- Reviews and analyzes evidence to determine disability benefits eligibility
- Prepares detailed written analyses and notifications
- Maintains caseload, ensuring issue resolution
- Protects sensitive information
- Completes case reviews for compliance
- Determines medical and vocational information
- Arranges medical tests and evaluations
- Prepares functional capacity assessments
- Consults with professionals on complex cases
- Interviews individuals and stakeholders for additional information
- Accountability
- Critical Thinking
- Judgment and Decision Making
- Focus on Quality
- Initiative
- Problem Solving/Analysis
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Adjudicator 1
3 weeks ago
State of Georgia Stone Mountain, United StatesGVRA: · The Georgia Vocational Rehabilitation Agency operates five integrated and interdependent statutory programs that share a primary goal - to help people with disabilities to become fully productive members of society by achieving independence and meaningful employment. Our ...
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Medicare Claims Examiner
1 week ago
Bankers Fidelity Life Insurance Cor Atlanta, United States**Summary**: · The claims examiner is responsible for processing the Medicare Supplement claims adjudication. The role is responsible for the accurate input of claims information as well as reviewing and analyzing claims to determine eligibility. In addition, the claim examiner m ...
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Program Assistant
3 weeks ago
US Natural Resources Conservation Service Walton, United States**Duties**: · - Track the status of Farm Bill contracts through reports and communications with staff. · - Prepare reports describing problems that are recurring or causing significant delays or costs, the corrective actions needed or taken, and the need for additional time or re ...
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Biological Scientist
2 weeks ago
US Animal and Plant Health Inspection Service Riverdale, United States**Duties**: · - The duties described are for the full-performance level. At developmental grade levels, assignments will be of more limited scope, performed with less independence and limited complexity. · - Conducts regulatory status review of modified plants, responds to reques ...
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Health Claims Processor
4 days ago
HIRD LLC Atlanta, United States**JOB SUMMARY**: · With direct supervision, the Customer Service Rep will analyze, review and adjudicate health insurance claims as well as process health insurance claims for inpatient, outpatient facility and professional services. · **ESSENTIAL ROLES AND RESPONSIBILITIES**: · ...
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Credentialing and Enrollment Specialist
2 days ago
Benevis Atlanta, United StatesOverview: · **Credentialing and Enrollment Specialist - Benevis LLC** · Work for a company that is truly making the world a happier place, one smile at a time At Benevis, we create over a million smiles a year in the communities we serve and believe that every person deserves acc ...
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Attorney I
1 week ago
DeKalb County (GA) Decatur, United StatesSalary Range: $66,132 - $106,473 · Essential Functions: · The following duties are normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classific ...
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Attorney III
1 week ago
DeKalb County (GA) Decatur, United StatesSalary Range: $77,339 - $124,516 · Essential Functions: · The following duties are normal for this position. The omission of specific statements of the duties does not exclude them from the classification if the work is similar, related, or a logical assignment for this classific ...
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Attorney II
3 weeks ago
DeKalb County (GA) Decatur, United StatesSalary Range: $73,608 - $118,509 · Purpose of Classification: · The purpose of this classification is to review, investigate, prosecute or defend, and resolve criminal cases on behalf of the of the County or State of Georgia in an assigned legal office or County department; act a ...
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VSC Adjuster
3 weeks ago
AUTOMOBILE PROTECTION CORPORATION Norcross, United StatesJob Description · Job DescriptionApplicants must live in Georgia, Ohio or Florida and be able to reliably commute to one of our offices listed below: · 6010 Atlantic Blvd, Norcross, GA 30071 · 440 Polaris Parkway, Suite 250, Westerville, OH 43082 · 208 Ponte Vedra Beach Drive, Po ...
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Vehicle Service Contract Adjuster I
3 days ago
AUTOMOBILE PROTECTION CORPORATION Norcross, United StatesJob Description · Job DescriptionThe preferred applicant location is within a commutable distance to one of APCO's physical office locations listed below: · Norcross, Georgia: 6010 Atlantic Blvd, Norcross, GA 30071 · Westerville, Ohio: 440 Polaris Parkway, Suite 250, Westerville ...
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GAP Processor
1 week ago
AUTOMOBILE PROTECTION CORPORATION Norcross, United StatesJob Description · Job DescriptionSummary · As a GAP Processor you will assist with processing and adjudicating GAP benefit requests submitted by Contract Holders, Financial Intuitions, Third Party Administrators, Dealerships and Sales Agents. Additionally, you will be responsible ...
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Vehicle Service Contract Adjuster I
1 week ago
AUTOMOBILE PROTECTION CORPORATION Norcross, United StatesJob Description · Job DescriptionJob Title: · Vehicle Service Contract Adjuster I · ADP Job Code: · VSCADJ1 · Department: · Claims & Customer Service · Reports to: · Supervisor, Claims · FLSA Status: · Non-Exempt (Hourly) · Grade: · Choose an item. · Salary Band: · Choose an item ...
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IT Specialist
2 weeks ago
U.S. Department of the Interior Norcross, United StatesJob Description (Please follow all instructions carefully) Summary · Information Do I Need To Know About This Position? · Salary: $58,815 (Step 01) to $72,561 (Step 10); · NOTE: First time hires to the Federal Government are typically hired at the Step 01 . · This job opport ...
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Employee Success Associate
1 week ago
Larkin Benefit Administrators Atlanta, United StatesJob Description · Description: · We are seeking dedicated and detail-oriented individuals to join our team as Employee Success Associates. As a key member of our team, you will be responsible for administering leaves of absence and ADA claims for multiple clients, ensuring compli ...
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Employee Success Associate
2 weeks ago
Larkin Benefit Administrators Atlanta, United StatesJob Description · Description: · We are seeking dedicated and detail-oriented individuals to join our team as Employee Success Associates. As a key member of our team, you will be responsible for administering leaves of absence and ADA claims for multiple clients, ensuring compli ...
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Claims Adjuster
1 week ago
UNITE HERE HEALTH Atlanta, United StatesUNITE HERE HEALTH serves 190,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and he ...
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Customer Support Representative, Pharmacy
5 days ago
ResMed Peachtree Corners, United StatesBrightree is a wholly owned subsidiary of ResMed (NYSE: RMD, ASX: RMD). · When you work at Brightree, it's more than just a job. You'll be part of a team that's driving innovation and leading the way in cloud-based patient management software. · The technology allows us to prov ...
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Claims Adjuster-General Liability
1 week ago
Sedgwick Claims Management Services Atlanta, United StatesTo analyze mid- and higher-level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements. ESSEN General Liability, Claims, Ad ...
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Employee Success Associate
1 week ago
Larkin Benefit Administrators Atlanta, United StatesJob Description · Description: · We are seeking dedicated and detail-oriented individuals to join our team as Employee Success Associates. As a key member of our team, you will be responsible for administering leaves of absence and ADA claims for multiple clients, ensuring compli ...
Adjudicator 1 - Stone Mountain, United States - GeorgiaGov
Description
GVRA:
The Georgia Vocational Rehabilitation Agency (GVRA) is dedicated to helping individuals with disabilities achieve independence and meaningful employment. Our goal is to tailor our services to meet your needs, providing professional and responsive assistance to both employers and job seekers.
Summary/Objective:
Under supervision, the role involves gathering and evaluating evidence to make decisions on claims or appeals related to government programs. Candidates must be available to start by July 1, 2024.
Essential Functions:
Other Duties:
Competencies:
Work Environment:
The job is in a professional office setting using standard equipment.
Physical Demands:
Requires various physical activities and specific vision abilities.
Working Conditions:
Office setting with a 40-hour workweek, high-volume workload, and deadlines.
Position Type and Expected Hours of Work:
Full-time, Monday to Friday with occasional long hours and weekend work.
Travel:
Primarily local travel with some out-of-area trips.
Work Authorization/Security Clearance:
Mandatory background checks and employment authorization required.
AAP/EEO Statement:
Equal employment opportunities are provided to all employees and applicants without discrimination.
Reasonable Accommodations:
Preferred Education and Experience
Preference for bilingual applicants with a Bachelor's degree or relevant experience in program eligibility laws interpretation.
