- Customs and Border Protection (Memphis, TN)
- …team of homeland security professionals responsible for the initiation and/or adjudication of civil liabilities arising from seizures, penalties, prior disclosures, ... immigration carrier fines, and claims for liquidated damages. Typical work assignments include: Performing...minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email… more
- Mount Sinai Health System (New York, NY)
- …to Directors for potential legal intervention, and assisting in the escalation of claims that may require involvement from insurance carriers or legal entities. The ... cycle management, with a strong understanding of both hospital and professional claims processes. ? Previous experience in a role that involved analyzing contracts,… more
- AIG (Lenexa, KS)
- …Proven claim adjudication or claim operations experience for multi-line commercial claims . Claim Audit or file review experience is desirable. + Knowledge of key ... experience as a valued member of the team. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice for clients, delivering consistent… more
- University of Rochester (Rochester, NY)
- …independent decisions as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing issues. Maintain ... limited to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Microsoft Word, Excel, Access,… more
- Commonwealth of Pennsylvania (PA)
- …/ Division Code 00121385 Bureau / Division Workers' Compensation Office of Adjudication - Harrisburg Office Worksite Address 1010 N. 7th Street Worksite Address ... in your career? Join the Workers' Compensation Office of Adjudication as a Clerical Assistant 3, where you will...maintain a caseload, process tasks, and distribute correspondence for claims . You will have the opportunity to correspond with… more
- Executive Office for US Attorneys and the Office of the US… (Washington, DC)
- …and the immigration laws. Other kinds of defensive cases, including Federal Tort Claims Act cases and Privacy Act cases, account for smaller percentages. Civil AUSAs ... Security Requirements: Initial appointment is conditioned upon a satisfactory preemployment adjudication . This includes fingerprint, credit and tax checks, and drug… more
- The Institute for Family Health (New Paltz, NY)
- …product lines/plans and issues related to the EPIC system build. + Ensures Retro Adjudication Work Queues are worked weekly to ensure that all affected dates of ... medical professionals and patients' on daily basis to resolve claims processing issues. + Recognize issues relating to provider...Printing/Reviewing of printed claim forms for accuracy to ensure claims are paid timely. + May be responsible for… more
- Elevance Health (AL)
- …Specialist II** is responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to ... state regulations. + Analyze comprehensive data sources such as COB Smart, HEW, claims , and membership data to verify coverage and resolve discrepancies. + Maintain… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization… more
- Family Dollar (Chesapeake, VA)
- …associate interviews; Analyzing data from various internal systems; Case adjudication ; Proposing corrective action based on investigation findings; Production of ... and Religious accommodations. + Investigate Department of Labor Wage and Hour claims , analyze data from various internal systems, provide the Company's formal… more