- Molina Healthcare (Orlando, 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 Claims Adjudication **PHYSICAL DEMANDS:** Working environment is… more
- Molina Healthcare (Miami, FL)
- … EDUCATION:** Bachelor's Degree or equivalent combination of education and experience ** PREFERRED EXPERIENCE:** 6+ years previous claims adjusting and customer ... services experience Experience in QNXT, Salesforce, Claims Viewer, Claim Shark, PEGA, Cotiviti, ECHO, CEMs Edifecs **PHYSICAL DEMANDS:** Working environment is… more
- Zurich NA (Tallahassee, FL)
- Sr. Claims Specialist - Complex Construction 126105 Zurich North America is seeking a skilled and experienced Senior Claims Specialist to join our Complex ... team. This role is essential in managing complex, high-exposure construction, and litigation claims , while supporting the New York Labor team to ensure claims … more
- Publix (Lakeland, FL)
- …level of maturity and tact + Technical skills + Willingness to be flexible. ** Preferred Qualifications:** + Associate 's Degree in Business + Knowledge of the ... **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist, Retirement - Lakeland **Department:** Benefits...the bonus is equal to one week's pay if associate remains employed through issue date of the bonus… more
- 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 ... quality and production standards. + Other duties as assigned. + QNXT- preferred **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent… 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 ... EDUCATION:** Bachelor's Degree or equivalent combination of education and experience ** PREFERRED EXPERIENCE:** 4 years customer service, claims , provider and… 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
- Sedgwick (Tallahassee, FL)
- …or university preferred . Preferred certifications include Six Sigma, Associate in Claims (AIC), and/or Chartered Property Casualty Underwriter (CPCU). ... & Insurance (Remote) Manager Global Service Delivery Operations - Casualty Claims **PRIMARY PURPOSE** **:** Manages the global service delivery partnership, which… 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