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- ...Job Description The Claims Adjudication Supervisor leads day-to-day healthcare payer claims operations and a team of Claims Processors, Claims Examiners, and Senior Associates. The role is accountable for accurate and timely claim outcomes, disciplined inventory management...SuggestedWork experience placement
Tata Consultancy Services
Milford, OH7 days ago - ...Job Description The Claims Adjudication Manager provides end-to-end operational leadership for one or more US healthcare payer claims functions. The role leads frontline leaders and cross-functional support teams, owns service delivery and client governance, and drives...SuggestedSeasonal work
Tata Consultancy Services
Milford, OH6 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...SuggestedFull timePart timeWork experience placementWork at officeWork visa$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 work- ...'s Degree or an equivalent combination of education and related experience in personnel security. Five (5) years of experience adjudicating suitability and security background investigations. Successful completion of an accredited Basic and Advanced Suitability Adjudication...SuggestedFor contractorsWork at officeFlexible hours
- We are excited to announce MULTIPLE openings for this position! THIS POSITION IS LOCATED IN STONE MOUNTAIN, GA Summary/Objective: Under supervision, assists in gathering and assessing evidence to decide or recommend decisions on claims or appeals concerning government...SuggestedExtra incomeContract workWork at office
- ...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 health...SuggestedWork experience placementWork at office
- ..., 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 submitting enrollments...SuggestedFull timePart timeLocal area
- ...Vice President of Claims Adjudication About the Company Premier cost-effective commercial insurance provider Industry Insurance Type Privately Held, VC-backed Founded 2017 Employees 201-500 Funding $200+ million Categories Insurance...Suggested
- ...Adjudication Pharmacy Technician Company: Finney's Institutional Pharmacy Location: Indianapolis, IN OR North Canton, OH Job Type: Full-time Why Pharmacy Technicians Love Working Here: Work-Life Balance: Monday through Friday day shift, 8:30AM to 5:30PM...SuggestedFull timeMonday to FridayDay shift
$40k - $60k
Description The Supervisor, Adjudication supports the accurate and timely adjudication and billing of prescriptions by overseeing daily workflow, monitoring productivity, and serving as a technical resource to the adjudication team. The role helps ensure prescription...Suggested- In Touch Pharmaceuticals | Valparaiso, Indiana Join Our Team! Pharmacy Adjudication Specialist In Touch Pharmaceuticals is a growing long-term care pharmacy dedicated to providing exceptional pharmacy services to healthcare facilities and the residents they serve. We are...SuggestedWork at office
$77.54k - $110.88k
Screening Adjudication Expert @ KlarnaBack to all rolesScreening Adjudication ExpertJob detailsBusiness Operations / Business OperationsColumbusFull-time$77,539 USD - $110,884 USDAs a US Screening Adjudication Expert, you own Klarna's sanctions, PEP, and adverse media...SuggestedLocal areaImmediate start- Austincc in Stone Mountain, GA is hiring for multiple openings as a Social Security Disability claims reviewer. This on-site role supports the evaluation of evidence for claims and appeals under federal programs. Under supervision, you will gather medical and vocational...Suggested
- Highmark Health is seeking a claims adjudication professional to screen, review, and finalize online and paper/electronic claims. You will determine eligibility, correct errors, and coordinate with customers to ensure accurate payments while adhering to HIPAA and internal...SuggestedRemote job
- ...Job Description Job Description Overview NaphCare 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. Responsibilities Utilize claims processing experience...Full timeWork experience placementWork at office
Naphcare, Inc.
Birmingham, AL16 days ago $16.5 - $17.6 per hour
...management challenges in a bold, thoughtful, and innovative manner. ADWR is seeking one talented, and motivated Intern to join the Adjudications team! GIS Intern Adjudications Division Job Location: Hybrid: remote and 1110 W. Washington St., Suite #310 - Phoenix, AZ 85007...InternshipWork at officeRemote workWork from homeHome officeNight shiftWeekday work- 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...Hourly payFor contractorsWork experience placementRemote work10 hours per week
- ...proven to improve outcomes while reducing overall healthcare costs for our patients. Curant Curant Health is searching for a Claims Adjudication Coordinator to join its team in Smyrna, GA . This position is primarily responsible for all adjudication of prescription claims...
- A leading staffing agency is seeking a Supplemental Health Claims Examiner in Lombard, IL. This role involves analyzing and processing claims for Hospital Indemnity, Critical Illness, and other insurance products. The ideal candidate should have a degree and strong analytical...Hourly pay
$83k
...the Managing Attorney for Prosecution, and the direct supervision of the Senior Supervising Attorney, the Supervising Attorney of Adjudications (Hearings) Unit will assist the Senior Supervising Attorney in the daily management of the Hearings Unit and will assist in...Work at office- NBCUniversal is seeking a Director of Compensation to oversee the strategic administration and governance of the company's deferred compensation programs. The role reports to the VP, Compensation and partners with Legal, Payroll, Finance and external providers to drive...
- Highmark Health in the United States is seeking a claims processor to screen, review, and adjudicate claims, correct errors, and ensure compliance with organizational policies. You will work remotely, process claims data, verify completeness, determine eligibility, and...Remote job
- Highmark Inc. is seeking a claims processing professional for remote work in Georgia. You will screen, review, and adjudicate claims, correcting errors and ensuring accuracy according to policies. The role involves coordinating benefits, communicating with customers, and...Remote job
$45k - $48.8k
The State of Oklahoma is hiring an Adjudicator for the Employment Security Commission. This full-time, regular position is based in Oklahoma City or Tulsa with typical hours 8:00am-5:00pm, M-F. The role focuses on fact-finding, data accuracy, and non-monetary determinations...Full time- ...process improvements, and partner with Legal, Finance, HR, and Payroll to ensure accurate reporting and compliance. You will own deferred compensation programs for executives, implement automated workflows across HRIS and external plan administrators, and provide expert...
- In Touch Pharmaceuticals, a growing long-term care pharmacy in Valparaiso, Indiana, seeks a Pharmacy Adjudication Specialist to ensure accurate prescription claim processing and timely billing. The role emphasizes organized, detail-oriented work, collaboration with facilities...
- Highmark Inc. is seeking a Claims Processor to screen, review, and adjudicate online and paper claims, ensuring accuracy and adherence to policies. You will enter and verify data, determine eligibility, resolve edits, and communicate with customers while maintaining timely...Remote job
$19.39 - $24.19 per hour
Highmark Health is seeking a remote claims processor to review and adjudicate online and paper/electronic claims, ensuring accuracy and compliance with policies. The role involves processing claims data, verifying information, and determining eligibility and payment levels...Remote jobHourly pay$21 per hour
...by a scammer impersonating our organization, please contact us directly through our official website. Position Pharmacy Claims Adjudication Specialist Location Louisville, KY Job Id 5927 # of Openings 1 We are seeking a Pharmacy Adjudication Specialist at our Specialty...Full timeTemporary workWork experience placementRelocation packageFlexible hoursShift work
