- Travelers Insurance Company (Orlando, FL)
- …reserving, negotiating and resolving assigned Construction Defect and latent 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 quality...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel… more
- Molina Healthcare (Miami, FL)
- …Business products and processes. Establishes procedures and techniques to achieve operational goals and executes tasks and projects to ensure Centers for Medicare & ... execute effective Payment Integrity strategies through both pre-payment and post payment claims reviews, aligning with industry and corporate standards as well as… more
- Travelers Insurance Company (Orlando, FL)
- …negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim ... **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file...facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...for all PI solutions. + Lead efforts to improve claim payment accuracy, claim referrals, adjustment analysis… more
- Molina Healthcare (St. Petersburg, FL)
- …Business products and processes. Establishes procedures and techniques to achieve operational goals and executes tasks and projects to ensure Centers for Medicare & ... and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance… more
- University of Miami (Miami, FL)
- …handbook and policies and procedure manuals. * Partners with the client services manager to develop department goals , objectives, and systems. * Partners with ... inputting needs as well as execution of various employment actions. * Supports manager in facilitation of meetings and training sessions for the client. * Performs… more
- Towne Park (Clearwater, FL)
- …(http://www.townepark.com/wp-content/uploads/2023/06/CCPA-CPRA-Notice-at-Collection-Applicants\_Towne-Park-Careers.pdf) . The Account Manager directly oversees one ... may be subject to a specific plan or program terms. **JOB SUMMARY** The Account Manager directly oversees one Tier 1 or 2 Towne Park account and is responsible for… more
- Towne Park (Orlando, FL)
- …be subject to a specific plan or program terms. **SUMMARY** The Associate Manager is responsible for ensuring high levels of client, customer and associate ... Towne Park's standards to complement them to meet business demands and productivity goals . Reviews comment cards and guest satisfaction results with employees. - 20%… more
- CDR Maguire (Miami, FL)
- CDR is seeking an experienced Human Resources Manager to join our team on-site in Miami, FL. The HR Manager serves as a liaison between management and staff, ... to proactively identify, prevent, and resolve potential employment issues. The HR Manager provides hands-on guidance on the practical application of HR rules and… more
- Veterans Affairs, Veterans Health Administration (Lake City, FL)
- …Occupations, which are listed in separate announcements: Psychology Program Manager , Social Worker Program Coordinator, Physician (Psychiatry) - Mental Health ... Clinic Program Manager , or Nurse Practitioner - Mental Health. You may...able to award you credit for the experience/education/training you claim . These are the GS-14 KSA's for this subject… more