- State of Massachusetts (Roxbury, MA)
- …professional experience in social work or social casework, claims adjudication , job placement, recruitment, employment counseling, vocational or rehabilitation ... counseling, credit investigation, educational counseling, legal advocacy, or legal counseling. SUBSTITUTIONS: - A Bachelor's or higher degree may be substituted for two years of the required experience on the basis of two years of education for one year of… more
- Elevance Health (Miami Gardens, FL)
- …the interpretation and data entry of basic orders, processing, and troubleshooting adjudication issues. **How You Will Make an Impact** Primary duties may include, ... but are not limited to: + This role is instrumental in executing the data entry portion of the diabetic process, ensuring enhanced service standards, operational efficiency, and customer satisfaction. + Handles incoming calls from internal and external… more
- NTT DATA North America (Lincoln, NE)
- …role reviewing medical benefits and claims. + 2 years of claims adjudication experience, preferably in life, and supplemental products (eg, critical illnesses such ... as cancer, stroke, heart attack, kidney disease). + 4 years of experience reviewing and assessing medical records. + Experience articulating claim requirements clearly and concisely. + **Education:** Minimum high school diploma or GED; college degree… more
- CACI International (Mclean, VA)
- …information to reveal foreign traveler links to terrorism for the State Department adjudication and watch listing purposes. This role uses the call chain analysis ... process to determine relationships, patterns, trends, indicators, and warnings to identify and report CT intelligence gaps. **Qualifications:** + Candidates are required to have a bachelor's degree + 2 years of applicable experience. Additional work experience… more
- US Courts (Atlanta, GA)
- …selectee for this position is subject to a criminal record check and satisfactory adjudication by the employing office to be eligible for employment. Due to the ... sensitivity level of this position, candidates may be asked about their criminal history prior to receiving a tentative offer of employment. Candidates completing Form AO-78 must complete questions 18-20 regarding their criminal history. Criminal history is… more
- Federal Aviation Administration (Auburn, WA)
- …in this position. Security Requirement: This position requires completion and favorable adjudication of a Moderate Risk (5) Background Investigation (Tier 2) unless ... waiver is obtained. This is not a bargaining unit position. Links to Important Information: Locality Pay, COLA more
- Texas A&M University System (Corpus Christi, TX)
- …Resident Handbook, and all state/federal laws; investigate, resolve, and/or refer for adjudication . + Attend staff meetings and other meetings as scheduled + Act ... as the review person for selection/hiring concerns Functional Area 2: Support Percent Effort: 30% + Participates in planning, directing, and coordinating operational or procedural matters to meet department goals and objectives. + Provide leadership and… more
- CGI Technologies and Solutions, Inc. (El Paso, TX)
- …photograph, identification and supporting documentation for completeness prior to adjudication ; o Ensure the application and documents comply with Passport ... requirements, photograph meets Passport standards, and customer is provided fee information. * Prior to distributing to applicants, print and review passport books for accuracy and quality. * Process refund/reimbursement requests. * Generate a credit card… more
- Sedgwick (Pascagoula, MS)
- …workers compensation claims to determine benefits due; and to ensure ongoing adjudication of claims within company standards and industry best practices. **ESSENTIAL ... FUNCTIONS and RESPONSIBILITIES** + 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
- BrightSpring Health Services (Christiansburg, VA)
- …(eg, converting milligrams) + May resolve issues of denials identified through adjudication , and follow-up claims in Point of Sale (POS) + Maintains current ... knowledge of Medicaid claim regulations and processes + May produce reports and keep management informed of unpaid claims and claims pending follow-up + Provides excellent customer service to external and internal customers in accordance with company values +… more