- Humana (Tallahassee, FL)
- …cost reduction, by increasing the accuracy of provider contract payments in our payer systems , and by ensuring correct claims payment for appropriate CPT/ HCPCS ... cost reduction, by increasing the accuracy of provider contract payments in our payer systems , and by ensuring correct claims payment for appropriate CPT/ HCPCS… more
- Elevance Health (Lake Mary, FL)
- …them against the member/groups benefits. + Updates all of the company's membership system components with investigation results for claim coordination. + Ensures ... provided to assist members enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation,...or pended, as well as recovered in error. + Associate must identify the correct formulas in order to… more
- The Hartford (Lake Mary, FL)
- …yeas of experience providing quality customer service is required + 2+ years of claim experience is preferred + Associate or Bachelor's Degree is preferred but ... helping people? Then you belong here. We currently have an excellent claims professional career opportunity available. Join our Short-Term Disability and Absence… more
- Allied Universal (Wellington, FL)
- Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim … more
- Towne Park (Lake Buena Vista, FL)
- …client satisfaction objectives. **DUTIES AND RESPONSIBILITIES** **_Financial and Business Systems Management_** + Understands and drives business metrics and ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover + Manages scheduling, overtime for associates… more
- Towne Park (Riviera Beach, FL)
- …are not eligible for benefits outlined above. **SUMMARY** The Guest Service Associate is responsible for providing exceptional hospitality services to guests in an ... attentive, friendly and efficient manner. The Guest Service Associate is responsible for parking and retrieving guest vehicles in a prompt yet safe manner and… more
- Kemper (Doral, FL)
- …to the public. + Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or ... conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the...in a thorough timely manner. + Maintains a diary system on all assigned files. Diary system … more
- Cognizant (Tallahassee, FL)
- …closely with configuration analysts and other operational stakeholders to maintain and improve claims reimbursement systems . **In this role, you will:** + Review ... 00066154621** **About the role** As a Reimbursement Technical Analyst Associate , you will make an impact by ensuring accurate...standards (CPT, CCI, CMS). + Manage and update the Claims Reimbursement database to ensure edit rules and tables… more
- Humana (Tallahassee, FL)
- …outcomes. **Key Responsibilities:** + Lead large-scale product efforts focused on improving claims processing and related systems , ensuring these efforts support ... including engagement with provider networks and external partners impacted by changes in claims adjudication systems **Use your skills to make an impact**… more
- CenterWell (Tampa, FL)
- …Also, responsible for day-to-day coordination of telephone / personnel communication systems , overall management of agency supplies / mail, and processing of ... computer programs as appropriate. + Complete End of Period claim workflow as part of Billing Specialist responsibilities. This...to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's… more