- Sedgwick (Indianapolis, IN)
- …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. Candidate will need to go to Lafayette, Indiana twice per week. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE:** + Analyzes and processes complex or technically… more
- Epsilon, Inc (Manassas, VA)
- …obtain and maintain the appropriate level of Security Clearance or Public Trust. Adjudication of the required Security Clearance or Public Trust is determined solely ... by the government. If the government determines that the candidate cannot obtain and/or maintain the appropriate level of Security Clearance or Public Trust, Epsilon will be unable to place the candidate in this position.)_ + Will be subject to a federal… more
- Beth Israel Lahey Health (Boston, MA)
- …legal requirements of pharmacy practices. 5. Understanding of insurance and adjudication processes. 6. Working knowledge of inventory processes. 7. Advanced skills ... with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases. **Preferred Qualifications:** 1. Experience in specialty… more
- Commonwealth of Pennsylvania (PA)
- …will perform a variety of legal administrative tasks related to the processing and adjudication of administrative appeals and hearings. If you are eager to work in a ... fast-paced and team-oriented environment, apply today! DESCRIPTION OF WORK In this position, you will provide legal clerical support for Administrative Law Judges (ALJs) and Legal Assistant 2s in BHA. Your work will involve analyzing appeals for compliance… more
- MyFlorida (St. Augustine, FL)
- …or appointment as an officer, notwithstanding suspension of sentence or withholding of adjudication . (5) Have his or her processed fingerprints on file with the ... employing agency. (6) Have passed a physical examination by a licensed physician, based on specifications established by the Commission. (7) Have a good moral character as determined by a background investigation under procedures established by the Commission.… more
- Centene Corporation (Woodland Hills, CA)
- …to the provider set-up and contract configuration to ensure accurate claims adjudication + Initiate contact and identify potential providers by geographic and ... specialty needs and update database + Coordinate with internal departments and contracted providers to implement and maintain contract compliance **Education/Experience:** Bachelor's degree in Healthcare Administration, Business Administration, Finance,… more
- Florida Atlantic University (Boca Raton, FL)
- …and support student wellbeing. + Administer Student Conduct process through adjudication of cases involving policy violations. + Interpret and ensure compliance ... with departmental and university policies, guidelines, and other relevant regulations. Educate staff and students to enforce policies. + Serve as a customer service representative of the department and university. + Maintain positive working relationships with… more
- Amazon (New York, NY)
- …constantly improve, and be a thought leader for a credit adjudication and performance monitoring platform by deploying strategic, financial, data analysis, ... and customer analytics to influence business leaders and partners. Partner with credit underwriting operations on complex credit decisions that require manual reviews or exceptions. Identify innovations and drive credit and payment experiments that provide… more
- Michigan State University (East Lansing, MI)
- …resources are available to the parties throughout the investigation and adjudication process. Representing the office through service on University committees. Other ... duties as assigned. Minimum Requirements Knowledge equivalent to that which normally would be acquired by completing a four-year college degree; three to five years of related and progressively more responsible work experience in complaint investigation,… more
- Sedgwick (Phoenix, AZ)
- …workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. **ESSENTIAL ... RESPONSIBILITIES MAY INCLUDE:** + Adjusts medical-only claims and minor lost-time workers compensation claims under close supervision. + Supports other claims representatives, examiners and leads with larger or more complex claims as necessary. + Processes… more