- CVS Health (Tallahassee, FL)
- …Qualifications** + Self funded medical claim processing experience. + DG system knowledge. + Associate 's Degree. **Education** + High School Diploma or ... 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
- 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 ... to prioritize effectively in a fast-paced setting. Learning new systems and tools comes naturally to you, and you're...comfortable using technology to streamline your work. As a Claims Associate on the Unemployment Operations team,… more
- Molina Healthcare (Orlando, FL)
- …is clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it ... written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims processing… more
- Molina Healthcare (Miami, FL)
- …issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems . ... and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate 's Degree or… 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)
- …and manage multiple tasks in a fast-paced environment Familiarity with insurance terminology and claims systems is a plus -Familiarity with Insurance Claims ... equivalent required; associate degree preferred 1+ year of experience in claims processing or a related administrative role Strong attention to detail and… 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
- University of Florida (Gainesville, FL)
- Assistant, Associate , Full Professor - Systems Medicine Apply now ... Categories: Computer Science, Physical/Mathematical Sciences Department: 29050904 - MD-PULMONARY SYSTEMS MEDICINE Classification Title: AST/ASO/FULL PROF Job Description: The… more
- Ankura (Miami, FL)
- …Assist 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… more