- Sedgwick (Orlando, FL)
- …physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability plan; to ... world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey....claims based on the disability plan. + Determines benefits due, makes timely claims payments and… more
- Molina Healthcare (Orlando, FL)
- … benefit and provider contracts, regulatory requirements and various claims related resources + Strong experience using Microsoft Office applications such ... Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data… more
- Elevance Health (Tampa, FL)
- …AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines...of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred… more
- Public Consulting Group (Tallahassee, FL)
- …through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Sharecare (Tallahassee, FL)
- …in healthcare/health sciences OR equivalent experience in healthcare, preferably helping members navigate benefits and claims , OR held one or more of the ... from members (via voice and chat) for the following: + Help with eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID… more
- Sedgwick (Orlando, FL)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... world's most reputable brands + An assigned mentor and manager who will guide you on your career journey...opportunities through increasing responsibilities + A diverse and comprehensive benefits package to take care of your mental, physical,… more
- Sedgwick (Orlando, FL)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey....opportunities through increasing responsibilities + A diverse and comprehensive benefits package to take care of your mental, physical,… more
- Humana (Tallahassee, FL)
- …Proficient with Microsoft Excel **Preferred Qualifications** + Bachelor's Degree + Pharmacy Benefit Manager (PBM) experience + Experience working inside a ... 2 ensures contract compliance and performs analysis regarding pharmacy claims . Understands department, segment, and organizational strategy and operating objectives,… more
- Elevance Health (Miami, FL)
- …experience in CA Line of Business strongly preferred.** + **Experience in claims , benefits , billing and enrollments strongly preferred.** For candidates working ... point of service support (eg, phone and e-mail inquiries, claims , enrollment, billing) to Elite Broker contacts (Brokers, General...York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Zurich NA (Tallahassee, FL)
- …office/market three days per week. We may, at the sole discretion of the hiring manager , also be open to hiring talent remotely. Zurich Energy is a leading provider ... Executive Underwriter or AVP, Underwriting Director level. The hiring manager will determine the appropriate level based upon the...and 10 or more years of experience in the Claims or Underwriting Support area OR + Zurich Certified… more