- Sarasota County Government (Sarasota, FL)
- …with parties to encourage voluntary participation in mediation. + Facilitate small claims court proceedings and assign volunteers to mediate cases. + Schedule, ... the North County Program Director and provide coverage for judges during small claims pre-trials, along with other duties as assigned. About the Schedule Work Hours:… more
- Mass Markets (FL)
- …and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Humana (Tallahassee, FL)
- …an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and ... researching medical claims + Proficient in Microsoft Office (Word, Excel, Access, PowerPoint) + Working knowledge of SQL + Familiarity with EDI X12 formats… more
- Warner Music Group (Miami, FL)
- …reviewing/ drafting contracts affecting copyrights, licenses, royalties, fees, assisting with claims and settlements, and leading contract deadlines along with other ... to gather or share relevant documentation. + Support attorneys in responding to claims , notices, and litigation matters. + Assist with any special projects, as… more
- Amentum (Tallahassee, FL)
- …appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination with ... defense sectors.** + Deep knowledge of insurance products, risk financing, claims management, and enterprise risk practices. + Strong negotiation, communication, and… more
- Molina Healthcare (Tampa, FL)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more
- UIC Government Services and the Bowhead Family of Companies (Jacksonville, FL)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- Humana (Tallahassee, FL)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- MetLife (Tampa, FL)
- …Disability (STD), State Plans, PFML, and concurrent Absence Management Solutions (AMS) claims to ensure we meet or exceed customer expectations. Will engage business ... related field or equivalent experience * 7-8 years of related disability claims administration experience Preferred: * Prior training or management experience *… more
- Doosan Bobcat (Miami Lakes, FL)
- …export, and process related issue resolution in regards to shipping, documentation, claims , lead times and customer service. Acting as the main liaison between ... export, and process related issue resolution in regards to shipping, documentation, claims , lead times and customer service. Acting as the main liaison between… more