- Mass Markets (Killeen, TX)
- …trusted partner in the industry. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong ... of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a high-volume or… more
- IQVIA (Durham, NC)
- …of projects as assigned by CEVA (Clinical Event Validation and Adjudication ) management, covering single or multiple CEVA functions. Provide leadership and ... and transparent program for customers in areas of endpoint adjudication committee coordination, core laboratory coordination, DSMB administration, and steering… more
- CVS Health (St. Paul, MN)
- …Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical ... and applies all cost containment. - Measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for… more
- BMO Financial Group (New York, NY)
- …Other locations may be considered. Provides independent, objective review and adjudication of credit applications and transactions for an assigned portfolio within ... tolerance, policies & procedures, and meet financing guidelines. Supports credit adjudication operations and initiatives. Provides training and support to teams and… more
- NANA Regional Corporation (Arlington, VA)
- RiverTech is looking for a Personnel Security Specialist IV to provide adjudication support for Federal Adjudicators to make suitability and national security ... associated with a candidate to make suitability, eligibility and adjudication recommendations or determinations. + Makes recommendations in accordance with… more
- State of Montana (Helena, MT)
- …a benefit today and for future generations. We are actively seeking a Quality Control Specialist who values the vast resources in our state as much as we do.* *This ... of May 19, 2025. * *Work Unit Overview:* The Adjudication Program administers the Montana Water Use Act under...other picture ID, or a US passport, or a "green card". **Title:** *Compliance Specialist * **Location:** *Helena* **Requisition ID:**… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …of new client data or changes to existing clients into the PBM adjudication platform. Works closely with the Benefit Operations Supervisor in ensuring the team's ... order to effectively input, audit and adjust within the adjudication platform. **Job Summary:** Perform day-to-day operations supporting ProAct's...act as a lead role within the Benefit Operations Specialist team and be a liaison to management and… more
- Xcelerate Solutions (Washington, DC)
- Personnel Security Specialist (PSS ) Grade 6 - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of ... the Agency Personnel Security Program Managers (PSPM) in performing BIs and adjudication case work in support of security and suitability investigations and… more
- AON (Garden City, NY)
- …looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your experience ... to independently make decisions utilizing certificate of insurance and adjudication procedures. + Ability to work in a virtual...Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd… more
- Zelis (FL)
- …and the personal interests that shape who you are. Position Overview The Client Policy Specialist is a client facing role that will act as the subject matter expert ... support of the growth, and expansion of assigned clients. The Client Policy Specialist will lead the sales overview discussion of new/existing opportunities for the… more
- City of Baytown (Baytown, TX)
- Property Room Specialist Print (https://www.governmentjobs.com/careers/baytowntx/jobs/newprint/4919697) Apply Property Room Specialist Salary $16.79 - $20.99 ... of Baytown is seeking a dedicated Police Property Room Specialist to play a critical role in maintaining the...the above 06 Have you ever been on deferred adjudication for a Felony? + Yes + No 07… more
- Amentum (Huntsville, AL)
- …processes. + Prepare and submit a response in writing or verbally, to recommend adjudication as to the approval, denial, or revocation of security clearances and / ... authorizations for appropriate SecD units to determine the final adjudication . Prepare outgoing communications to transmit recommendations with supporting analysis… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- Title: Facilities Contract Specialist (Level I/II) Non-Competitive Progression Location: United States-Virginia-Virginia Beach Job Number: 2500008Z Are you ready to ... NEXCOM is seeking driven professionals to join our team as Contract Specialist I and II roles-non-competitive, progressive positions that offer a clear pathway… more
- Small Business Administration (Citrus Heights, CA)
- Summary You will serve as a Supervisory Information Technology Specialist for the Small Business Administration (SBA), Office of Disaster Recovery and Resilience ... a variety of operating environments. Responsibilities As a Supervisory Information Technology Specialist at the GS-2210-13, some of your typical work assignments may… more
- Community Health Systems (Fort Smith, AR)
- **Job Summary** The Remote Medical Insurance Reimbursement Specialist is responsible for processing, reviewing, and verifying reimbursement claims to ensure ... transaction codes to facilitate accurate claims processing. The Reimbursement Specialist I collaborates with internal teams to support workflow efficiency,… more
- Advantage SCI (Reston, VA)
- Job Descriptions: Position: Personnel Security Specialist Reports To: The Customer and Project Manager Clearance Type: Active TS (with ability to obtain SCI with CI ... personnel for access to sensitive compartmented information, through case management, adjudication , and due process. * Review forms for accuracy and process… more
- National Park Service (Vienna, VA)
- …Citizenship required. Appointment subject to background investigation and favorable adjudication . Meet Selective Service Registration Act requirement for males. ... minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email...the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48… more
- Amentum (Washington, DC)
- …inquiry for follow - on investigations. + Assist in making recommendations for adjudication of personal background investigations for employment with the FBI and / ... Investigation that form basis for creation of investigative and / or adjudication record. + Experience interpreting Governmental and commercial database checks to… more
- Amentum (Huntsville, AL)
- …investigations conducted by the Field Offices (FOs) and rendering appropriate adjudication recommendations regarding the same. Schedule, review and analyze a variety ... Investigation that form basis for creation of investigative and / or adjudication record. + Experience conducting and interpreting database checks and credit… more
- Customs and Border Protection (Brownsville, TX)
- …Step 1) to $96,116.00 (GS-11, Step 10) . The Mission Support Specialist (Generalist) provides technical guidance and comprehensive services related to mission ... minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email...the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48… more
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