- Towne Park (Miami Beach, FL)
- …to enroll in the company's 401k retirement savings plan. **Paid Time Off:** Employees accrue 0.0385 hours of PTO per hour worked up to a maximum of 80 hours per ... the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls… more
- CVS Health (Tallahassee, FL)
- …accurate payment of provider contracts through **Health Rules Payor (HRP** ) a claims processing platform. As part of the Network Contract Validation team, you will ... contract setup against contract intent and evaluate the pricing performance of claims . Accurate provider pricing configuration is critical to claims … more
- CVS Health (Tallahassee, FL)
- …that may compromise the integrity of the organization's operations and claims processes. **Core Responsibilities** + **Investigative Leadership** : Conducts thorough ... billing and coding practices, verifying document authenticity, and identifying false claims or improper billing. + **Data-Driven Analysis** : Utilizes advanced data… more
- Sedgwick (Tallahassee, FL)
- …marine vessels to assess monitor and report on the condition and submit claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Manages a team of surveyors and ... + Investigates various aspects of marine transport operations and claims . + Ensures compliance with various standards or specifications....pounds + Be able to drive up to 4 hours per day. + Must have continual use of… more
- MyFlorida (Tallahassee, FL)
- …EMPLOYMENT OPPORTUNITY DIVISION: RISK MANAGEMENT BUREAU: STATE EMPLOYEE WORKERS' COMPENSATION CLAIMS CITY: TALLAHASSEE COUNTY: LEON SPECIAL NOTES: Preferences: * Two ... (2) years of professional experience involving workers' compensation claims . A post-secondary degree may be used as an...is in our office in Tallahassee, FL with work hours from 8:00am - 5:00pm. This position requires a… more
- Carnival Cruise Line (Miami, FL)
- …reviewing care plans, coordinating with internal stakeholders, supporting disability claims , and facilitating return-to-work planning. The Manager also escalates ... compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return...employees receive time off based on the number of hours they work, with a minimum of 84 … more
- Humana (Tallahassee, FL)
- …data mining, detects anomalies in data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and our financial recovery. ... provider contract payments in our payer systems, and by ensuring correct claims payment. Begins to influence department's strategy. Makes decisions on moderately… more
- Veterans Affairs, Veterans Health Administration (Daytona Beach, FL)
- …care or ED (VA or Non-VA). The COM-PACT RN will carry the phone during business hours and the phone will be held by the provider 7-8am and 4:30-9pm Monday through ... claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm...of fingers; both hands required; walking (up to 2 hours ); standing (up to 2 hours ); kneeling… more
- Elevance Health (Miami, FL)
- …for employment, unless an accommodation is granted as required by law._ Shift hours : Monday - Friday 8:30am - 5:00pm EST** The **Grievance/Appeals Analyst I** is ... with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable… more
- Sedgwick (Tallahassee, FL)
- …damage resulting from collisions or motor failures. + Receives and reviews new claims and maintains data integrity in the claims system. **ADDITIONAL FUNCTIONS ... 100 pounds + Ability to drive up to 4 hours per day + Ability to work in wet...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more