- Humana (Tallahassee, FL)
- …industry + 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing, system navigation, payment ... your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a dynamic,… more
- Molina Healthcare (Jacksonville, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding ... coverage amount and benefit interpretation. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in a timely fashion and in… more
- Molina Healthcare (Miami, FL)
- …and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate 's Degree or ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims , coordinating,… more
- Zurich NA (Maitland, FL)
- Claims Team Manager, General Liability 126578 Zurich North America is hiring a Team Manager - General Liability to join our team! We are open to hiring talent in one ... Park KS. With moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims . Coordinates the work… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Billing and Claims + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:** 3 ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- Insight Global (St. Petersburg, FL)
- Job Description Insight Global is seeking a detail-oriented and dependable Claims Processor to join our team in Clearwater, FL. This position plays a key ... administrative role in supporting the claims department through accurate data entry, document management, and...Skills and Requirements High school diploma or equivalent required; associate degree preferred 2+ year of experience in auto… more
- Sedgwick (Tallahassee, FL)
- …accredited college or university preferred. Preferred certifications include Six Sigma, Associate in Claims (AIC), and/or Chartered Property Casualty Underwriter ... & Insurance (Remote) Manager Global Service Delivery Operations - Casualty Claims **PRIMARY PURPOSE** **:** Manages the global service delivery partnership, which… more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist, Retirement - Lakeland **Department:** Benefits Administration **Location:** Lakeland, FL ... (SME) for the Retirement business area, + Processing beneficiary claims for PROFIT Plan distributions, + Providing premier customer...the bonus is equal to one week's pay if associate remains employed through issue date of the bonus… 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 ... Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements - An associate or bachelor's degree in legal studies or a… more
- Ankura (Miami, FL)
- …in research and analysis project cost records and financial statements + Reconcile claim amounts to accounting systems and to insurers' calculations + Use Ankura's ... proprietary tools and industry standards in the development of claim methodology and work product + Develop computer models of schedules, contractor production rates… more