- Sedgwick (Albany, NY)
- …high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... specific client service requirements; and to identify subrogation of claims and negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult general liability claims by investigating and… more
- Pacific Northwest National Laboratory (Albany, NY)
- …of federal background investigation post hire and receive a favorable federal adjudication . The tier of federal background investigation will be determined by job ... duties and national security or public trust responsibilities associated with the job. All tiers of investigation include a declaration of illegal drug activities, including use, supply, possession, or manufacture within the last 1 to 7 years (depending on the… more
- RTX Corporation (Albany, NY)
- …US territories). **This position requires a security clearance** . DCSA Consolidated Adjudication Services (DCSA CAS), an agency of the Department of Defense, ... handles and adjudicates the security clearance process. More information about Security Clearances can be found on the US Department of State government website here: https://www.state.gov/m/ds/clearances/c10978.htm \#LI-Remote The salary range for this role… more
- New York State Civil Service (Manhattan, NY)
- …legal work conducting administrative hearings and rendering decisions for the adjudication of moving traffic violations, as well as those involving fatal ... accidents, persistent violators, false statements on Motor Vehicle documents, or driving without insurance. They will also conduct hearings involving charges of violations of the Vehicle and Traffic Law and the Commissioner's Rules and Regulations by… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …prevention and compliance initiatives. This position oversees the investigation and adjudication of misconduct cases for students and student organizations across ... the New York City campus and Global Academic Centers. A critical component of this role involves coordinating hazing prevention efforts to ensure compliance with the Stop Campus Hazing Act of 2024, developing research-based anti-hazing programs, and managing… more
- Huntington National Bank (New York, NY)
- …identification of key milestones and adherence to deadlines. Includes credit adjudication , legal review, and appropriate collaboration in closing and onboarding. + ... Produce timely, high quality & detailed underwriting work product for credits to include borrowers who are public, private, investment grade, non-investment grade and highly leveraged. + PMs are able to successfully explain complex technology, media and… more
- Molina Healthcare (Buffalo, NY)
- …results and makes recommendations as necessary. * Helps to evaluate the adjudication of claims using standard principles and state specific policies and regulations ... to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims. * Prepares, tracks, and provides audit findings reports according to designated timelines Presents audit findings and makes… more
- Sedgwick (Syracuse, NY)
- …workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. **OFFICE ... LOCATION/SCHEDULE** **Syracuse, NY** **Full-time in-office with opportunity to work hybrid after training (In-Office 2 days; Work from Home 3 days)** **37.5 hour work week** **ARE YOU AN IDEAL CANDIDATE?** We are looking for an enthusiastic candidate to fill a… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …RBRVS, etc.). + Extensive experience with claims processing systems, claims flow, adjudication process, system edits and display screens. Level III (in addition to ... Level II Qualifications) + Five or more years in a Medical Investigator role. + Subject matter expert in health systems operations including an understanding of reimbursement methodologies and coding conventions for governmental and commercial products (eg,… more
- Sciolex Corporation (New York, NY)
- …Providing support for the processing of forms and applications used in the adjudication process, + Scanning large multi-page documents, + Other duties as assigned. ... Qualifications & Physical Requirements + High school diploma or equivalent + Must be able to obtain a Public Trust/Suitability Clearance under the Department of Homeland Security from the United States Citizenship and Immigration Services + Ability to read and… more