- City of New York (New York, NY)
- …necessary evidence used by the Department at Tribunal hearings convened to adjudicate notice of violations and summonses. PREFERRED SKILLS: Academic background ... in environmental or chemical engineering, limnology, environmental science, marine science, geology, biology, earth science, chemistry, physics, or health science. Prefer to work in the field including travel throughout the five boroughs. Must be able to climb… more
- City of New York (New York, NY)
- …Executive Director of Adjudications, the Administrative Hearing Officer will adjudicate appeals filed by individuals claiming succession to Mitchell-Lama apartments ... final decisions in Emergency Housing Services temporary shelter benefit cases; - Adjudicate Mitchell-Lama lease termination cases; and - Adjudicate cases related… more
- Prime Therapeutics (Lincoln, NE)
- …make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit claims and adjustments as required. Track and trend ... training as needed. Resolve claims edits and suspended claims. **Responsibilities** + Adjudicate or submit claims and adjustments as required. + Implementation and… more
- Amazon (Seattle, WA)
- …these problems for our customers, and Amazon systems & associates to efficiently adjudicate decisions where we need to step in! Because of the customer experience ... these problems for our customers, and Amazon systems & associates to efficiently adjudicate decisions where we need to step in! Because of the customer experience… more
- Sedgwick (Buffalo, NY)
- …& Insurance Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing Preferred Are you looking for an opportunity to join a global industry leader ... + Apply your workers compensation knowledge and experience to adjudicate complex customer claims in the context of an...+ Bachelor's degree from an accredited college or university preferred . + Professional certification as applicable to line of… more
- MyFlorida (Tallahassee, FL)
- …managed care plan contracts, bill analyses, drug utilization review boards, preferred drug lists, supplemental rebate contracts, and KidCare/Title 21. This position ... Section including overseeing policy regarding pharmacy services and the Florida Medicaid preferred drug list. Responsibilities for this position include but are not… more
- The Toro Company (Bloomington, MN)
- …visits to support quality issues and escalated product issues. Review and adjudicate after warranty support and policy exception requests. + Quality Support: Analyze ... degree in engineering with mechanical, electrical/software, manufacturing, or automotive emphasis ( preferred ). + Must possess a high degree of technical aptitude in… more
- CDPHP (Albany, NY)
- …methodologies, Plan contract language, riders, and schedules in order to accurately adjudicate claims. The incumbent will work closely with all departments such as ... to payment/denial utilizing CPT-4, ICD 10 and HCPCS coding preferred . + Strong product experience is preferred ,...coding preferred . + Strong product experience is preferred , including but not limited to HMO, PPO, EPO,… more
- Independent Health (Buffalo, NY)
- …**Qualifications** + High school diploma or GED required. Associates degree preferred . + Prior experience working in a clerical/office environment required; ... healthcare operations experience preferred . + Experience with...and maintain member records, as well as examine and adjudicate claims and adjustments based on defined standard operating… more
- THOR Solutions, LLC (Washington, DC)
- …modified electronics on overall system performance. + Review and adjudicate system design specifications, test requirements, Departures from Specification (DFS's), ... candidate must either already possess an active or interim Secret security clearance ( preferred ); OR be eligible for a Secret security clearance upon hire. Typical… more
- Johns Hopkins University (Baltimore, MD)
- …system for all group classes. + Serve on task forces, committees, adjudicate recitals, and attend administrative meetings as required. Teaching: + Maintain an ... educator. + Bachelor's degree in relevant discipline is required, classical guitar preferred . Master's degree is preferred . + Demonstrated strong administrative… more
- Elevance Health (Mason, OH)
- …clients. + Understands the intricacies of prescription drug benefits and how they adjudicate . + Understands and interprets client requests for new benefit designs. + ... of education and experience which would provide an equivalent background. ** Preferred Skills, Capabilities, and Experiences:** + Working knowledge of pharmacy… more
- Sedgwick (Marlton, NJ)
- …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 ... or GED required. Bachelor's degree from an accredited college or university preferred . + Professional certification as applicable to line of business preferred… more
- Sedgwick (Knoxville, TN)
- …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 ... or GED required. Bachelor's degree from an accredited college or university preferred . Professional certification as applicable to line of business preferred .… more
- Executive Office for US Attorneys and the Office of the US… (Des Moines, IA)
- …preferably in a United States Attorney's Office or other government office, is preferred . The successful candidate will be hired as an Assistant United States ... experience. At least three years of post-J.D. litigation experience is preferred , with extensive research and writing experience. Preferred qualifications:… more
- Sedgwick (Long Beach, CA)
- …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 ... or GED required. Bachelor's degree from an accredited college or university preferred . + Professional certification as applicable to line of business preferred… more
- Campus Apartments, LLC (Washington, DC)
- …operations and management of the asset. Prior experience in student housing is preferred . The Campus team is filled with passionate and enthusiastic people! Since ... and Residence Life policies and procedures + Serve as hearing officer and adjudicate violations of property related policies + Participate as required in on call… more
- Executive Office for US Attorneys and the Office of the US… (Portland, OR)
- …an attorney with at least one year of post-J.D. experience (three years preferred ). This position is located in Portland, Oregon. As needed, additional positions may ... discovery and have strong writing skills. Trial experience is preferred . The attorney may be assigned to civil defensive...notify this Office if you currently represent clients or adjudicate matters in which this Office is involved and/or… more
- Sedgwick (Erie, PA)
- …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 ... or GED required. Bachelor's degree from an accredited college or university preferred . Professional certification as applicable to line of business preferred .… more
- Sedgwick (Cincinnati, OH)
- …of the world's best brands? + Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... expectations, industry best practices, and specific client service requirements. ** PREFERRED GEOGRAPHIC LOCATIONS** If local to Cincinnati, OH, agile schedule… more