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- Job Summary The Claims Adjudicator facilitates the claims adjudication process through effective claims management. The incumbent will ensure claim accuracy, bill payors, and coordinate with the Copay Assistance Department as necessary. Duties and Responsibilities Claims...Suggested
$20 - $25 per hour
A leading technology firm in the US is seeking a claims processor to evaluate claims, communicate with stakeholders, and ensure compliance with regulations. The role involves analyzing claim validity, maintaining records, and identifying improvement opportunities within...SuggestedHourly pay- This role will be responsible for adjudicating Criminal Background Screens and performing individualized assessments on complex cases to make a determination on employment eligibility in accordance with procedures, applicable laws, and regulations. The ability to exercise...SuggestedFull timePart timeLocal area
- A healthcare company is seeking a Claims Adjudicator in Laguna Hills, California, to manage the claims adjudication process, ensuring claim accuracy and coordinating with necessary departments. The ideal candidate should have strong attention to detail, NCPDP claim submission...Suggested
$24 per hour
Position: Pharmacy Adjudication Specialist Location: Woodridge, IL Job Id: 4737 # of Openings: 1 We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Woodridge, IL. This will be a Full-Time position. This position must be located within driving...SuggestedFull timeTemporary workWork experience placementFlexible hours- A leading staffing agency is seeking an experienced Site Logistics Operator to manage claims processing in Cerritos, CA. The ideal candidate has 2-5 years of experience in claims processing, particularly with Medicare and Medicaid claims. Responsibilities include analyzing...Suggested
$17 - $34.15 per hour
...of something bigger — helping to simplify health care one person, one family and one community at a time. Position Summary The Adjudication Associate (Omnicare) is responsible for the preparation and submission of claims for accounts to ensure timely reimbursements. This...SuggestedHourly payFull timeLocal areaMonday to FridayFlexible hoursNight shiftWeekend work- ...Ohio, is seeking a qualified Attorney 4 to assist in the Compliance Unit. The role includes administering the Board of Nursing Adjudication program, reviewing investigation reports, and consulting with legal counsel. Candidates must be admitted to the Ohio Bar with experience...Suggested
- ...engage directly with plan sponsors, ensuring client satisfaction through exceptional service and technical support for Nonqualified Deferred Compensation plans. The ideal applicant will have a Bachelor's degree and experience in the retirement sector, delivering...Suggested
$42.5k - $48.93k
...your journey towards success! The Department of Commerce, Employment Security Division is currently accepting applications for an Adjudicator. This is a full-time position (40 hours per week) with State Benefits , including health insurance, as well as retirement....SuggestedFull timeWork experience placementRemote workMonday to Friday- 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...SuggestedHourly pay
- ...them. As a provider and partner, Newport is independent, experienced, and responsive. Section 1: Position Summary As a Nonqualified Deferred Compensation Communications Consultant, you are passionate about educating and clearly communicating the benefits of nonqualified...SuggestedSecond jobRemote work
- A healthcare company is seeking an Adjudication Associate to prepare and submit claims, ensuring timely reimbursements. Candidates should have at least 1 year of customer service experience and be proficient in Microsoft Excel and Access. This full-time role requires working...SuggestedFull timeNight shift
- A leading healthcare staffing firm in San Fernando, CA is seeking an experienced Claims Examiner to join their team. This role requires 1-3 years of experience in processing managed care health claims, with responsibilities including analyzing claims, reviewing authorizations...Suggested
- ...diagnosis codes preferred. Ability to calculate figures and co-insurance amounts. Essential Job Responsibilities Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services. Follow claims adjudication rules...SuggestedContract workLocal area
$66.7k - $76.1k
A leading financial services firm in Richmond, VA, seeks an HR Associate to adjudicate criminal background checks and assess eligibility. The ideal candidate will demonstrate strong attention to detail and critical thinking. Responsibilities include supporting HR processes...- A government agency is seeking a Veterans Service Representative (VSR) in Des Moines, Iowa. The incumbent will supervise complex benefit claims, elucidate benefit programs, and render final decisions on compensation and pension claims for Veterans. Candidates must meet ...
- A leading global technology services provider is seeking a Remote Claims Processing Associate. This role involves processing claim forms, reviewing policies, and ensuring compliance with HIPAA regulations. The ideal candidate should have at least 3 years of experience in...Remote job
$21.65 - $38.37 per hour
JOB DESCRIPTION Job Summary Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. Essential Job Duties Provides support for...Hourly payWork experience placementWork at office- An established industry player is seeking an Adjudicator to join their Employment Security Division. This full-time role involves determining applicants' eligibility for unemployment benefits, requiring strong analytical skills and a solid understanding of federal and state...Remote jobFull time
- A leading healthcare firm in San Antonio seeks a Claim Examiner to handle the processing and adjudication of healthcare claims. The role requires at least 2 years of related experience and involves duties such as claims processing, investigations, and resolving appeals...
$29.74 per hour
...deliver accurate and compliant claim outcomes. Responsibilities include validating claim data, reviewing claims for completeness, and adjudicating claims according to regulatory requirements. The ideal candidate has 5+ years of experience in life insurance claims...Hourly pay- ...supporting the Office of Security Programs within the U.S. Marshals Service (USMS) . This role provides critical support to the adjudication process for both initial background investigations and reinvestigations and requires strong analytical skills, attention to detail...Work at office
- A federal agency is seeking a Veterans Service Representative (VSR) to ensure Veterans receive the care and benefits they merit. This role involves overseeing complex benefit claims, providing explanations about programs, and making decisions on compensation claims. Applicants...
$19.66 - $27.42 per hour
A healthcare organization is seeking a Claims Processor responsible for reviewing and adjudicating claims. You will process complex claims, ensuring timeliness and accuracy while maintaining communication with customers. The ideal candidate should have a High School Diploma...Hourly pay$18 per hour
A leading technology service provider is seeking a Remote Claims Processing Associate to handle various tasks including processing claims, reviewing policies, and ensuring compliance with regulations. The ideal candidate will have 1-3 years of experience in healthcare claims...Remote job$3,565 - $3,783 per month
A mid-size university in California seeks a full-time Adjudication Support Assistant to support the Adjudication program and provide excellent customer service. This temporary role offers a salary range of $3,565 - $3,783 per month, along with comprehensive benefits. The...Full timeTemporary work- ...provider is seeking a Claim Examiner in San Antonio, Texas. In this full-time role, you will manage healthcare claims processing and adjudication, ensuring compliance with policy guidelines. Candidates should have 2+ years of experience, knowledge of CPT and ICD-9 coding,...Full timeRemote work
$17 - $34.15 per hour
A leading healthcare company in the United States seeks an Adjudication Associate for their Omnicare function. This role involves preparing and submitting claims to ensure timely reimbursements, as well as communication with nursing facilities and insurance companies....Hourly payNight shift- A leading children's health organization in Houston is seeking a Claims Examiner to process and adjudicate claims for reimbursement. This position requires thorough review and documentation of claims, ensuring procedural accuracy. Candidates must have a high school diploma...