BMI Companies, part of BMI Financial Group, has nearly five decades of experience providing insurance and solutions for families worldwide. Specializing in high-quality Life Insurance, Health Insurance with global coverage, and Travel Assistance Plans, BMI is committed to innovating insurance products for the international community.
The Claims Support Specialist plays a pivotal role in providing specialized support for the claims process, ensuring accurate claim processing, effective communication with members and healthcare providers, and ensuring compliance with industry standards . Unlike traditional customer service roles, this position involves in-depth knowledge of medical billing, insurance protocols, claims adjudication, and regulatory guidelines . The role will be expected to interpret complex claims data, assist in resolving issues related to claim disputes, and collaborate with cross-functional teams to enhance the overall claims process.
Key Responsibilities :
Member & Provider Interaction :
Claims Research & Investigation :
Escalated Claim Resolution :
Training & Mentoring :
Key Skills and Competencies:
Advanced Knowledge of Health Insurance Claims :
Analytical Thinking :
Problem-Solving & Decision-Making :
Regulatory Knowledge :
Communication Skills :
Customer-Centric Mindset :
Time Management & Multi-tasking :
Education :
Experience :
Technical Skills :
Must be bilingual- Spanish / English
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