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$90k - $100k
...ample paid leave, a free employee assistance program, and a competitive 401k savings plan. At Watermark, our people come first! Adjudicator/Personnel Security Specialist Watermark is seeking an Adjudicator/Personnel Security Specialist to review and analyze Tiers 1‑5 background...SuggestedHourly payContract workWork experience placementWork at officeLocal area- ...Job Description Job Description Job Title: Adjudication Pharmacy Technician Company: Finney's Institutional Pharmacy Location: Indianapolis, IN OR North Canton, OH Job Type: Full-time Job Description: Finney's Institutional Pharmacy is seeking a motivated...SuggestedFull timeMonday to FridayDay shift
Innovative Rx Us Holdings Inc
East Canton, OH2 days ago - 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
$17 - $19.5 per hour
...transparently to instill public confidence and encourage compliance while providing exceptional customer service. Customer Operation’s Adjudications Unit seeks a dynamic, self-motivated individual to serve as an Adjudication Intern to assist the Chief Administrative Law Judge...SuggestedInternshipSummer internshipWork at office- 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
$18 - $19 per hour
Immediate need for a talented Claims Adjudicator . This is a full time opportunity and is at Tampa, FL (Onsite) . Please review the job description below and contact me ASAP if you are interested. Job ID: 26-06634 Pay Range: $18 - $19/hour. Employee benefits include,...SuggestedFull timeLocal areaImmediate start$19 per hour
...Claim Adjudicator Location: Tampa, FL (Remote after 8 Week Onsite Training) Duration: Full Time Salary: $19/Hr. + Benefits Job Overview: Claims Adjudication: Review, verify, and process medical claims from start to finish, ensuring compliance with company...SuggestedFull timeRemote work$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$20 per hour
Position: Pharmacy Adjudication Specialist Location: Houston, TX We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Houston, TX. This will be a Full-Time position. This position must be located within driving distance to our pharmacy, with...SuggestedFull timeTemporary workWork experience placementRelocation packageFlexible hours- A leading health insurance provider in Columbia, SC, is seeking a claims processor to examine and process complex claims, ensuring they meet quality standards. Candidates should have a high school diploma and 2 years of related experience. Essential skills include strong...SuggestedWork at office
- A federal agency is seeking a qualified attorney to join the Office of the Deputy Secretary, Office of Administrative Law Judges. This position involves conducting adjudicatory hearings and issuing decisions under various laws and executive orders. Applicants must have ...SuggestedWork at office
- 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
- ...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...Suggested
- ...of a globally expanding, industry-leading organization. We are seeking a detail-oriented and analytical On-Site Claims Adjudication Specialist to join our team! If you have strong critical thinking skills, a passion for exceptional customer service, and the ability...SuggestedFull timeRemote workMonday to FridayShift work
MCI Careers
Killeen, TX23 days ago $20 per hour
Claims Investigator On-Site Role Compensation: $20 per hour ABOUT THE ROLE Our client is seeking a skilled Claims Investigator to coordinate and make senior‑level eligibility determinations for unemployment claims, ensuring compliance with stringent federal and state...SuggestedHourly paySeasonal workWork at officeLocal area$21.65 - $38.37 per hour
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 resolution of provider...Hourly payWork experience placementWork at office- 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
- A healthcare organization in Kentucky is seeking a Claims Support Specialist to assist with provider claims adjudication activities. The ideal candidate will have at least 2 years of experience in claims or customer service, effective communication skills, and the ability...Hourly pay
$90k - $100k
A Service-Disabled Veteran Owned Small Business is seeking an Adjudicator/Personnel Security Specialist in Washington, DC. The role involves reviewing background investigations and assessing pre-employment eligibility in compliance with federal guidelines. The ideal candidate...$144.2k - $288.4k
...organization based in Richardson, Texas seeks an experienced IT Director to drive transformation and modernization of the Claim adjudication platform. The role involves overseeing a skilled team, ensuring technology solutions are optimized, and leading strategic and compliance...- A legal organization in Dallas is seeking an experienced individual with a Juris Doctor (J.D.) and active bar membership. The role involves conducting fact-finding investigations, analyzing evidence, and drafting detailed decision letters. Candidates should have at least...
- ...investigative materials for review by federal personnel security specialist. Assist federal personnel security specialist in the adjudication of background investigations for suitability and fitness for employment with the government. Assist with the process of...Full timeContract workFor contractorsWork at officeLocal areaRemote workRelocation
- ...Draft requests for additional information when needed; review and synthesize responsive materials. Perform individual application adjudication, including: Confirming case readiness and completeness. Determining applicable standard(s). Applying facts to legal standards...
- 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...
$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$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...$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- ...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
$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- A government agency is seeking Immigration Services Officers to adjudicate applications for immigration benefits. This role requires strong analytical skills, public service dedication, and the capability to work closely with various stakeholders in the U.S. immigration...Remote job
