Claims Adjudicator - Miami, FL - BMI Companies

The Claims Adjudicator is responsible for reviewing and processing international private medical insurance claims with accuracy, · Review medical claims and supporting documents to determine coverage eligibility. · ...

Description · POSITION PURPOSE: · Effectively and accurately applies policy conditions of coverage, processing guidelines and cost containment knowledge into the adjudication of global health claims and comprehensive cases. · ESSENTIAL JOB DUTIES AND RESPONSIBILITIES: · Proces ...

Effectively and accurately applies policy conditions of coverage, processing guidelines and cost containment knowledge into the adjudication of global health claims. · ...

Effectively and accurately applies policy conditions of coverage processing guidelines and cost containment knowledge into the adjudication of global health claims. · Processes all types of global health insurance claims Conducts post claim underwriting reviews to identify possib ...

· We are seeking a System Configuration Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing inde ...

· We are seeking a Care Manager to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vul ...

We invite you to grow your career with us experience our caring culture enjoy work-life balance here there's no limit to what you can achieve newsweek recognizes sedgwick as america's greatest workplaces national top companies certified as a great place to work fortune best workp ...

· Full-time · Description · Position Summary  · The Claims Supervisor manage the operational activities and staff of the Revenue Cycle Department in accordance with the Company guidelines, client needs, State and Federal requirements.  · Duties and Responsibilities · Oversee and ...

The Claims Analyst reports to the Claims Department Manager of the MWG-International Division. · Analyzing the claims to properly adjudicate it according to the policy benefits and limitations. · Responsible for all emails and phone calls with clients and agents regarding the ass ...

This role enables associate to work virtually full-time with maximum flexibility and autonomy. The Financial Operations Recovery Specialist I is responsible for keying processing and/or adjusting health claims in accordance with claims policies and procedures. · Participate in cl ...

· Full-time · Description · Position Summary · The Claims Supervisor manages the operational activities and staff of the Claims Department in accordance with the Company guidelines, client needs, and State and Federal requirements. · Duties and Responsibilities · • Oversee and m ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partne ...

· We are seeking a Senior Business Analyst to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence ...

The Claims Analyst reports to the Claims Department Manager of the MWG-International Division. The position is a non-exempt, hourly role and is located at 75 Valencia Avenue, Suite801, Coral Gables, Florida 33134. · GENERAL JOB DUTIES AND RESPONSIBILITIES: · To perform the job su ...

The Claims Analyst reports to the Claims Department Manager of the MWG-International Division. The position is a non-exempt, hourly role and is located at 75 Valencia Avenue, Suite801, Coral Gables, Florida 33134. · Find out more about this role by reading the information below, ...

· Full-time · Description · Summary · The Collector is responsible for the accounts receivable including the collection, coordination of billing processes and communicating trends and patterns to the claims and finance team. Properly apply contractual obligations and adjustments ...

The Medical Claims Coordinator is responsible for monitoring insurance carrier adjudication of TeamVision medical claims for one or more doctor practices. Review medical claims and transmit to the insurance carrier using the practice electronic health records (EHR) system and cle ...

We are seeking an experienced software development advisor to join our team. The ideal candidate will have years of experience with Oracle database and PL/SQL. · Experience in creating data model and ER models · Working knowledge of Linux shell scripts · ...

Lensa es un sitio de carrera que ayuda a los buscadores de empleo a encontrar grandes trabajos en EE. UU. · Análiza y procesa complejos o técnicamente difíciles terceros propiedad daños e indemnizaciones por lesiones personales al investigar y recopilar información para determina ...

Overview Of Position · Assurant is looking for Financial Services Claims Adjusters to join our growing team If you are motivated, solution-oriented and have a passion for providing great customer service, come grow a fulfilling career with us · As an Adjuster, you'll provide be w ...

OneImaging is solving the process for undergoing a medical imaging exam with a concierge approach and a premium-quality radiology network of over 4,000 vetted providers across 48 states. · We are seeking a detail-oriented Principal to support the successful onboarding and integra ...