- Cardinal Health (Tallahassee, FL)
- …the integrity and accuracy of revenue cycle operations. By auditing payments, claim history, and beneficiary documentation, this function helps validate claim ... or equivalent work experience, preferred + Knowledge of insurance billing, Medicare claims , and audit processes. + Familiarity with healthcare compliance issues and… more
- Sedgwick (Tallahassee, FL)
- …Insurance Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up ... documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims...+ Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience… more
- Sedgwick (Orlando, FL)
- …Determines objective, quantifiable, medically supported work restrictions for assigned claims . + Facilitates return-to-work (RTW) and accommodation efforts through ... or client directed documentation, notification, or reporting; and documents client contact in claim notes as per Sedgwick CMS standards. + Adheres to medical and… more
- TEKsystems (Jacksonville, FL)
- …supporting customer retention and expansion. Our client is a healthcare technology company that provides data exchange and connectivity solutions. They operate one ... streamline administrative and clinical workflows by enabling eligibility checks, claims processing, prior authorizations, and secure data sharing. These solutions… more
- Humana (Tallahassee, FL)
- …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data transformations, automation, and enhancements. Conduct in-depth analysis of healthcare claims to identify data issues and optimization opportunities. Work with… more
- CVS Health (Tallahassee, FL)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and... processing changes + Ensure daily reconciliation of electronic claim files + Maintain productivity and quality standards of… more
- Sedgwick (Tallahassee, FL)
- …of related experience to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI technical experience including ... or equivalent combination of education and experience required. JURIS or claims management application experience preferred. **Skills & Knowledge** + Demonstrates… more
- Sedgwick (Orlando, FL)
- …payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- Sedgwick (Orlando, FL)
- … for multiple lines of business, including but not limited to, expediting the claims process, and providing detailed claim notes on all calls, resolving issues ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The … more
- ICW Group (Orlando, FL)
- …impact. It's our people who make us an employer of choice and the vibrant company we are today.** **Job Category:** ** Claims ** **Job Type:** **Full time** **Req ... offering the stability of a large, profitable and growing company combined with a focus on all things people....purpose of this job is to supervise functions of claims internal controls and to monitor team activities with… more