- MetLife (Oriskany, NY)
- …Builder computer claim system computer system . Interpret policy provisions and manually adjudicate FEGLI Life claims to make claim determinations. . Work with our ... update and maintain accurate data. . Interpret policy provisions and manually adjudicate complex FEGLI Life claims to make claim determinations. . Initiate… more
- Kratos Defense & Security Solutions, Inc. (Huntsville, AL)
- …Team (IPT), develop schedules, track progress, keep meeting minutes/notes, adjudicate comments between internal and external stakeholders. The Logistics Analyst ... Team (IPT), develop schedules, track progress, keep meeting minutes/notes, and adjudicate comments between internal and external stakeholders. + Familiar with… more
- Prime Therapeutics (Lincoln, NE)
- …make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit claims and adjustments as required. Track and trend ... training as needed. Resolve claims edits and suspended claims. **Responsibilities** + Adjudicate or submit claims and adjustments as required. + Implementation and… more
- NTT DATA North America (St. Louis, MO)
- …quality, integrity, and commitment of our employees have been key factors in our company 's growth and market presence. By hiring the best people and helping them ... forms files by provider -Reviewing the policies and benefits -Comply with company regulations regarding HIPAA, confidentiality, and PHI -Abide with the timelines to… more
- NTT DATA North America (MO)
- …The quality, integrity, and commitment of our employees are key factors in our company 's growth, market presence and our ability to help our clients stay a step ... * Reviewing the policies and benefits * Comply with company regulations regarding HIPAA, confidentiality, and PHI * Abide...and act on the claims * Prioritize work and adjudicate claims as per turnaround time/SLAs * Ensure claims… more
- NTT DATA North America (MO)
- …files by provider + Reviewing the policies and benefits * Comply with company regulations regarding HIPAA, confidentiality, and PHI * Abide with the timelines to ... and act on the claims * Prioritize work and adjudicate claims as per turnaround time/SLAs * Ensure claims...be eligible for incentive compensation based on individual and/or company performance. This position is eligible for company… more
- Sedgwick (Long Beach, CA)
- …some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Leverage Sedgwick's broad,… more
- TEKsystems (Fresno, CA)
- …and supporting internal and external stakeholders. Key Responsibilities + Adjudicate medical, dental, vision, and electronic claims including inpatient/outpatient, ... benefit and eligibility issues in accordance with ERISA and company guidelines. + Maintain HIPAA-compliant work practices and secure...power of true partnership. TEKsystems is an Allegis Group company . The company is an equal opportunity… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …**Job Description** **About the role:** Are you looking for a patient-focused, innovation-driven company that will inspire you and empower you to shine? Join Takeda ... Talent Acquisition teams to create job requisitions, schedule interviews, monitor, and adjudicate background check results as well as assist in offer development… more
- Sedgwick (Newark, NJ)
- …brands? + Apply your Workers Compensation & supervisory knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + ... organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Leverage Sedgwick's broad,… more
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