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  •  ...Panama, Ecuador, Colombia, and Dubai, and employs over 700 employees of various nationalities. Position Summary The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines,... 
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    National Healthcare Solutions, Inc.

    Miami, FL
    a month ago
  •  ...Job Description Job Description Adjudication Specialist Position Summary The adjudication specialist is responsible for ensuring that all client orders and customer orders are adjudicated accurately and efficiently according to a predetermined order of importance... 
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    In Touch Pharmaceuticals

    Valparaiso, IN
    5 days ago
  •  ...'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... 
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    Protection Strategies Incorporated

    New York, NY
    1 day ago
  •  .... Our vision is exciting and challenging. Please read on to learn more about this great opportunity! The purpose of the Claims Adjudicator III position is to successfully collaborate with the team Supervisor to provide direction and support to the team. This involves... 
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    UNITE HERE HEALTH

    Oak Brook, IL
    a month ago
  • $20.36 - $24.97 per hour

     ...and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity! The Claims Adjudicator II position will receive, examine, verify and input submitted claim data, determine eligibility status, and review and adjudicate... 
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    UNITE HERE HEALTH

    Oak Brook, IL
    a month ago
  •  ...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. NaphCare is a family owned, medical technology... 
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    Naphcare, Inc.

    Birmingham, AL
    2 days ago
  • Senior Adjudicator 197 NJ-18, East Brunswick, NJ 08816, USA • $23.00-26.00 per hour • Full Time, 40 hours per week Summary / Objective Norwescap is seeking a dedicated Senior Adjudicator who will be responsible for adjudicating applications for the Low-Income Home Energy... 
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    Norwescap

    East Brunswick, NJ
    3 days ago
  • $127.28k - $190.92k

     ...aspects of charter development; be aware of the MedDRA preferred terms listings for the protocol's indication. Responsibilities Adjudication / Endpoint Workstream Planning and Execution Ensures optimal program productivity and efficiencies. Become a Subject Matter Expert (... 
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    Daiichi Sankyo US

    Basking Ridge, NJ
    4 days ago
  • $23 per hour

     ...See below for open job opportunities. If you do not see any listings at this time, please check again later. Position: Pharmacy Adjudication Specialist Location: Scottsdale, AZ Job Id: 684 # of Openings: 1 We are seeking a Pharmacy Adjudication Specialist at our... 
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    CareMed Specialty Pharmacy

    Scottsdale, AZ
    1 day 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 health insurance... 
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    Best Doctors Insurance Services Llc

    Miami, FL
    1 day ago
  • $19 per hour

     ...Claim Adjudicator Location: Tampa, FL (Remote after 8 Week Onsite Training) Duration: Full Time Salary: $19/Hr. + Benefits Job Overview: Key Responsibilities Claims Adjudication: Review, verify, and process medical claims from start to finish, ensuring compliance... 
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    Diverse Lynx

    Tampa, FL
    4 days ago
  • $21 per hour

    Position: Pharmacy Adjudication Specialist Location: Louisville, KY (remote hybrid after onsite training). Shift time: 9:00 am-5:30 pm EST. Job Id: 687  # of Openings: 1 Starting salary: $21.00 per hour and up.  Sign-On Bonus: $5,000 for employees starting before July... 
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    CareMed Specialty Pharmacy

    Louisville, KY
    1 day ago
  • Job Summary The Background Adjudicator owns the adjudication of background screening results across the enterprise ensuring guideline and policy adherence to drive consistent, compliant, and timely hiring decisions. This role assists in protecting the company from legal... 
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    Wayne-Sanderson Farms

    Atlanta, GA
    2 days ago
  •  ...Adjudication Pharmacy Technician Finney's Institutional Pharmacy is seeking a motivated and customer-oriented individual to join our team as an Adjudication Pharmacy Technician. As a vital part of our adjudication team, you will be responsible for ensuring prescriptions... 
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    Innovative Rx Us Holdings, Inc.

    Indianapolis, IN
    5 days ago
  • $46k

    Location: Louisville, KY Job Id: 5277 # of Openings: 1 Pharmacy Adjudication Supervisor This is a full‑time position, Monday to Friday 9:30 AM to 6:00 PM EST. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and... 
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    Onco360 Oncology Pharmacy

    Louisville, KY
    23 hours ago
  • $16.5 - $22.2 per hour

    A healthcare provider in the United States is seeking a Claims Processor responsible for evaluating and adjudicating claims. This role requires strong communication skills and the ability to navigate multiple systems. Candidates should have a high school diploma and at... 
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    Highmark Health

    New York, NY
    4 days ago
  • The Public Company Accounting Oversight Board is seeking a Chief Hearing Officer in Washington, DC. This role includes overseeing the Office of Hearing Officers and ensuring the adjudicatory functions are carried out effectively. The ideal candidate will have extensive ...
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    Public Company Accounting Oversight Board

    Washington DC
    5 days ago
  • Department UHC: Managed Care Job Summary The Claims Adjudicator Sr is responsible mentoring and training Claims Adjudicators. The Lead will also analyze and process professional and hospital HMO Risk claims in accordance with the managed care contract provisions in an... 
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    Loma Linda University Medical Center

    Loma Linda, CA
    2 days ago
  •  ...accounts and make payment arrangements. Organize requested audit documentation in a timely manner. Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues; make... 
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    Guardian Pharmacy

    Tampa, FL
    3 days ago
  • $23 - $25.64 per hour

    Job Overview Join Eden Park as a Credit Adjudicator reporting to Tara Simpson, and be part of our talented and growing team! Responsibilities Review and adjudicate vehicle loan applications by assessing an applicant’s creditworthiness based on credit history, income, employment... 
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    Permanent employment
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    Fairstone Bank

    California, MO
    3 days ago
  •  ...Claims Adjudication Coordinator JOIN A LEADING HEALTHCARE COMPANY Do you dream of a great career with a great company where you can make an impact and help people? We dream of giving you the opportunity to do just this. We are not only committed to improving... 

    Curant Health

    Smyrna, GA
    4 days ago
  • $26 per hour

    Position: Pharmacy Claims Adjudication Specialist Location: Hartford, CT Job Id: 5254 # of Openings: 1 We are seeking a Pharmacy Adjudication Specialist for our Specialty Oncology pharmacy. As our company continues to grow, we strive to hire new team members with... 
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    Onco360 Oncology Pharmacy

    Hartford, CT
    5 days ago
  • $55k - $75k

     ...innovative manner. ADWR strives to ensure reliable water supplies to meet the needs of current and future Arizonans. Hydrogeologist 3 Adjudications Division Job Location: Hybrid: 1110 W. Washington St., Suite #310 Phoenix, AZ 85007 Salary: $55,000 - $75,000 | Grade: 23 |... 
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    Arizona State Government

    Phoenix, AZ
    5 days ago
  • $50k - $65k

     ...management challenges in a bold, thoughtful, and innovative manner. ADWR is seeking a talented, motivated Hydrogeologist 2 to join the Adjudications team! Hydrogeologist 2 Adjudications Division Website Job Location Hybrid: 1110 W. Washington St., Suite #310, Phoenix, AZ 85... 
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    Arizona State Government

    Phoenix, AZ
    3 days ago
  •  ...interview to assess their aptitude with the public. Positions require experience in assisting with entitlement to benefits and adjudicating claims. Candidates must demonstrate effective communication and problem-solving skills. Telework may be available according to agency... 
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    US Social Security Administration

    Glasgow, MT
    2 days ago
  •  ...Accounts Payable Claims Adjudicator Analyze claims to determine the extent of insurance carrier liability. Interpret contract benefits in accordance with specific claims processing guidelines. Receive, organize, and make daily use of information. Coordinate daily workflow... 
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    Gulfside Healthcare Services

    Land O Lakes, FL
    4 days ago
  •  ...Claims Adjudicator The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines, contractual benefits and terms, and regulatory requirements. The claims adjudicator ensures that all... 
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    National Healthcare Solutions Group, Inc.

    Miami, FL
    27 days ago
  • 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...

    Direct Staffing Inc

    Cerritos, CA
    4 days ago
  •  ...arrangements. Research, identify and organize requested audit documentation in timely manner. Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as... 
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    Guardian Pharmacy Services

    Tampa, FL
    2 days ago
  •  ...recommending actions. The ideal candidate should have a Bachelor's Degree in personnel security, five years of relevant experience, and proficiency in Microsoft Office. Training on OSSI adjudication processes will be provided. #J-18808-Ljbffr Protection Strategies Incorporated
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    Protection Strategies Incorporated

    New York, NY
    1 day ago