- 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)
- …demands, wages and benefits, and availability. + Thoroughly reviews contested claims . + Assists as needed with submission of accommodation recommendations to ... case suggesting changes in rehabilitation plans. + Documents contacts in claim notes; prepares reports and/or forms documenting the results of research/negotiations… more
- Sedgwick (Tallahassee, FL)
- …Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required. ... and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management… more
- Sedgwick (Tampa, FL)
- …or university preferred. **Experience** Four (4) years of experience in claims processing or related business experience, or equivalent combination of education ... **Skills & Knowledge** + Working knowledge of billing and reconciliation systems, claim systems, financial services, and insurance products + Excellent oral and… more
- Highmark Health (Tallahassee, FL)
- ** Company :** United Concordia Dental **Job Description :** JOB SUMMARY MUST BE A US CITIZEN Looking for someone with Dental Provider Relations to service United ... role in network management, training, monitoring and enforcement of company policies and procedures while increasing provider efficiencies. ESSENTIAL… more
- Sedgwick (Tallahassee, FL)
- …evaluates, negotiates, and resolves recreational marine or personal watercraft claims internationally, regardless of complexity and quantum. **ESSENTIAL FUNCTIONS ... and RESPONSIBILITIES** + Investigates recreational marine or personal watercraft claims thoroughly using technical expertise and complex analysis. + Examines… 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 ... data into meaningful and actionable information. This role is responsible for medical claims and economics reporting and analytics for a book of Middle Market and… 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 ... to handle multiple projects at the same time and claim management. + Self-driven individual with the ability to...Energy, we are more than just an energy technology company . With ~100,000 dedicated employees in more than 90… more
- CVS Health (Tallahassee, FL)
- …monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** ... passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital… more