- Allied Universal (Tallahassee, FL)
- …files associated with the program + Assist with the workers' compensation claims management by issuing and obtaining claim paperwork, collecting statements, ... of payroll discrepancies, compliance reporting, uniform/equipment management, and unemployment claims . This hands-on position is responsible for branch-level administration.… more
- CDM Smith (Fort Myers, FL)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those...Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI… more
- AdventHealth (Orlando, FL)
- …The CRM identifies potential compensatory events and works collaboratively with claims management coordinators to mitigate litigation. The CRM is responsible for ... and reports to the Risk Management Director and to claims management any occurrence which has the potential to...which has the potential to give rise to a claim + Manages the formal Patient Grievance process per… more
- Sedgwick (Tallahassee, FL)
- …evaluates, negotiates, and resolves recreational marine or personal watercraft claims internationally, regardless of complexity and quantum. **ESSENTIAL FUNCTIONS ... and RESPONSIBILITIES** + Investigates recreational marine or personal watercraft claims thoroughly using technical expertise and complex analysis. + Examines… more
- CVS Health (Tallahassee, FL)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... + 2+ years of experience working in an accounting system, including accounts receivable, accounts payable, auditing, and billing. **Preferred Qualifications** + Resides in Amherst, New York, with the ability to work a hybrid schedule in the local office. +… more
- CVS Health (Tallahassee, FL)
- …data into meaningful and actionable information. This role is responsible for medical claims and economics reporting and analytics for a book of Middle Market and ... cost, basic provider/network concepts, partnering with PSL on operational claim research. + Relationship management: Demonstrated relationship management skills at… more
- Molina Healthcare (FL)
- …Evaluate root cause for the disputes and recommend improvements to reduce claim errors and prevent improper payments. + Provide actionable insights and ... care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of… more
- Highmark Health (Tallahassee, FL)
- …dental offices. Formally present and effectively communicate UCD's administrative and claim guidelines and policies, benefits of participation, fee schedules, plan ... ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with… more
- Molina Healthcare (Miami, FL)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases… more
- City of Lakeland (Lakeland, FL)
- …the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements and ... initiatives/clinic. Responsibilities include directly supervising Safety, Health Benefits, and Claims Team Leaders; Risk Management support staff and Wellness… more