in minimum 2-3 states but must be willing to get license in all 50 states. The more states licensed in the better. Key Skill: 7-10 Years of Warranty...Contract work
Ampstek
Peoria, IL4 days ago - ...This role supports the adjudication of background investigations and helps ensure employment decisions align with established policies and standards. About Gila River Indian Community Gila River Indian Community is an operator with 782 employees. Estimated Benefits...
Hirepulse
Sacaton, AZ4 days ago - ...UNITE HERE HEALTH seeks a Claims Adjudicator II to review and adjudicate medical, disability, vision and dental claims, ensuring eligibility and accurate payment liability. The role requires interpretation of SPD/Plan Documents and accurate coding across multiple systems...Remote work
UNITE HERE HEALTH
United States2 days ago - ...Integrity, LLC is seeking an experienced claims adjudicator to analyze health insurance claims, interpret contract benefits, and adjudicate according to processing guidelines. You will coordinate with daily check cycles and document findings for each file, while upholding...Contract work
Integrity Marketing Group
Clearwater, FL13 hours ago - ...Norwescap is seeking a dedicated Junior Adjudicator to review LIHEAP and USF applications under DCA LIHEAP guidelines and determine eligibility for energy assistance programs. The role involves maintaining participant files, coordinating with the program director and serving...
NORWESCAP
East Brunswick, NJ2 days ago - ...Highmark Inc. is seeking a Claims Processor to screen, review, and adjudicate online and paper claims, ensuring accuracy and adherence to policies. You will correct errors, perform QC reviews, and take steps to finalize adjudications while coordinating with members and...Remote work
Highmark Health
Honolulu, HI2 days ago $21 - $23 per hour
...Junior Adjudicator $21.00-23.00/hour | 40 hours per week Summary/Objective: Norwescap is seeking a dedicated Junior Adjudicator who will be responsible for adjudicating applications for the Low-Income Home Energy Assistance Program, Universal Service Fund and any...Work at officeLocal areaFlexible hoursNORWESCAP
East Brunswick, NJ2 days ago- ...Molina Healthcare is hiring a Provider Claims Adjudicator. This remote role requires living in Ohio and focuses on high-volume inbound calls from providers to resolve claim issues. You will review, adjust, and adjudicate provider claims with a focus on accuracy and timely...Remote work
Molina Healthcare, Inc.
Columbus, OH13 hours ago $16.4 - $31.97 per hour
...Adjudicator, Provider Claims (Inbound Call Center) Remote in Ohio Columbus, OH, United States and 9 more Trending Job Description Molina Healthcare is hiring a Provider Claims Adjudicator. This position is remote; however candidates must live in Ohio. This...Hourly payFull timeWork experience placementLive inWork at officeRemote workMonday to FridayMolina Healthcare
Columbus, OH13 hours ago- ...coding skills. Excellent typing (22 wpm) and solid computer literacy are required, with tests administered before in-person interviews. The role involves adjudicating medical claims and coordinating benefits per plan guidelines. #J-18808-Ljbffr AppleOne Employment Services
