Healthcare Claims Integrity Specialist
Independent Living Systems, llc
Independent Living Systems is seeking a Claims Examiner in Miami, FL to thoroughly review and evaluate insurance claims for accuracy and compliance. You will analyze medical documentation, policy terms, and billing data to determine validity, collaborating with providers and internal teams to resolve issues and ensure timely reimbursement. The role requires 2+ years in claims/exam, familiarity with ICD-10/CPT, and proficiency in claims software and MS Office. #J-18808-Ljbffr Independent Living Systems, llc
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$20.62 - $26.19 per hour
Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians... ...Complete knowledge of government regulations including UB04 ;1500 claim form requirements ; MN and CCI. Proficient in Microsoft Office...SuggestedRemote jobWork at office$125k - $175k
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...repayment capacity, evaluate risks, and protect the portfolio ensures capital is deployed responsibly and the business can scale with integrity.Background Great candidates for this role may come from:5+ years of revenue-based financing or merchant cash advance underwriting...Relocation package$62.8k - $85k
Frontline PIP Senior Claims Adjuster - National General 18 hours ago Be among the first 25 applicants Get AI-powered advice on this job... ...Exchange, VelaPoint, Quotit, HealthCompare, AHCP, NHIC, Healthcare Solutions Team, North Star Marketing, Euro Accident. Benefits...Full timeWork at officeRemote workVisa sponsorshipWork visaFlexible hours- Old Republic Commercial Risk in Miami, FL is seeking a Claims professional to manage medical only and limited lost time claims and to oversee permanent total claims to minimize losses while delivering outstanding service. The role requires at least one year of workers'...Permanent employment
- ...seeking a detail-oriented, analytical, and results-driven Medical Claims Specialist to join our team. As a Contestation Specialist, you will... ...requirements. This is an excellent opportunity for a healthcare analytics professional who enjoys problem-solving, financial...
$53.25k - $88.75k
...experience focused on providing quality cost-effective plans andexcellent Member services. AvMed is part of Sentara Healthcare , an integrated, not-for-profit health care delivery system celebrating more than 130 years of history with 30,000 employees, 12...Full timeTemporary workRemote workShift work- ...closely with internal stakeholders, including Underwriting Support, Claims, Actuarial, and Directors of Underwriting across GRS North... ...customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first...Local area
- ...Check renewals regularly and review by exception.* Review underwriting figures on a regular basis in order that unusual trends, data integrity issues, and/or adverse movements may be dealt with by appropriate action.* Remain alert to developments affecting the business,...Worldwide
- Sedgwick is seeking a Licensed Auto Claims Adjuster - Bodily Injury Specialist in Miami, FL. The role involves managing auto claims, assessing liability, and negotiating settlements. The ideal candidate will have a Bachelor's degree, four years of claims management experience...
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- ...ago Requisition ID: 3290 We are seeking a Claims Examiner to join our team at Independent... .... The Claims Examiner collaborates with healthcare providers, and internal teams to resolve... ..., this role contributes to the integrity and sustainability of the organization by...Full timeWork at office
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- # Property Insurance Claims ProcessorRemote Full-timeDaily Drop — Subscriber PerkReduce DebtUp to $500 to reduce debt fastJoin to Unlock... ...high-quality properties in most major markets. We value integrity, respect, collaboration, customer focus, and performance. These...Temporary workRemote workHome officeOverseas
- ...appropriateness of payments authorized. Evaluates claims referred for medical management and... .... Our innovative care management model integrates the needs of providers, payors and... ...dollars savings that keep the cost of healthcare down. We are building a model for managing...
- ...Title This position exists to provide essential support to the claims process to ensure corporate client expectations are... ...and Abilities/Attitudes Knowledge of various international healthcare services and medical billing practices. Comfort with Microsoft...Work experience placement
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- ...Worker’s Compensation experience to join their team. They are a fast-growing, diverse company with a strong emphasis on values and integrity and are looking for the next generation of industry professionals. They offer stability as well as great benefits and compensation...Full timeTemporary workWork at office
- Independent Living Systems (ILS) in Miami, FL is seeking a full-time Claims Examiner to review health insurance claims for accuracy and... ...has a minimum of 2 years in claims examination or related healthcare billing, a solid grasp of medical terminology, and experience with...Full time
$16 - $17 per hour
...collaborating with sales agents to issue accurate and timely quotes and policies. Your insight will be essential in maintaining the integrity of our portfolio while supporting the agency’s growth. Required Qualifications Valid Florida 4-40 or 2-20 Insurance...Hourly payFlexible hours$86.25k - $172.5k
Job ID: R223137Posted: 2026-07-27Location: OH - Cincinnati (45202); IL - Chicago; DC - Washington; GA - Atlanta; FL - Tampa; OR - Portland; KY - Louisville; TX - Dallas; CA - Calabasas; CA - San Francisco; OH - Cleveland; AZ - Phoenix; KS - Overland Park; MA - Boston; CA...Full timeTemporary workPart timeWork experience placementWork at office$120k - $150k
Join us as a Senior Underwriting Specialist to grow your career at the forefront of Political Risk Insurance. It’s an opportunity to grow your skills and experience as a valued member of the team.Make your mark in Political Risk insuranceAIG Underwriting teams help to...Full timeWork at office- ...Job Description Position Purpose: The Claims Quality Business Analyst is responsible... ...claims adjudication, encounter data integrity, and continuous process improvement.... ...Experience Required ~ Bachelor's degree in Healthcare Administration, Business Administration,...Contract work
- ...based in Miami, Florida, is seeking an experienced Litigation Claims Adjuster. This role involves effective management of Bodily Injury... ...and significant experience in claims adjusting. We prioritize integrity and excellence, offering a hybrid work schedule after a 90-day...
- ...COMMUTE TO/FROM OUR OFFICE IN CORAL GABLES, FLORIDA. Ascendant Claims Services LLC, a trusted affiliate of Ascendant Commercial... ...organization. At Ascendant, our core philosophy is simple: serve with integrity, professionalism, and excellence. We’re looking for the next...Work at officeLocal areaRemote workWork from home
$17 - $27.2 per hour
...About CarMax At CarMax, we revolutionized the used car buying experience over 30 years ago by introducing transparency and integrity into the process. Our commitment to customer experience, innovation, and community has made us the nation's largest used car retailer...Hourly payFull timeNight shiftWeekend work
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