Average salary: $87,650 /yearly
More statsSearch Results: 53 vacancies
...employees/managers with information and assistance regarding potential leaves
- Produce and track all required documentation
- Assess, adjudicate, and track all FMLA claims and available time
- Coordinate leaves with Short Term Disability Vendor and Workers’ Compensation...
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...register or verify your registration, go to the Selective Service System website. BACKGROUND INVESTIGATIONS: Subject to satisfactory adjudication of background investigation and/or fingerprint check. Failure to satisfy the background check will result in cancellation of...
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...testing.
Security Requirements : Moderate Risk (position sensitivity level 5): This position requires completion & favorable adjudication of a Moderate Risk Background Investigation (Tier 2) prior to appointment, unless waiver is obtained.
Physical Effort :...
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Local area
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...responsible for screening, reviewing, evaluating online entry, correcting errors and/or performing quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures....
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...or hold stocks in firms with interest in Federal Lands.
Direct Deposit Required.
Appointment will be subject to a favorably adjudicated background/suitability investigation/determination.
Your resume must contain enough information to show that you meet the...
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...auditing, or quality assurance experience
Your day may look like:
Review, evaluate, and verify the quality of claims adjudication, enrollment processing and customer service transactions against predetermined measures.
Review and/or perform required accuracy...
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Local area
...among internal departments, including authorization issues. + Completes data entry for tracking and reporting of claim disputes. + Adjudicates claims and adjustments. + Assists in providing daily guidance for associates to obtain optimal results. + Ensures documentation...
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...lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Claims Processor II Job Description + Adjudicates claims and adjustments as required. + Resolves claims edits and suspended claims. + Maintains and updates required reference...
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Local area
...callers regarding issues relating to the content or interpretation of benefits, policies and procedures, provider contracts, and adjudication of claims. + Adjusts voids and reopens claims on-line within guidelines to ensure proper adjudication. May have customer/client...
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Full time
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Work from home
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* Identify and lead internal subject matter experts in regular meetings to identify and rectify various data submission and adjudication errors related to risk adjustment data submission.
* Develop and maintain data sets leveraging internal data, response data from...
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Work experience placement
...determine if the request can be approved and accurately enter Prior Authorizations in claims system to ensure appropriate claims will adjudicate + Respond to completed requests by creating written communication of the clinical outcome to the member and the member's...
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Holiday work
Work experience placement
Visa sponsorship
Work visa
Flexible hours
Weekend work
...areas of concern + Leading color reviews, providing reviewer guidance specific to proposed efforts, briefing proposal teams on adjudication actions and priorities, and managing and tracking adjudication of proposal documents + Training assigned proposal team members on...
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Remote job
...and maintenance of claims auditing programs. Responsible for auditing claims for financial accuracy. Verify that claims are being adjudicated according to Magellan contracts in a consistent and accurate manner. Work closely with claims department to report issues and...
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Traineeship
Work experience placement
Local area
...Representative PRIMARY PURPOSE: To analyze higher-level property damage and lower level bodily injury claims; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements....
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...you can bring your big ideas to help solve problems for some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing solutions to clients who...
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Local area
Flexible hours
...register or verify your registration, go to the Selective Service System website. BACKGROUND INVESTIGATIONS: Subject to satisfactory adjudication of background investigation and/or fingerprint check. Failure to satisfy the background check will result in cancellation of...
Holiday work
Temporary work
Work experience placement
Shift work
Sunday
...you can bring your big ideas to help solve problems for some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing solutions to clients who...
Local area
Flexible hours
...claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation...
Local area
Flexible hours
...work permit and residing in the U.S. for three (3) or more years. + Ability to pass a Federal Public Trust Clearance, which must be adjudicated favorably for you to begin working. This requires fingerprinting and reporting on your previous employment, residence, education,...
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For contractors
Remote job
Work visa
...investigation. If applicable, the appointment will be subject to successful completion of the background investigation and favorable adjudication. Failure to satisfy the background check will result in cancellation of offer of employment or may be grounds for termination....
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