- Highmark Health (Tallahassee, FL)
- ** Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job creates data-driven insights which identify actionable opportunities and/or create ... 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership… more
- CVS Health (Tallahassee, FL)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches...in the required timeframe. - Facilitates the recovery of company lost as a result of fraud matters. -… more
- CVS Health (Tallahassee, FL)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. +...timeframes required by Law. + Facilitates the recovery of company and customer money lost as a result of… more
- CVS Health (Tallahassee, FL)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... setup, essential for online viewing and processing, related to customer service, claims , enrollment, billing, and reporting, in support of internal and external… more
- Prestige Employee Administrators (Tampa, FL)
- Company Overview: For more than 25 years, PrestigePEO has provided cost-effective employee benefits and HR services, transparent pricing, and personalized, quality ... Bonded by shared goals, we're a data-driven and results-focused company committed to solving any HR issue, big or...Collect and maintain plan documentation + Audit plans + Claims assistance + Partner with Accounting to reconcile bill… more
- Acosta Group (Jacksonville, FL)
- …high-severity Workers' Compensation and liability claims . Supervise the Sr. Risk Claims Analyst and ensure alignment with best practices. + Vendor and ... Director** is responsible for the strategic oversight and execution of the company 's insurance and risk management programs. This role leads the development,… more
- HUB International (Tallahassee, FL)
- …Develop and maintain effective working relationships in liaison role with insurance company service partner contacts (such service and claim representatives) and ... a liaison between the client and insurance carriers for service, enrollment, claims and administration; constantly maintaining quality and service standards as it… more
- Highmark Health (Tallahassee, FL)
- ** Company :** United Concordia Dental **Job Description :** **JOB SUMMARY** This job leads a team charged with the responsibility of reviewing, verifying, ... to customers, including Groups, Sales and Support teams within the company . Responsible for resource planning, budget compilation and attainment. Provides tools… more
- Prime Therapeutics (Tallahassee, FL)
- …years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given… more
- American Express (Sunrise, FL)
- …consumer lending is a top priority for American Express, especially as the company mobilizes to capitalize on key growth opportunities. As a result, the Product ... partners to improve customer experience, deliver on business goals and enhance claims and servicing + For external partners, responsible for ensuring all strategic… more