- Aston Carter (Medley, FL)
- …queries, manage AR aging, and inform management about collections and outstanding claims status. The role involves interfacing with customers regarding past due ... for accounts. This position requires reviewing and processing invoices and claims , resulting in payment applications, credits, denials, and the collection of… more
- USAA (Tampa, FL)
- …analyze data. **What sets you apart:** + Broad experience and expertise in Claims Investigations to include enabling new or enhanced capabilities. + Familiarity with ... Auto Claims Telematics and application to Investigations + Experience working...for process changes. + Proficient with and in Guidewire Claim Center to include design, enhancements, and overall development.… more
- Adecco US, Inc. (Orlando, FL)
- …the FRM provides expert guidance on benefit investigations, prior authorizations, claims resolution, and appeals. This client- and customer-facing role requires ... high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient access. 3.… more
- HUB International (Tallahassee, FL)
- …a liaison between the client and insurance carriers for service, enrollment, claims and administration; constantly maintaining quality and service standards as it ... liaison role with insurance company service partner contacts (such service and claim representatives) and client contacts. + Confidentially assist with all claims… more
- The Hartford (Lake Mary, FL)
- …the state. The selected individual will be required to work closely with our claim centers and insureds to deliver the best possible result in pending litigation. ... and co-counsel with professional diplomacy and discretion. + Participate in claims file reviews. + Independently conduct trials, depositions, arbitration, and… more
- MDD Forensic Accountants (Fort Lauderdale, FL)
- …+ Perform forensic research to trace funds and identify assets for recovery + Verify claim to source documents + Evaluate insurance claims and economic damage + ... corporations, government entities, and individuals calculate the true economic damage of claims or disputes. MDD is looking for a Staff Accountant to serve… more
- Zelis (St. Petersburg, FL)
- …who you are. Position Overview The Manager, DRG Validation of the Expert Claims Review (ECR) department is responsible for daily operations and team management of ... you'll do: + Oversee the DRG validation process including management of claim assignment and queues, adherence to client turnaround time and department procedures… more
- UNUM (Tallahassee, FL)
- …Rehabilitation. This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards as set forth in the Benefits… more
- NextEra Energy (Miami, FL)
- …Responsibilities * Receives inbound calls and responds to customer requests, inquiries, claims processing inquires, billing or claim disputes. * Handle ... FPLES team, you will be responsible for assisting customer with filing claims , providing detailed explanations of services or products, listening to customers… more
- US Tech Solutions (Orlando, FL)
- …complete the patients profile and the dispense process + Adjudicating pharmacy claims , reviewing and resolving claim rejections; contacting insurance plans for ... in the dispensing process by performing data entry, prescription preparation, claims processing, labeling, packaging, packing and delivery of medications and related… more