- Elevance Health (Tampa, FL)
- …** Preferred Skills, Capabilities and Experiences:** + Certification as a Case Manager is preferred . + Experience in Utilization Management is preferred ... **Nurse Case Manager I** **Location- Virtual:** This role enables associates...as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** Requires BA/BS in… more
- ICW Group (Orlando, FL)
- …environment. + Experience with multi-state claims handling and high severity claim strategy preferred . + Background in litigation management strategy and ... to be here! **PURPOSE OF THE JOB** The Senior Manager Major Claims Unit (MCU) leads a...preferably in Business, Risk Management, or related. Master's degree preferred . + Minimum 8-10 years of claim … more
- CRC Insurance Services, Inc. (FL)
- …(United States of America) **Please review the following job description:** A Complex Claims Manager - Construction Defect and Environmental is responsible for ... environmental regulations and minimizing the company's financial exposure. Additionally, the Claims Manager will collaborate with underwriting on marketing,… 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
- CRC Insurance Services, Inc. (FL)
- …Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND ... change from time to time. 1. Manage the supervision and coordination of the claims department and staff. 2. Organize and disseminate information that affects the … 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
- 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
- AssistRx (Orlando, FL)
- …to implement and support all operational and financial processes related to claim processing activities. In addition, manager will ensure effective day-to-day ... The Copay Support Program Manager is a critical role within the organization...external business review meetings. Responsible for forecasts and analyzing claims data to determine Copay utilization, establish escrow account… more
- Zurich NA (Maitland, FL)
- Claims Team Manager , General Liability 126578 Zurich North America is hiring a Team Manager - General Liability to join our team! We are open to hiring ... Park KS. With moderate oversight, leads and directs a team of technical Claims Professionals in Commercial General Liability claims . Coordinates the work… more
- Elevance Health (Tampa, FL)
- …Preferred Skills, Capabilities, and Experiences:** + 3+ years of experience with Claims System SME (WGS/FACETS) strongly preferred . + Experience with the ... data, CAST Train data; CAST Lights On mgmt., E2E claim lifecycle Vetting; FICR; MGCT# Post adjudication; CPEC- Claims...& Analytics experience with our the following tools strongly preferred : EdWard, OPAL, OBI, EDI. Please be advised that… more