- Zurich NA (Tallahassee, FL)
- …is hiring a Marine Claims Senior Claims Specialist Role (With Hull and Liability experience preferred ) to join our team! We are open to remote work for the right ... to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating...assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the… more
- CenterWell (Tallahassee, FL)
- …Senior Primary Care's) highest need and complexity patients with care and case management services. The Director is response for the strategic direction, execution ... Transitions of Care Management (TCM) program, and Episodic Consult (single-use case specific offerings) programs designed to improve quality and reduce costs… more
- Elevance Health (Tampa, FL)
- …necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer consultation ... state(s). + Experience performing standard neurosurgical spine procedures independently. ** Preferred Skills, Capabilities and Experiences:** + Minimum of 3 years… more
- Elevance Health (Miami, FL)
- …care for our members, greater value for our customers, and greater health for our communities . Join us and together we will drive the future of health care. The ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
- 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. ... **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By...**What Will Our Ideal Candidate Have?** + Bachelor's Degree preferred . + 5 years business experience preferred .… more
- Molina Healthcare (St. Petersburg, FL)
- …Care experience. Bilingual candidates are encouraged to apply to support our diverse communities ! Hours: Monday - Friday 8:00 AM to 5:00 PM EST Remote position ... clinical HCS staff. Communicates findings to the Supervisor or Manager , HCS Department for resolution. + Maintains a minimal...guidelines and support staff who have an ongoing member case load for regular outreach and management. + As… more
- HCA Healthcare (Panama City, FL)
- …eligible qualified external candidates** **Relocation assistance may be available on a case by case basis** **Introduction** Experience the HCA Healthcare ... Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan,… more
- Duke Energy (Lake Wales, FL)
- …and benefits. Depending upon the desired qualifications of the successful applicant, the hiring manager may elect to fill this position at a higher level within the ... job hierarchy. The preferred location is Lake Wales, Florida; however, the selected...of a standard progression. The job requires a business case justification substantiating the necessity of a Lead role… more
- Elevance Health (FL)
- …background. + Peer Specialist Certification required. + Knowledge of care-coordination and case management concepts strongly preferred . BA/BS or MBA preferred ... is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Sarasota County Government (Sarasota, FL)
- …the adequacy of investigations; discusses report, as needed, with appropriate manager ; addresses any training needs, employee actions, and/or correction of any ... consults with and provides necessary data/claim information to Risk Manager and HR as needed. + Direct, conduct, and/or...are properly trained and understand their role in the case of an event, ie, hurricane, bomb threat, flooding,… more