- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...and respond to carrier and/or arbitrator inquires + Submit claims through state arbitration portals Qualifications : To perform… more
- USAA (Tampa, FL)
- …environment, building, and testing new products and capabilities within the auto telematics claims space and helping chart the course for the future of USAA's ... related to product development, compliance, operational and process improvements, claims management, vendor management, product documentation, fulfillment, and/or system… more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist, Retirement - Lakeland **Department:** Benefits Administration **Location:** Lakeland, FL ... Matter Expert (SME) for the Retirement business area, + Processing beneficiary claims for PROFIT Plan distributions, + Providing premier customer service to lobby… more
- Molina Healthcare (Jacksonville, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- USAA (Tampa, FL)
- …systems to collect and analyze data. **What sets you apart:** + P&C Property Claims Operations and/or Optimization experience + Over 2 years MCO experience + Deep ... operational knowledge of end-to-end Property Claims processes + Demonstrated knowledge of new and emerging industry technology solutions + Proven ability to use… more
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... task and workflow analysis. + Interpret customer business needs in the claims space and translate them into application and operational requirements + Communicate… more
- USAA (Tampa, FL)
- …Opportunity** As a dedicated **Strategic Account Relationship Manager Senior for Claims Optimization** , you will be responsible for developing, managing, growing, ... + Travel may be required. **What sets you apart:** + P&C Claims Operational experience, industry knowledge of contract requirements and experience with oversight… more
- Insight Global (Bonita Springs, FL)
- Job Description Insight Global is looking for a Legal Claims Assistant who will assist the legal team which manages the processes associated with reporting and ... investigating lawsuits, counterclaims and regulatory inquiries and also provides other support in the legal operations of the company. Responsibilities include: Manage assigned cases to resolution Liaise with members of the Legal Department, network and… more
- Healthfirst (FL)
- …within any area of operations (Member Services, Enrollment & Billing, Claims , Provider Services, etc.). + Experience with database reporting and automation, ... budgeting or internal audit processes. + Experience monitoring quality in a reporting and analysis environment. + Experience conducting root-cause analysis and making recommendations based on your findings. + Experience with Tableau, Alteryx, or similar data… more
- Command Investigations (Jacksonville, FL)
- …hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or ... Homeowners Investigations. + Writing accurate, detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Accident scene investigations + Possession of a valid driver's license + Ability to prioritize and organize… more