- CHS (Clearwater, FL)
- **Overview** ** Claims Manager ** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims...and member-focused service. With at least 5-7 years of claims operations management experience and strong leadership… more
- Molina Healthcare (St. Petersburg, FL)
- …configuration, and testing for platforms such as Salesforce ( case management , integrations), QNXT (or similar core claims ), RPA/automation, and ... they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span… more
- USAA (Tampa, FL)
- …+ Recognizes and solves routine and intermediate issues arising out of legal case management . + Follows practices and processes to achieve results to ... us special and impactful. **The Opportunity** As a dedicated ** Claims Litigation Manager - Section II** , you...apart:** + 4 or more years of injury Litigation Case management under the Homeowner/Renter Policy Contract/Umbrella… more
- CVS Health (Tallahassee, FL)
- …improvements across key provider journeys including self-service / digital transactions, claims management , dispute resolution, and more. They will directly ... Strong organizational skills **Preferred Qualifications** + Prior experience across common claims management tools / resources including Availity provider… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management . The Manager leads a team of ... duty per International Maritime Health standards. + **Crew Medical Claims Management ** + Escalate high-risk crew cases...schedule for crew medical support. + Support the Senior Manager of Case Management in… more
- Carnival Cruise Line (Miami, FL)
- This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case management . The Manager leads a team of ... duty per International Maritime Health guidelines. + **Crew Medical Claims Management ** + Review crew cases of...schedule for crew medical support. + Support the Senior Manager of Case Management in… more
- Zurich NA (Maitland, FL)
- …organizations. **This role will be filled at either the** **Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate ... + Develop and implement effective claim resolution strategies, including case evaluations, issue escalation, and timely disposition planning. +...and 4 or more years of experience in the Claims and Litigation Management area.OR + High… more
- CVS Health (Tallahassee, FL)
- …functionality. - Reviews prior claims to address potential impact on current case management plan. - Assessments include the member's level of work capacity ... however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and… more
- Sedgwick (Tampa, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager ... order to be considered.** **Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick… more
- Elevance Health (Tampa, FL)
- …states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of ... **Telephonic Nurse Case Manager II** **Location:** This role...providing services in multiple states. + Minimum 2 years Case Management experience; or any combination of… more