- Towne Park (Orlando, FL)
- …for all functions of the job - 100%** **QUALIFICATIONS** **Education:** + Associate 's degree or equivalent degree preferred **Required Licensure, Certification, ... and may be subject to a specific plan or program terms. **SUMMARY** The Associate Manager is responsible for ensuring high levels of client, customer and … more
- Molina Healthcare (FL)
- …provider service, contracting or claims experience in the healthcare industry. ** PREFERRED EDUCATION** : Associate 's Degree or Bachelor's Degree in a related ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems… more
- Oracle (Tallahassee, FL)
- …a healthcare setting preferred ; 1-2 years of experience in hospital audits preferred + Associate or bachelor's degree in nursing from an accredited college ... this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical...for providing clinical inputs to engineering for developing the Claim Denial Prevention and Appeals features of Oracle Health… more
- 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
- 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 ... tasks based on business needs. + Bilingual fluency in English and Spanish ** Preferred Qualifications** + Associate or bachelor's Degree. + Previous experience… more
- Molina Healthcare (Miami, FL)
- …updates/changes within claims processing system . + Experience using claims processing system (QNXT). ** PREFERRED EDUCATION:** Bachelor's Degree or ... equivalent combination of education and experience ** PREFERRED EXPERIENCE:** 3+ years healthcare Medical claims auditing **PHYSICAL DEMANDS:** Working… 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
- Travel + Leisure Co. (Orlando, FL)
- …work experience + AIC ( Associate in Claims ) or ARM ( Associate in Risk Management) or equivalent education preferred + Previous workers' compensation ... organization. This cost management role would consist of proactive claim administration for workers' compensation claims by... claims experience and process knowledge preferred + Ability to work under pressure; must possess… 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
- 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