- 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
- Sedgwick (Orlando, FL)
- …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 ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Molina Healthcare (Miami, FL)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims , Provider Services and Contracting. * Identifies issues, resolves problems… more
- Marriott (Longboat Key, FL)
- …required OSHA programs and statistical data. * Assists in the management of claims by ensuring proper procedures are followed and documented. * Brings issues to ... as necessary. * Report all employee accidents and guest liability incidents to Claims Reporting Service in a timely manner. * Administer property policies fairly and… more
- LogixHealth (Dania Beach, FL)
- …collaborative environment and bring your expertise to ensure groups can submit claims to insurance carriers for reimbursement . The ideal candidate will have ... services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients… more
- Utilities Service, LLC (Palm Bay, FL)
- …the crew. + May be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims . + Maintains accurate records, ... timesheets, and reports related to the performance of the crew operation. + Controls crew costs, including effective use of people-power, work methods, operation of equipment, etc. + Furnishes General Foreperson and utility representative with reports of… more
- Kemper (Tampa, FL)
- …and state requirements. + Works directly with strategic partners like Product, Claims , and Operations on issues impacting the account. + Performs other duties ... sales/marketing management experience + Extensive knowledge of insurance operations: claims , coverages, products and underwriting is preferable to effectively… more
- AdventHealth (Altamonte Springs, FL)
- …gaps in lowering the cost of care. The Analyst uses healthcare data ( claims , labs, EHR data) analytics to gain insights into provider ordering, member adherence, ... interfaces such as Tableau, Business Objects + working with healthcare, insurance or claims data + Six Sigma certified This facility is an equal opportunity employer… more