- Sedgwick (Jacksonville, FL)
- …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Auto Claims Representative, Liability **PRIMARY PURPOSE** : To analyze and process low to… more
- Cognizant (Tallahassee, FL)
- …and able to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication of professional and ... hospital claims utilizing payer specific policies and procedures. Provide support...stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA… more
- CRC Insurance Services, Inc. (FL)
- …for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports ... accuracy in reporting. Audit invoices for accuracy. 5. Process incoming and outgoing claims and vendor payments. 6. Perform claim status requests and updates.… more
- The Hartford (Lake Mary, FL)
- …the Claims customer journey by aligning AI capabilities with the Claims strategy, enabling enhanced claim outcomes, process and experience. This leader ... team as we help shape the future. Vice President, Claims Data Science & AI The Hartford is hiring...develop, test, and maintain robust AI capabilities across the claim lifecycle, including routing work to the appropriate resources,… more
- Molina Healthcare (Orlando, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of ... claims . Ensures that claims are settled in...Procures all medical records and statements that support the claim . + Makes recommendations for further investigation or resolution.… more
- Molina Healthcare (Orlando, FL)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage… more
- The Walt Disney Company (Kissimmee, FL)
- …for the investigation, management, and disposition of Florida workers' compensation claims for the Walt Disney World Resort and affiliated companies. Candidates ... license in good standing + Minimum of 3 years workers compensation claims handling experience, including but not limited to, coverage verification, comprehensive … more
- Zurich NA (Maitland, FL)
- WC Senior Claims Specialist 126746 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing ... your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct… more
- Elevance Health (Tampa, FL)
- … Claims Train data, CAST Train data; CAST Lights On mgmt., E2E claim lifecycle Vetting; FICR; MGCT# Post adjudication; CPEC- Claims Payment Extract and ... **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to...as required by law. The **Business Architect Sr. - Claims Systems** will be part of Elevance Health's National… more
- USAA (Tampa, FL)
- …and impactful. **The Opportunity** Accountable for the auto, property or other claims operation to deliver business results at scale. Responsible and accountable for ... the operational execution of the member experience in claims . Creates and delivers a strategic focus on world class member experience and operational results.… more