beBeeAdjudication Jobs in United States

The successful candidate will have excellent communication skills and the ability to contact payors to verify information accurately. Additionally, they must be able to resolve unpaid claims through effective adjudication methods. ...

Claims Reviewer · The Claims Examiner II plays a critical role in reviewing and evaluating incoming claims for payment or denial. · This position allows individuals to provide relief during times of need, helping those dealing with difficult circumstances. · Adjudicate routine Pa ...

Evaluate and Determine Claim Outcomes · In this challenging yet rewarding role, you will be responsible for examining incoming claims to determine whether they meet our company's requirements for payment or denial. Your decision-making skills will play a crucial part in this proc ...

Key Responsibilities for Claims Adjudication Professional · We are looking for an experienced professional with strong analytical skills to work on revenue cycle processes and handle contractual variances between posted and expected reimbursement. · ...

As a senior claims management professional, you will lead and motivate multiple teams of experienced examiners and technical staff to achieve exceptional results. · Key Responsibilities: · Maintain high team performance standards through effective supervision, guidance, and task ...

Main responsibility is to review, assess and adjudicate electronic/paper-based insurance claims as per established guidelines. · ...

Claims Examiner l Workers Compensation · This is an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands. · ...

Job Title: Immigration Adjudications Leader · About the Job: · The position we are seeking to fill is a critical role in overseeing immigration-related adjudicatory hearings. As an Immigration Adjudications Leader, you will be responsible for managing staff and ensuring complianc ...

Leadership Role in Adjudication Management · Protecting national interests and preserving cultural heritage are key objectives for those who aspire to this role. · This position involves overseeing the administration of USCIS programs, ensuring their effective planning, coordinat ...

Operations Specialist Job Description · Claims Adjudication Role · We are seeking a skilled Operations Specialist to review claim documentation for adherence to compliance standards. · The ideal candidate will have experience in adjudicating claims based on regulatory guidelines, ...

Job Overview: · Claims Examiner · We're seeking a skilled Claims Examiner to join our team. This is an exciting opportunity to work with complex customer claims, deliver innovative solutions, and be part of a rapidly growing global company. · Develop action plans to resolve claim ...

Job Title: Insurance Risk Manager · About the Role: · This is a high-profile role in our organization that involves various tasks and responsibilities related to insurance claims. · ...

About the Role · We are seeking an experienced professional to fill a critical position in our team. · ...

Claims Associate Job Description · The primary goal is to help customers maintain security by effectively managing assigned caseloads. · Adjudicate various types of claims including those involving multiple documentation triggers.   · Analyze care plans from healthcare providers ...

Job Title: Pharmacy Claims Specialist · The position of Pharmacy Claims Specialist is a crucial role in the adjudication process. In this capacity, you will be responsible for performing billing duties and understanding pharmacy front-end processes to effectively handle point-of- ...

Job Description: · We are seeking a skilled professional to fill the role of Supervisory Adjudication Officer. This position involves overseeing the management of overall program planning, coordinating, and monitoring with senior level responsibility for administrative and manage ...

Medical Claims Processor · We are seeking a skilled Medical Claims Processor to join our team. As a Medical Claims Processor, you will be responsible for processing medical claims associated with private referrals. · ...

Reviewing medical documentation to determine coverage eligibility; · We require you to have awareness of policy provisions, deductibles, exclusions and rules. You will also need strong analytical skills as well as attention to detail when processing these claims. · ...

About the Role: · The Claims Adjudicator plays a crucial part in reviewing and processing international private medical insurance claims with accuracy, consistency, and excellent customer experience. · ...

Claims Specialist Role Summary · Job Description: · This role involves handling workers compensation claims, ensuring timely and accurate processing. · Required Skills & Qualifications: · Proven experience in claim management with a focus on workers compensation. · Excellent anal ...