- UpvoteDownvoteShare Job
- Suggest Revision
10+ years of senior experience in wholesale credit risk in an underwriting or adjudication capacity, or as a bank examiner focused on wholesale credit. Evaluate activities of lending and transaction support personnel in the Corporate Bank and Credit Risk Management, ensuring compliance with policies, approvals, monitoring and risk assessment.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Fundamental understanding of claims adjudication knowledge of commercial and residential construction industries and/or basic knowledge of automotive and transportation industry desirable. The Senior Casualty/Property Liability Adjuster manages all aspects of liability claims in a variety of business classes, effectively determining and communicating the extent of liability or damage associated with each claim.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
The Risk Manager I manages the creation, implementation and validation of various risk segmentation strategies including, but not limited to: adjudication, account management, exposure management, risk segmentation, and financial return optimization.
ExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Monitor changes in State and Federal laws, rules or fee schedules that impact medical bill review/re-pricing and ensure they are integrated into workflows (and Smart Advisor via Mitchell) for proper adjudication.
RemoteExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Responsibilities include finalizing claims processed electronically for payment and reviewing claim adjudication results for both Title XIX and non-title XIX claims, payment, and denial patterns, ensuring adjudication accuracy in the claims processing system, adhering to policy and procedures, responding to provider inquiries and providing education/training to providers.
RemoteExpandUpdated 11 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Experience with Pharmacy claim adjudication. Understanding of Medicaid PDL (for generic and brand drugs), preferred/non-preferred drug, prior authorization criteria/rules, lock-in program requirements and drug utilization review (both ProDUR and RetroDUR.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Process Prescription Refills: Handle refill confirmations, review pending refills, and manage claims adjudication. Qualifications / Requirements: High School Graduate or Equivalent 2 years’ experience as a Pharmacy Technician MUST be a Nationally Board Certified Pharmacy Technician Must be certified in NC For immediate consideration, you may send your resume to kriziahcornerstonestaffing.
ExpandApply NowActive JobUpdated Yesterday
FEATURED BLOG POSTS
How to Build a Supervisor Resume
Writing a great supervisor resume doesn't have to be rocket science. All you need to do is figure out what the company requires and how best to appeal to their needs. In other words, see the resume as your “key” into any organization of choice.
The Ultimate Guide to Writing a Stellar Sales Manager Resume
Have you been working in sales for several years now and feel ready to move up the career ladder? Do you enjoy leading sales teams and developing strategies to drive company sales? Would you describe yourself as a strong communicator, negotiator, and closer? If so, then there’s a good chance that a sales manager position might be the ideal fit for you.
How to Write a Property Manager Resume
Property management experts have a variety of responsibilities, such as ensuring the safety and durability of commercial and residential buildings. During recruitment for such a position, recruiters assess your skills first-hand. This begins with how well you organize and tailor your property management resume. In other words, they can't afford to bring you onboard if your resume does not impress them.
How to Write a Chief Operating Officer Resume + Sample
Are you looking to become the Chief Operating Officer in your company of choice? Do you want to create a compelling COO resume that will earn you the job? This article is for you.
Spotting the Details to Build a Construction Project Manager Resume
So you’re ready to become a Construction Project Manager! To achieve this goal, you need to find the right role and write the best resume you can to show a prospective employer that you’re a great fit.
6 Tips to Create a Management Consulting Resume + Sample
So, you want to land a job as a management consultant? Well, here is a management consultant resume sample and some tips below. This will help you create a mind-blowing resume that will keep you in the spotlight during recruitment.
Get Ready, The Beginning of the Year is the Best Time to Job Search
Frankly, if you need a job, the best time to apply for one is right now. But, regardless of timing, the competition is fierce and job seekers should do everything they can to score an advantage. Understanding when companies hire, the typical hiring season trends, and the right time of year to apply for jobs will give you the best chance at success.