- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- … Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting claims ... necessary. Key Responsibilities: + Review, research, analyze and process professional claims by navigating multiple applications and platforms accurately. + Ensure… more
- Air Force Materiel Command (Eglin AFB, FL)
- …information. The primary purpose of this position is to provide technical and administrative support for the movement of freight as well as to examine freight ... claims , and prepare reports for over, short and damaged freight shipments, maintaining records of all investigative results. Responsibilities Receives, examines,… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... organizations, insurance marketing organizations, and employers. One core service, claims administration, is where submissions for payment/reimbursement/sharing from medical… more
- Sedgwick (Tallahassee, FL)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- CDM Smith (Orlando, FL)
- …and Evidence Gathering: Collect and organize all necessary documentation to support claim amounts. This includes gathering invoices, receipts, contracts, ... Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related… more
- Veterans Affairs, Veterans Health Administration (Cape Coral, FL)
- …include but are not limited to: Collaborating with clinical and administrative support to provide timely, quality, coordinated care. Utilizes and promotes approved ... clinical background. Preferred experience as Medical Review Officer, Certified medical examiner for commercial motor vehicle drivers, and certification as an… more
- Prime Therapeutics (Tallahassee, FL)
- …with a high level of detail and accuracy, to clearly and concisely support conclusions and recommendations. + MISCELLANEOUS DUTIES: + Provide backup support ... Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the...terms and policy interpretation. + CFE - Certified Fraud Examiner credential preferred. + Bachelor's degree preferred. + Prefer… more
- Air National Guard Units (Tyndall AFB, FL)
- …to qualify for this position, you must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must ... Instructs same to function within established joint doctrinal principles to support the planning and prosecution of theater level joint operations. Monitors… more
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