- Berkley (Trenton, NJ)
- Company Details Berkley Accident and Health is a risk management company that designs innovative solutions to address the unique challenges of each client. With ... coupled with the strong backing of a Fortune 500 company . Our parent company , W. R. Berkley...medical facts and specifications of the claim Review and adjudicate claims within approved authority limits Maintain assigned claim… more
- Sedgwick (Roseville, 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 innovative ... respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick's broad,… more
- Sedgwick (Cincinnati, OH)
- …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 innovative ... respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick's broad,… more
- Holmes Murphy (Waukee, IA)
- …in FL, KY, NC, VA, GA Offering a forward-thinking, innovative, and vibrant company culture, along with the opportunity to share your unique potential, there really ... Receives, gathers and accurately transmits workers' compensation information to the company , from communications with the insured, claimants, and internal staff in… more
- Thomas Jefferson University Hospitals, Inc. (Montgomery, PA)
- …pharmacist, in accordance with the law. Job Description ESSENTIAL FUNCTIONS: * Adjudicate and review claims responses for reimbursement and profitability *Analyze ... *Act as a liaison between the patient and their insurance company , foundations, and manufacturers *Knowledge of commercial, Medicaid, and Medicare billing… more
- City of Philadelphia (Philadelphia, PA)
- Company Description A best-in-class city that attracts best-in-class talent, Philadelphia is an incredible place to build a career. From our thriving arts scene and ... Common Pleas and the Municipal Court. The mission of the FJD is to adjudicate cases and provide services to the community within our jurisdiction while ensuring… more
- The Toro Company (Bloomington, MN)
- Technical Product Support Representative II/III - The Toro Company Who Are We? With roots dating back to 1914, The Toro Company was built on a tradition of ... quality and caring relationships. Today, the company is a leading worldwide provider of innovative solutions...support quality issues and escalated product issues. Review and adjudicate after warranty support and policy exception requests. +… more
- NTT America, Inc. (Plano, TX)
- …quality, integrity, and commitment of our employees have been key factors in our company 's growth and market presence. By hiring the best people and helping them ... forms files by provider -Reviewing the policies and benefits -Comply with company regulations regarding HIPAA, confidentiality, and PHI -Abide with the timelines to… 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
- The Boeing Company (Edwards AFB, CA)
- …components for this mission: flying operations, maintenance and engineering. The Boeing Company supports multiple platforms at Edwards AFB. This posting is for the ... and workflows + Monitor the cloud data systems and adjudicate issues as they arise + Identify and implement...competitive base pay and variable compensation opportunities. The Boeing Company also provides eligible employees with an opportunity to… more
- NTT DATA North America (St. Louis, MO)
- …The quality, integrity, and commitment of our employees are key factors in our company 's growth, market presence and our ability to help our clients stay a step ... * Reviewing the policies and benefits * Comply with company regulations regarding HIPAA, confidentiality, and PHI * Abide...and act on the claims * Prioritize work and adjudicate claims as per turnaround time/SLAs * Ensure claims… more
- NTT DATA North America (MO)
- …files by provider + Reviewing the policies and benefits * Comply with company regulations regarding HIPAA, confidentiality, and PHI * Abide with the timelines to ... and act on the claims * Prioritize work and adjudicate claims as per turnaround time/SLAs * Ensure claims...be eligible for incentive compensation based on individual and/or company performance. This position is eligible for company… 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 ... organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Leverage Sedgwick's broad,… more
- Sedgwick (Concord, 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 ... organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Leverage Sedgwick's broad,… more
- CDPHP (Albany, NY)
- …high-quality affordable health insurance to members throughout New York. The company values people, quality, innovation, and community, and its corporate culture ... are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities....contract language, riders, and schedules in order to accurately adjudicate claims. The incumbent will work closely with all… more
- NANA Regional Corporation (Fort Gordon, GA)
- …our team of outstanding professionals, apply today! Compass Point, an Akima Company , is committed to helping government agencies modernize their IT infrastructure ... As an Alaska Native Corporation (ANC), 100% of our company 's profits go back to our more than 14,000...reviews, and trip reports, white papers). + Review and adjudicate Comment Resolution Matrices (CRM). **Qualifications** + A minimum… more
- Northrop Grumman (Patuxent River, MD)
- …Information (SCI) and polygraph clearances within a reasonable period, as determined by the company to meet its business needs. + Must have ability to obtain and ... maintain Access (PAR) within a reasonable period, as determined by the company to meet its business needs. **Preferred Qualifications** : + Active TS/SCI clearance +… more
- Elevance Health (Mason, OH)
- …for being the primary contact and liaison for and between the company 's medical partners and the pharmacy vendor for implementing and de-implementing client ... the intricacies of prescription drug benefits and how they adjudicate . + Understands and interprets client requests for new...Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and… more
- Sedgwick (Rancho Cordova, 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 ... Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +...benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify… more
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