- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the ... to review and carry out processes on all out of network claims . The ideal candidate will have strong technological skills, excellent interpersonal communication,… more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist, Retirement - Lakeland **Department:** Benefits Administration **Location:** Lakeland, FL ... Matter Expert (SME) for the Retirement business area, + Processing beneficiary claims for PROFIT Plan distributions, + Providing premier customer service to lobby… more
- Zurich NA (Tallahassee, FL)
- Claims Call Center Representative 127686 Zurich is a leading multi-line insurer that serves its customers in global and local markets. Zurich's customers include ... different levels of complexity, ensuring a positive customer experience. + Resolve complex claims inquiries and problems, judging when to pass complex queries on to… more
- Prime Therapeutics (Tallahassee, FL)
- …decision we make. **Job Posting Title** Senior Solution Product Owner - Pharmacy Claims Data **Job Description** The Senior Solution Product Owner is responsible for ... you are looking to advance your career within a growing, team-oriented, award-winning company , apply to Prime Therapeutics today and start making a difference in… more
- Command Investigations (FL)
- Command Investigations LLC is a dynamic and forward-thinking investigative company that has been at the forefront of the industry since its establishment in ... Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + AOE/COE,… more
- Travelers Insurance Company (Orlando, FL)
- …negotiating and resolving assigned General Liability Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures file...and knowledge of creative resolution techniques to improve the claim results of others. + Applies the Company… more
- Travelers Insurance Company (Tampa, FL)
- …evaluating, reserving, negotiating and resolving assigned serious and complex General Liability claims . Provides quality claim handling throughout the claim ... does not manage staff. **What Will You Do?** + CLAIM HANDLING: + Directly handle assigned severe claims...potential; directly handle recovery efforts and/or engage and direct Company resources for recovery efforts. + May assist underwriting… more
- Sedgwick (Orlando, FL)
- …& Insurance General Liability / Casualty Adjuster **PRIMARY PURPOSE** **:** To manage claim caseload of basic to highly complex claims liability claims ... financial implications, along with financial implications. To ensure ongoing adjudication of claims within company standards and industry best practices; and to… more
- Allied Universal (Tampa, FL)
- ** Company Overview:** Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and ... new and emerging fraud trends and provide an enhanced focus on complex claims , high-risk claim exposures, such as organized crime-rings, Complex Financial Fraud… more
- Zelis (St. Petersburg, FL)
- …call center setting, this role focuses on identifying and resolving various claim processing and provider billing issues. Additionally, the Medical Bill Navigator ... financial outcomes. What you will do: + Analyze medical claims submitted by members along with their Explanation of...their Explanation of Benefits (EOB) to verify accuracy of claim processing and provider billing + Manage and resolve… more