- Travelers Insurance Company (Tallahassee, FL)
- … Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and ... to optimize claim results. Travelers' Cyber Claim Team is responsible for handling claims focusing on cyber privacy and security breach incident response,… more
- CVS Health (Tallahassee, FL)
- …funded medical claim processing experience. + DG system knowledge. + Associate 's Degree. **Education** + High School Diploma or GED. **Anticipated Weekly Hours** ... all with heart, each and every day. **Position Summary** The Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims… more
- NTT DATA North America (Orlando, FL)
- NTT DATA is seeking to hire a **Remote Claims Processing Associate ** to work for our end client and their team. **$18/hour W2** **Long Term Temporary** **Start: ... candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- Molina Healthcare (Jacksonville, FL)
- …depending on Medicare Program and State requirements. **Job Qualifications** **Required Education** Associate 's degree or 4 years of Medicare Claim Experience. ... organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and requirements… more
- Justworks (Tampa, FL)
- Unemployment Claims Associate Tampa, Florida Apply Who We Are At Justworks, you'll enjoy a welcoming and casual environment, great benefits, wellness program ... you, and you're comfortable using technology to streamline your work. As a Claims Associate on the Unemployment Operations team, you'll play a key role in… more
- Zurich NA (Maitland, FL)
- …professionals. + Provide clear, timely communication to customers and stakeholders throughout the claim process. + Ensure claims are handled in accordance with ... Litigated Claims Specialist, General Liability 126205 At Zurich North...or InsuranceOR + Zurich Certified Insurance Apprentice, including an associate degree, with 3+ years of experience in Commercial… more
- Zurich NA (Maitland, FL)
- WC Senior Claims Specialist 126746 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing ... your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct… more
- Molina Healthcare (Miami, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of ... claims . Ensures that claims are settled in...Procures all medical records and statements that support the claim . + Makes recommendations for further investigation or resolution.… more
- Molina Healthcare (Orlando, FL)
- …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 ... prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage… more
- Molina Healthcare (Miami, FL)
- … claims adjusting and customer services experience Experience in QNXT, Salesforce, Claims Viewer, Claim Shark, PEGA, Cotiviti, ECHO, CEMs Edifecs **PHYSICAL ... Description** **Job Summary** Responsible for work load assignment to the provider Claims adjudicators and senior provider claims adjudicators. Train and coach… more