- 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
- Highmark Health (Tallahassee, FL)
- ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is responsible for the strategic implementation of new or transitioned accounts while ... (ASO); TPA services with an expanded BCI/HNAS offering and management of claims funding and cash management. While identifying and driving process improvements… more
- CDM Smith (Fort Myers, FL)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Identify contractual requirements to maintain and prosecute claims , and assist project team in managing to those...to do so. Where it's a priority that the company takes good care of you and your family.… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …with regulatory requirements + Maintain process integrity and ensure legitimate claims are processed efficiently + Implement and track corrective action plans ... Payment Integrity monitoring activities + Collaborate with other departments such as Claims , Medical Management, Internal Audit, Recovery and Legal teams + Support… more
- Sedgwick (Tallahassee, FL)
- …and organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Celebrate your career ... support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues… more
- Sedgwick (Tampa, FL)
- …confirming delivery of said goods or service. + Communicates with vendor partners, claims adjusters and nurse case managers providing updates on new referrals as ... ensuring that each referral is deemed medically necessary and approved by the claim 's adjuster. + Confirms all required and relevant billing information exists in… more
- Siemens Energy (Orlando, FL)
- …contractual risks, drafting and negotiating agreements, documenting, defending and enforcing claims , and advising and supporting project and site management in the ... able to handle multiple projects atthe same time and claim management. + Self-drivenindividual with the ability to formulate...Energy, we are more than just an energy technology company . With ~100,000 dedicated employees in more than 90… more
- LogixHealth (Dania Beach, FL)
- …level of customer service while maintaining a satisfactory response rate according to company standards + Retrieve voice messages from mail box and return patient ... and route the request to the proper person + Provide patient with their claim balance as requested + Update patient's insurance information in the system and then… more
- Amgen (Orlando, FL)
- …insurance forms & procedures, benefits investigation, prior authorization, appeal, and/or claims resolution + Educate offices using approved materials + Review ... + Experience in the healthcare industry, including insurance verification, claim adjudication, physician's offices or clinics, pharmacies, and/or pharmaceutical… more
- BrightSpring Health Services (Gainesville, FL)
- …relations with staff and management + Inform operations of worker's compensation claims process. Assist as needed with claim processing. Keep supervisors ... Our Company Haven Hospice Overview Full Time Monday-Friday Hybrid...and management team informed of open claims and return-to-work status + Conduct workplace investigations, as… more