beBeeAdjudicator Jobs in United States

Validates the need for investigation by conducting a check of the OPM CVS. · Establishes, reviews, and monitors background investigation accounts, and information in the DCSA NBIS eApp system. · Initiates background investigations at the correct tier based on the risk/sensitivity ...

Claims Examiner · We are seeking a skilled Claims Examiner to play a critical role in helping clients navigate the unexpected. · As a Claims Examiner, you will be responsible for analyzing Workers Compensation claims on behalf of our valued clients to determine benefits due, whil ...

Job Description · This position supports the Office of Security Services, Personnel Security Operations Branch, providing administrative and technical support for a staff engaged in personnel security and suitability operations. The individual will be responsible for first-level ...

Job Description · We're seeking a skilled Claims Examiner to join our team. In this role, you'll be responsible for analyzing complex claims and determining benefits due. · You'll work with high-exposure claims involving litigation and rehabilitation, ensuring ongoing adjudicatio ...

Job Overview · We are seeking a skilled professional to support our provider claims adjudication activities. · Responsibilities include addressing claim issues, researching, investigating and ensuring appropriate resolution of claims. · This role supports the resolution of provid ...

Claims Examiner · Detailed Analysis and Adjudication of Workers Compensation Claims · Review and process claims in a systematic and timely manner to ensure compliance with industry standards and client expectations. · Negotiate settlements within designated authority limits. · Ma ...

Job Opportunity · At our organization, you can apply your expertise to resolve complex customer issues in a dynamic work environment. · Utilize your knowledge and experience to provide innovative solutions to clients across various industries. · Leverage our global network of exp ...

Job Title: Citation Appeals Coordinator · This position involves interacting with diverse populations in high-volume customer-focused environments. · Main Responsibilities: · Review and process parking citation appeals, reconcile payments, and facilitate complaint resolution. · D ...

Job Opportunity · Sedgwick is an industry leader where you can bring your big ideas to help solve problems for some of the world's best brands. · Apply your knowledge and experience to adjudicate complex customer claims in a dynamic environment. · Deliver innovative solutions to ...

Job Overview · As a Claims Resolution Specialist, you will provide critical support for provider claims adjudication activities. · Analyze systems to resolve provider claims issues and collaborate with operational areas/provider billing. · Work closely with teams to address claim ...

Overview of our Claims Examiner role: · We are seeking an experienced professional to analyze and process complex claims efficiently. · The ideal candidate will have a strong background in workers compensation and the ability to deliver innovative solutions to clients. · This is ...

We are seeking a skilled Claims Adjudicator to join our team in FL PACE Centers. · Key Responsibilities: · Review and process medical and non-medical provider claims for accuracy and completeness. · Ensure timely submission of enrollments/disenrollments to Florida Medicaid and CM ...

Key Responsibilities · Collaborate with operational teams to resolve claims-related issues and facilitate efficient claim processing. · Analyze system discrepancies to ensure accurate claims adjudication. · Respond to providers' inquiries and concerns via phone and email, deliver ...

Claims Processor · This role involves processing professional and institutional claims, reviewing policies and benefits, and adhering to regulatory requirements. · Claim Processing: · Policy Review: · Regulatory Compliance: · The candidate will work independently to research, rev ...

Workers Compensation Claims Examiner · We are seeking an expert in workers compensation claims adjudication to join our team. In this role, you will be responsible for analyzing and processing complex customer claims in a dynamic environment. · You will analyze New York Workers C ...

The Adjudicator role is a pivotal position within our organization, responsible for facilitating the resolution of claims issues by working closely with operational areas and provider billings. · This involves analyzing systems to resolve claims issues and providing excellent cus ...

Claim Adjudication Role · This position involves analyzing and processing claims through well-planned action plans to achieve timely resolutions. · Key Responsibilities: · Developing and implementing effective claim strategies to ensure accurate and efficient resolution. · Negoti ...

Key Responsibilities · Investigate and resolve claims issues through collaboration with operational areas and provider billing teams. · Facilitate issue resolution by analyzing systems and identifying corrective actions. · Provide exceptional customer service to healthcare provid ...

Job Overview · The role involves resolving claims disputes, coordinating investigations, and verifying resolutions. Familiarity with operational areas and systems is necessary. · This position requires excellent customer service skills, documenting interactions, and assisting in ...

Key Responsibilities · Our ideal candidate will have strong analytical and problem-solving skills, with the ability to work effectively in a fast-paced environment. · Key responsibilities include: · Investigating and analyzing complex workers' compensation claims to determine ben ...