- CVS Health (Miami, FL)
- …and our clients, offering in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open ... and every day. **Position Summary** The Senior Analyst, Account Manager at CVS Health, you will play a critical...and Resolve:** Handle member inquiries and escalations related to benefits , claims , eligibility, and policy interpretation by… more
- Kemper (Lake Mary, FL)
- …internal and external training programs to advance knowledge in the area of insurance claims . + Work closely with the Litigation Manager and/or Director and ... investigate, evaluate and handle to conclusion attorney represented injury claims , complex injury claims , and litigated ...An Equal Opportunity Employer, M/F/D/V_ **Our employees enjoy great benefits :** * Qualify for your choice of health and… more
- HUB International (Gainesville, FL)
- …+ Strong community support and involvement through HUB Gives **SUMMARY:** The Employee Benefits Account Manager markets and services accounts in accordance with ... on each insurance company for review and use in determining coverage costs and benefits . + Key detailed claims activity and costs into electronic programs as… more
- AdventHealth (Maitland, FL)
- **All the benefits and perks you need for you and your family:** Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health ... Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation of financial and… more
- Marriott (Lake Buena Vista, FL)
- …quality control on candidate identification/selection. **Administering and Educating Employee Benefits ** * Works with the unemployment services provider to respond ... to unemployment claims ; reviews provider reports for accuracy and corrects errors....* Ensures employee issues are referred to the Department Manager for resolution or escalated to the Director of… more
- Carnival Cruise Line (Miami, FL)
- …include reviewing care plans, coordinating with internal stakeholders, supporting disability claims , and facilitating return-to-work planning. The Manager also ... This role reports to the Senior Manager of Case Management and oversees the daily...compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is ... **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on...staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria… more
- HUB International (Tallahassee, FL)
- The Client Relationship Manager acts as a liaison between the client and insurance carriers for service, enrollment, claims and administration; constantly ... and claim representatives) and client contacts. + Confidentially assist with all claims matters and bring to resolution with proper documentation and follow up… more
- Adecco US, Inc. (Orlando, FL)
- …Operating within a designated territory, the FRM provides expert guidance on benefit investigations, prior authorizations, claims resolution, and appeals. This ... 2. Lead the resolution of high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring… more
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