- CVS Health (Tallahassee, FL)
- …non-participating providers. Additionally, they will assist in creating bulletins, newsletters, and claim trainings to improve provider claims issues. as well as ... The ** Claim Field Analyst** works with the grievance and appeal and claims operations department to trend provider claim issues or concerns that could… more
- Oracle (Tallahassee, FL)
- …grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for ... developing the Claim Denial Prevention and Appeals features of Oracle Health...validation) to lead the appeals initiative to review denied claims , create write-ups for appeals packets, identify trends/improvement opportunities… more
- Molina Healthcare (Miami, FL)
- …7am-3:30pm PST M-F** **Job Summary** Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, focal, audit the ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- Sedgwick (Jacksonville, FL)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...to Bachelor of Science in Nursing, Legal Nurse Consultant, Associate in Claims (AIC), Chartered Property and… more
- Zurich NA (Maitland, FL)
- Senior Professional Liability Claims (Attorney), Claims Construction 129572 **Zurich North America is expanding its nationwide Construction Professional ... Liability Claims Team with the addition of a dedicated ...expertise and strategic coordination. + Accurately update and document claim files in accordance with best practices, ensuring data… more
- Travel + Leisure Co. (Orlando, FL)
- …for the organization. This cost management role would consist of proactive claim administration for workers' compensation claims by providing analysis on ... Risk Management Information System (RMIS) to conduct analysis of claims data, insurance policy and claim document...+ Bachelor's Degree or equivalent work experience + AIC ( Associate in Claims ) or ARM ( Associate… more
- Allied Universal (Cape Coral, FL)
- …a career with us and make a difference. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for Insurance ... (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud Claim Law Associate (FCLA) + Fraud ...Law Specialist (FCLS) + Certified Protection Professional (CPP) + Associate in Claims (AIC) + Chartered Property… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong knowledge of ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative performs advanced administrative/operational/customer support duties that… more
- Sedgwick (Tallahassee, FL)
- … claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you looking for… more
- Zurich NA (Maitland, FL)
- …and/or Litigation Management experience.OR + Zurich Certified Insurance Apprentice, including an Associate Degree with 6+ years of Claims and/or Litigation ... Sr. Claims Specialist(Workers Compensation) 128797 Zurich North America is...of damages allowed by law. + Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available… more