- Universal Engineering Sciences (Jacksonville, FL)
- …and analysis of residential, commercial and industrial properties to resolve claims and legal matters. * Conducts forensic engineering investigations of buildings ... where work may be conducted in outdoor or operational environments. Adherence to all company safety protocols and use of PPE is required during travel and on-site… more
- Molina Healthcare (Jacksonville, FL)
- …network and clinical management on opportunities to improve our company 's discount position and strategic cost and utilization initiatives. ... or Economics **PREFERRED EXPERIENCE:** Experience working with medical and pharmacy claims , authorization data, benefits design, medical management as well as… more
- HUB International (Jacksonville, FL)
- …to resolve. . May also negotiate with underwriters and carriers. . Troubleshoots claims and billing issues. . Responsible for overall retention of accounts in ... necessary. . Ensures the accuracy of data in those systems. . Travels on company business as required. . Prepares reports for management as required. . Attends… more
- AssistRx (Orlando, FL)
- …medication assistance, prior authorizations, pharmacy benefits investigation, managed care, claims processing. + Experience working with pharmaceutical or biotech ... program recognizes individuals who exhibit one, or many, of our core company values; Excellence, Winning, Respect, Inspiration, and Teamwork. + Vision Award: This… more
- Select Medical (Gainesville, FL)
- …Director coordinates any necessary investigations + Processes and maintains all worker's compensation claims in a timely manner and according with the company 's ... Return to Work program + Processes all unemployment requests, FMLA and Leave of Absences in an accurate and timely manner + Ensures confidentiality and professionalism is maintained when dealing with sensitive and confidential information. **Qualifications**… more
- Amentum (Jacksonville, FL)
- …and customer * Opens, modifies and completes repairs in Government Maximo and Company Maximo. Each work order is required to include in the Government Maximo, ... Expense and Utilization Reports are required the 3rd working day of each quarter. GSA Claims : Each GSA vehicle with any repair over $100 requires a call in with… more
- WTW (Miami, FL)
- …+ **Other:** Keep abreast of laws and regulations impacting employee benefits, claims procedures, and notice requirements by using our legal database subscriptions ... be evaluated in coordination with People Manager and leadership responsibilities ** Company Benefits** WTW provides a competitive benefit package which includes the… more
- Cardinal Health (Tallahassee, FL)
- …and conducts a focused audit to identify any financial liability of the Company . + Evaluates the appropriateness of billed services and procedures based on ... patient medical records. + Availability to assist with research of denied claims . + Maintains a functional knowledge of enterprise EMRs, the registration process… more
- Molina Healthcare (St. Petersburg, FL)
- …involving business-critical operations and vendor outsourcing arrangements for the company . The Sr. Analyst also validates the appropriate oversight, reporting, ... experience working in Medicare + Must have experience analyzing claims . **Job Qualifications** **REQUIRED EDUCATION:** Associate's Degree and/or equivalent… more
- Philadelphia Insurance Companies (Lake Mary, FL)
- …to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is ... an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life… more