- Highmark Health (Tallahassee, FL)
- …Dental **Job Description :** **JOB SUMMARY** This job provides account support activities associated with the implementation and administration of groups and ... interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. The incumbent may… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support for claims processing and claims research. The ... management, and strategic coordination across multiple departments to resolve systemic claims processing issues. The Sr. Analyst provides thought leadership,… more
- Elevance Health (Lake Mary, FL)
- …accommodation is granted as required by law. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to the Cost of Care and/or ... **Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and… more
- Elevance Health (Lake Mary, FL)
- …accommodation is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst ** is responsible for provides analytical support to the Cost of ... **Cost of Care/Provider Contracting Data Analyst ** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and… more
- Highmark Health (Tallahassee, FL)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs,… more
- Travel + Leisure Co. (Orlando, FL)
- …exceptional experiences for millions of travelers worldwide. The **Workers Compensation** ** Claims Analyst ** is responsible for supporting workers' compensation ... for the organization. This cost management role would consist of proactive claim administration for workers' compensation claims by providing analysis on… more
- WTW (Miami, FL)
- **Description** We are seeking a highly motivated individual to join our Company as a Claims Analyst based in Miami. The candidate will have multiple claims ... Lines in various LatAm jurisdictions and the Caribbean. + Support the preparation of claims reports and...of coverage wordings, legal and compliance requirements, and industry claim practices. + Support internal audits and… more
- University of Miami (Miami, FL)
- …to optimize the application's configuration, function, and access. The Epic Analyst facilitates day-to-day application support and resolving application issues ... procedures and safeguards University assets. Department Specific Functions: The Epic HB Analyst is responsible for the design, implementation, support , and… more
- Travel + Leisure Co. (Orlando, FL)
- …inspiration into exceptional experiences for millions of travelers worldwide. The **Senior Property Claims Analyst ** will play a crucial role as part of a ... high-performing, results-oriented Risk Management Team. The Senior Property Claims Analyst will be accountable for all... will be accountable for all aspects of property claim recordkeeping including catastrophic and complex claims … more
- Highmark Health (Tallahassee, FL)
- …is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various ... including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must fully… more