- The Hartford (Lake Mary, FL)
- …are looking for a Vocational Rehabilitation Case Manager to support our disability claims team. The selected individual shall serve the needs of individuals whom may ... requests, short term, as well as long term disability claims for possible case management involvement. The focus of...returning to work. This individual will also assist the claim examining staff in evaluating vocational information to determine… more
- CVS Health (Tallahassee, FL)
- …analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate Medicaid regulatory & ... to non-technical audiences. + 2+ years experience interpreting medical claim data + Advanced experience in SQL & Python...fraud, waste and abuse + Knowledge of Medicaid healthcare claims adjudication (QNXT) & regulatory reporting + Experience with… more
- BrightStar Care (Naples, FL)
- …into a database using this set medical protocol to produce a statement or claim . * Investigate rejected claims , verify this information with the health provider, ... of billing and payroll.. Managing Authorizations , appeals and re- submission of claims . Posting cash etc. Must be detail oriented and organized . Ability… more
- Sedgwick (Tallahassee, FL)
- …to manage a team of adjusters and surveyors and to produce quality claim handling and services. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Builds and maintains ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… 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
- Bombardier (Opa Locka, FL)
- …system updates and close the work order + Manage OEM invoice disputes and claims (from claim filing to resolving disputes and securing payments) + Support ... the research for end Customer disputed invoices including issue credits and additional billings + Monitor open and yet to be billed pipeline work orders + Adjudicate warranty programs for Bombardier + Interpret, adjudicate, prepare, and invoice Bombardier… more
- HCA Healthcare (Tampa, FL)
- …companies (in writing, on the phone and/or electronically) to escalate and resolve claim payments for unpaid, underpaid and denied accounts that are escalated by ... format for obtaining third-party liability information for liens and workers compensation claims + Consolidate claims for insurance carriers in receivership or… more
- HCA Healthcare (Pensacola, FL)
- …apply now. What you will do in this role: + You will transmit claims to billing vendors, process/ correct insurance rejects, process re-bills, and work unbilled ... and update required information, insurance requirement edits, and follow-up on pending claims + You will attach i-bills or implants invoices to paper billing… 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
- CDM Smith (West Palm Beach, FL)
- …expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes of work, and costs ... by providing updates on work status and may evaluate claims and make recommendations to FEMA as to whether...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more