- Molina Healthcare (Tampa, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... life cycle + Gains a deep understanding of Molina claims life cycle and all processes that affect ...claims life cycle and all processes that affect claims payment + Develops and maintain standards and best… more
- Walmart (North Miami Beach, FL)
- …Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures ... Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Publix (Lakeland, FL)
- …wide range of liability matters including premises, fleet, pharmacy, and product claims . + Develop and refine internal litigation processes and policies for ... attorney-represented and litigated claims . + Provide strategic legal counsel to senior leadership...related field. + 5-7 years of experience managing tort claims in a corporate legal or insurance setting. +… more
- Zurich NA (Tallahassee, FL)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 4 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of line/s… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …is responsible for managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial ... + Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing...their customers + Research, analyze and appropriately resolve rejected claims by working with national Medicare D plans, third… more
- Kubicki Draper (Tampa, FL)
- …and civil litigation experience required, with emphasis on third-party bodily injury claims as well as handling extensive personal injury claims , including ... traumatic brain injuries, significant injuries to property or business and wrongful death claims . Trial experience is a plus. Your Day-to-Day: + Draft, review, and… more
- Evolent (Tallahassee, FL)
- …into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant ... findings. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data.… more
- Arlington Toyota (Jacksonville, FL)
- …clarify discrepancies, and provide any additional information needed to approve claims . * Customer Communication: Explain estimates, repair options, and the ... claims process to customers in a clear and empathetic...of experience in collision estimating, automotive repair, or insurance claims , preferably in an auto body shop or insurance… more
- AdventHealth (Maitland, FL)
- …various sources using knowledge of healthcare managed care contracts and administrative claims data. + Employs existing complex models and implements them on new ... and capitation Working knowledge of population health, utilization measurement, and claims analytics Managed Care, Patient Financial services, health insurance … more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more