- Elevance Health (Tampa, FL)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines… more
- Sedgwick (Tampa, FL)
- …General Adjuster - Southeast Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... and non-complex National Accounts. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines claim forms and other records to determine insurance coverage. +… more
- Sedgwick (Tallahassee, FL)
- …criteria; to provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated program through training and ... reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work guidance.… more
- Travelers Insurance Company (Tallahassee, FL)
- …key decisions. You will be working with the Pricing, Product, Underwriting, and Claims teams to both learn the business and communicate your findings and ... B&SI reserving team embraces innovative methods, such as advanced claim level models, you'll play a key role in...the Financial Institutions business unit. + Work with the Claims department to ensure best estimates are appropriately reserved… more
- CVS Health (Tallahassee, FL)
- …Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive claims research on ... Explain provider's rights and responsibilities in accordance with contract. + Process claim referrals, new claim handoffs, nurse reviews, provider complaints,… more
- USAA (Tampa, FL)
- …coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable ... procedures for business activities. + Adjusts non-attorney involved soft tissue bodily injury claims , as well as all auto physical damage associated with those … more
- LEGOLAND (Winter Haven, FL)
- …organization of the reporting/tracking process related to incidents & injuries. Reviews claim forms and related documents for completeness in addition to maintaining ... the system as new information is received in regards to guest/employee incidents and claims management. + Follows up on the status of all General Liability, Bodily… more
- MyFlorida (Tallahassee, FL)
- …or additional claims . This is accomplished through tracking the assigned claim load and utilizing the benefit payment system. + Answers inquiries from claimants, ... issues and the chargeability of employer accounts for benefit payments on claims . This may be accomplished telephonically, through written correspondence, or through… more
- Sedgwick (Orlando, FL)
- …Adjuster - Power/Energy (SE & SW Regions) **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other companies ... including handling accounting-based losses (business interruption and stock). + Examines claim form and other records to determine insurance coverage. + Interviews,… more
- MyFlorida (Fort Lauderdale, FL)
- …or additional claims . This is accomplished through tracking the assigned claim load and utilizing the benefit payment system. + Answers inquiries from claimants, ... issues and the chargeability of employer accounts for benefit payments on claims . This may be accomplished telephonically, through written correspondence, or through… more