Reviewer

• Provide timely review and determination of medical claims, including prior authorization, appeals, and/or any other type of medical claims;
• Analyze medical records related to the case file;
• Review and interpret Local Coverage Determination (LCD), National Coverage Determination (NCD) policies, and other federal regulations;
• Apply appropriate regulatory citations, including health plan policies, NCD/LCDs, and/or other regulations to each claim as it relates to the item or issue;
• Formulate a narrative decision citing relevant regulatory back-up documentation contained within the medical record;
• Adjudicate claim based on the regulations and documentation contained within the medical record;
• Attend FHAS and/or client Lunch & Learn sessions and/or general training sessions on site as needed.
• Complete IRR surveys in a timely fashion as required by the prime contractor Maintain a 97% or higher quality score work experience requirements

Nurse Reviewer RN providing timely review and determination of medical claims

Nurse Reviewer, RN

Nurse Reviewer RN providing timely review and determination of medical claims for a healthcare provider. Analyzing records and adjudicating claims based on federal regulations and policies.

• In-person interview may be required during the hiring process
• Manage relationships with internal and external customers/vendors

MD Appraisal Reviewer managing automobile appraisals at Mercury Insurance

MD Appraisal Reviewer

MD Appraisal Reviewer managing automobile appraisals at Mercury Insurance. Collaborating with internal and external teams to ensure efficient processes and accurate valuations.

• Preparing, reviewing, and filing legal documents
• Managing foreclosure files and tracking case progress
• Communicating with clients, courts, vendors and other outside parties in a courteous and effective manner.
• Data entry, document processing, and file maintenance
• Supporting attorneys and other team members with daily tasks
• Ensuring compliance with state and federal regulations
• Performing general administrative duties as needed
• Developing and maintaining congenial relationships with business associates and clients.
• Consistently and accurately updating the firm’s internal case management system, as well as all client systems.
• Providing exceptional customer service to clients at every level of interaction.
• Performing other duties and responsibilities as needed.

Legal position reviewing foreclosure documents for a prestigious law firm

Title Reviewer

Legal position reviewing foreclosure documents for a prestigious law firm in Pennsylvania. Preparing legal documents and maintaining case files with exceptional attention to detail.

• Testing online casino registration processes and user journeys
• Reviewing sign-up flows, KYC requirements, deposit methods, and bonus activation
• Evaluating platform usability, features, and overall user experience
• Producing clear, well-structured reviews and editorial content in alignment with standardized templates and guidelines
• Ensuring all content aligns with responsible gambling and regulatory guidelines
• Documenting findings accurately and submitting deliverables on time
• Representing Signup Expert and our publishing partners professionally

Online Sweepstakes Casino Reviewer producing quality reviews for Signup Expert

Online Casino Reviewer

Online Sweepstakes Casino Reviewer role evaluating online casino platforms and producing quality reviews. Work remotely in a flexible, contract-based environment for a leading iGaming publisher.

Seeking Online Casino Reviewers for high-quality review production

Online Casino Reviewer – Paid Contract

Seeking Online Casino Reviewers to produce high-quality reviews and evaluate casino platforms. This remote role offers digital publishing experience in the iGaming industry.

• Conduct comprehensive research in county records to determine surface and mineral ownership, utilizing online databases or visiting local county courthouses as needed.
• Maintain clear and professional communication with both internal team members and external stakeholders.
• Analyze and document research findings, extracting pertinent information for client reports.
• Manage multiple priorities and meet deadlines in a dynamic environment with shifting timelines.
• Assist with additional tasks and responsibilities as management assigns, based on evolving business needs.
• Review the work of other landmen, providing constructive feedback to ensure accuracy and consistency in all research and documentation.

Landman Reviewer focusing on title research and team collaboration

Landman Reviewer

Landman Reviewer focusing on title research to ensure quality and accuracy for land management. Collaborating with team members and refining their work while meeting project deadlines.

Reviewer jobs in Pennsylvania