- Zurich NA (Tallahassee, FL)
- …talent at any Zurich office location. We may, at the sole discretion of the Hiring Manager , be open to hiring remote talent This role will be filled at either the ... Liability Underwriter or VP, Construction Professional Liability Underwriter. The hiring manager will determine the appropriate level based upon the selected… more
- Walgreens (Daytona Beach, FL)
- …by workload. + Ensures the pharmacy operates in accordance to regulations, company policies and standards. Assists pharmacy manager with establishing procedures ... dispensation, review and verification of prescribed medications within regulatory guidelines, company policies and procedures. Supports the efficient workflow of the… more
- Elevance Health (Miami, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... in support of Evaluation and Management CPT codes. + Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies,… more
- Elevance Health (Tampa, FL)
- …with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and… more
- The Hartford (Sunrise, FL)
- …We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... process - meeting with insured's, making presentations, working with claims and underwriting, etc. + Work with Risk Engineering... and underwriting, etc. + Work with Risk Engineering Manager on special projects and developing reports to support… more
- Elevance Health (Tampa, FL)
- …+ Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to ... prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches...Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and… more
- ChenMed (Miami, FL)
- …**ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Analyzes and interpret enrollment, revenue, and claims (utilization and unit cost) data to identify and solve business ... and variances. Assists in the design and evaluation of company KPIs for potential replacement or evolution as the...to improve those results). + Prepares ad-hoc analysis for claims and KPIs of medical costs for executive leadership… more
- The Hartford (Lake Mary, FL)
- …We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... not have any direct reports but is the client manager and is responsible for influencing internal and external...all aspects of program management such as actuarial pricing, claim or TPA oversight, reinsurance accounting and collateral management.… more
- Sharecare (Tallahassee, FL)
- **Job Description:** Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all ... eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status,… more
- Chewy (Plantation, FL)
- …join our Human Resources Shared Services Team! Under the supervision of the team manager , this role is responsible for leaves of absence (LOA) and ADA Accommodation ... internal customers to make recommendations based on federal regulations and company policies. + Audit implemented accommodations to ensure viability and proactively… more