- Molina Healthcare (Miami, FL)
- …administering claims payments, provider claims inquiries, reconsiderations, claims adjudication, and maintaining claim records for the Portal Response ... Preferred License, Certification, Association** + Certification in Training and Development preferred for manager overseeing Training unit + Internal Audit… more
- NextEra Energy (North Palm Beach, FL)
- …needed. * Perform reinsurance claim audits for coverage lines. The Professional Lines Claims Manager should possess the following: * Ability to work in a ... **Professional Lines Claims Manager ** **Date:** Jul 27, 2025...claim to reflect changes in exposure. * Advise claims management on strategy for complex loss matters. *… more
- CRC Insurance Services, Inc. (FL)
- …States of America) **Please review the following job description:** A Complex Claims Manager - Environmental is responsible for investigating, evaluating, and ... regulations and minimizing the company's financial exposure. Additionally, the Environmental Claims Manager will collaborate with underwriting on marketing,… more
- Molina Healthcare (St. Petersburg, FL)
- …to providers. **Job Duties** + Performs clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases, in which ... billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager ** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... as well as the client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims Department in delivering exceptional… more
- Orlando Utilities Commission (Orlando, FL)
- **OUC - The** **_Reliable_** **One** **,** is presently seeking a ** Manager of Insurance & Claims ** to join the Risk Management department within the Office of ... trends, brokers, regulators; + Claims investigation, evaluation and litigation; + Claims administration software (File Handler, Risk Master preferred ); + … more
- NBC Universal (Orlando, FL)
- …paid leave, and a variety of other discounts and perks. JOB SUMMARY: The Manager , Claims and Legal Administration is responsible for overseeing liability ... Members, collect witness statements and respond to discovery requests, ensure effective claims handling, compliance, and communication. The Manager will work… more
- Amazon (FL)
- …with a level of urgency. Preferred Qualifications - Fleet or commercial auto claims experience - Auditing experience within a claim organization - ARM, AIC, ... across all of its various use cases. Amazon's Logistics Claims Management team is seeking a talented claims...collaboration. * Leverage subject matter expertise to deep dive claim processes, challenge status quo, and develop tactful solutions… more
- City of Jacksonville (Jacksonville, FL)
- …public service and on-time payments. This position reports to the General Liabilities Claims Manager and is responsible for investigating all general liability ... settlement authority under the direction of the General Liability Claims Manager . + Responds to on call...is preferred . + Knowledge of Title 7 claims preferred . Licensing/Certification/Registration: + FLA All Lines… more
- Molina Healthcare (Jacksonville, FL)
- …and IPA. + 2 years supervisory/management experience with appeals/grievance and/or claims processing within a managed care setting. ** Preferred Education** ... organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and requirements… more