• Claims Examiner

    Aston Carter (Atlanta, GA)
    Workday Configuration Specialist - FT - Hybrid | INTERVIEWS HAPPENING THIS WEEK!! Job Type : Workday Configuration Specialist II Location : Lawrenceville, NJ ... company, is comprised of 2 hospitals and is looking for a Workday Configurations Specialist to join their team. What you'll do : + Configure and customize Workday… more
    Aston Carter (10/27/24)
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  • Voucher Examiner

    Indian Health Service (Lower Brule, SD)
    …Accounts Section. The incumbent will report to the Health System Specialist or designee. Responsibilities Oversee accounts receivable and outstanding account ... for follow-up and collection of outstanding accounts. Post all claims /payments in accordance with the service unit policy and...testing for COVID-19 will be required. Your Human Resources Specialist will provide a list of documents acceptable as… more
    Indian Health Service (10/02/24)
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  • Specialist , Claims Recovery

    Molina Healthcare (AZ)
    …or GED **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 1-3 years' experience in claims adjudication, Claims Examiner II, or other relevant work ... **Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing… more
    Molina Healthcare (11/06/24)
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  • College Intern: Risk Management- Summer

    Meijer (Grand Rapids, MI)
    …information in writing and verbally **Possible career path opportunities:** + Risk Management Examiner + Risk Management Specialist + Risk Management Analyst + ... a project here at Meijer. They will gain experience working with claims management systems, complex insurance programs and communicating with various business areas… more
    Meijer (09/11/24)
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  • Benefit Plan Build Specialist

    Kelly Services (Tampa, FL)
    …degree preferred + 3+ years of benefit plan build experience and/or recent Claims Examiner /Processor + Knowledge of benefit application and plan building for ... **Benefit Plan Build Specialist ** **Salary: $50,000-70,000 depending on experience** **Schedule: Full...to the group's intent. + Convert plan provisions to claim system adjudication functions. + Construct/build benefit plans and… more
    Kelly Services (10/31/24)
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  • IAC Specialist

    Koniag Government Services (Alexandria, VA)
    **TGS** **Job ID 2390009** **IAC Specialist ** **Tuknik Government Services** , a **Koniag Government Services** company, has an opportunity for professionals ... to Patent law + Significant years of experience as a Primary Patent Examiner , Patent Expert or Supervisory Patent Examiner who provides working knowledge… more
    Koniag Government Services (10/14/24)
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  • Medical Administration Specialist

    Veterans Affairs, Veterans Health Administration (Tomah, WI)
    Summary The Health Administrative Specialist on Duty (HOD) is a facility wide position, located in the Office of the Chief, Health Administration Service (HAS), or ... or community disasters. Determines the appropriateness of notifying the medical examiner of unusual deaths. Provides administrative authority, guidance, and decision… more
    Veterans Affairs, Veterans Health Administration (11/02/24)
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  • Insurance Specialist

    Federal Emergency Management Agency (Maynard, MA)
    …this position will possess excellent customer service and have commercial insurance claims experience as an adjuster, examiner , insurance agent writing ... position if hired? In this position, you will serve as an Insurance Specialist certifying that insurance requirements and issues are addressed in the development of… more
    Federal Emergency Management Agency (10/31/24)
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  • Senior Fraud, Waste, and Abuse Specialist

    Sharp HealthCare (San Diego, CA)
    …employer business practices. **What You Will Do** The Senior Fraud, Waste and Abuse Specialist at Sharp Health Plan is a critical role responsible for overseeing the ... with regulatory, accreditation and contract standards. The Senior FWA Specialist will manage day-to-day anti-fraud activities, coordinate with the Anti-Fraud… more
    Sharp HealthCare (10/02/24)
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  • AML Analyst

    TEKsystems (West Des Moines, IA)
    …and the ability to manage your own work independently. * Certified Fraud Examiner (CFE) (preferred), Certified Fraud Specialist (CFS) or Certified Insurance ... money laundering and/or fraud is required. * Understanding of fair claims practices. * Understanding compliance regulations and requirements. * Understanding of… more
    TEKsystems (10/25/24)
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  • Fraud Investigator

    TEKsystems (West Des Moines, IA)
    …and the ability to manage your own work independently. + Certified Fraud Examiner (CFE) (preferred), Certified Fraud Specialist (CFS) or Certified Insurance ... investigation and analysis, regulatory compliance + Understanding of fair claims practices. + Understanding compliance regulations and requirements. + Understanding… more
    TEKsystems (10/25/24)
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  • Patent Review Quality Assurance Specialist

    Patent and Trademark Office (Alexandria, VA)
    …Join the USPTO's commitment to quality as a Patent Review Quality Assurance Specialist (RQAS) in OPQA. Responsibilities The physical worksite for this position is ... experience for this position includes: Experience as a Primary Examiner applying design technology concepts to the patent examining...days of the date of the alleged discriminatory act. Claims of employment discrimination must be submitted to the… more
    Patent and Trademark Office (10/30/24)
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  • Investigator, Coding SIU (Remote)

    Molina Healthcare (IA)
    …Certification, Association** + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional ... enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims more
    Molina Healthcare (11/06/24)
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  • Assistant Insurance Fund Services Representative…

    New York State Civil Service (Buffalo, NY)
    Specialist 2, Motor Vehicle Consumer Services Representative, Licensing Examiner 1, Taxpayer Services Representative 1, Program Aide, Payroll Examiner ... position. Duties Description * Review and process routine workers' compensation claims , including analysis and processing of payment of medical, compensation, and… more
    New York State Civil Service (10/25/24)
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  • Construction Inspector - Public Works

    City of Bellingham (Bellingham, WA)
    …1 year of hire. + Water Distribution Manager (WDM) 1 + Cross-connection Control Specialist (CCCS) + Certified Erosion and Sediment Control Lead (CESCL) + CPR and ... is represented by a union. If you wish to claim Veterans' Preference Points, please complete the Veterans Scoring...a protest may be filed in writing with the Examiner within five (5) days following the date of… more
    City of Bellingham (10/26/24)
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  • Physician Assistant

    Johns Hopkins University (Miami, FL)
    …medication, treatments, etc. + Work collaboratively with patients and their PCP/ Specialist to facilitate early diagnosis and management of acute and chronic ... and wellness events and initiatives + Manage workers' compensation claims + Expand clinic services and reach. + Provide...Medicine, Workers' Compensation, and DOT exams. + DOT Medical Examiner . + Certified Urine Drug Screen Collector . +… more
    Johns Hopkins University (10/09/24)
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