- Travelers Insurance Company (Tampa, FL)
- …with insured based on application of policy information to facts or allegations of each case . + Consults with Manager on use of Claim Coverage Counsel as needed. ... negotiating and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Sedgwick (Tallahassee, FL)
- …accredited college or university preferred. Certified Rehabilitation Counselor (CRC), Certified Case Manager (CCM), or Certified Disability Management Specialist ... employment positions as requested by referral sources or employers; to assist case management staff with client competence decisions for individual positions; to… more
- MyFlorida (Tallahassee, FL)
- …Integrity Unit. * In collaboration with the team and the Program Integrity Unit Manager , draft investigative work plans and develop case strategies based upon ... design and implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile research, data… more
- CDM Smith (Orlando, FL)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or… more
- Sedgwick (Orlando, FL)
- …from some of the world's most reputable brands + An assigned mentor and manager who will guide you on your career journey + Career development and promotional ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Sysco (Auburndale, FL)
- …workplace hazards. Escalating resistance/challenges to leadership and direct line manager to facilitate problem solving. **Duties and Responsibilities:** + Execute ... on injury trends, KPIs, and risk assessments. + Support the workers' compensation claims process by completing OSHA determinations, identifying gaps in claims … more
- Walgreens (Wellington, FL)
- …strong relationships with most valuable customers, and builds relationship with case managers, nurses and other hospital staff members. **Operations** + Under ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- USAA (Tampa, FL)
- …P&C Claims Operations and/or Optimization experience. + 2+ years of MCO ( Manager , Claims Operations) experience. + Deep operational knowledge of end-to-end ... process improvement efforts. + Lead solution development including business case / benefits substantiation and drive business requirements for...claims processes. + Demonstrated knowledge of new and emerging… more
- Molina Healthcare (Tampa, FL)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of… more
- The Robison Group (Pensacola, FL)
- …GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager , Case Management, etc. Department Surveillance Employment Type Part time ... the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil… more