- Elevance Health (Miami, FL)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing… more
- The Cigna Group (Miami, FL)
- …to provide exemplary customer and client service of our Cigna products, benefits, and claim processes. As the Dedicated Client Service Partner - Onsite, you can take ... with products and service. + Coordinates with Client Service Executive(CSE) and/or Client Manager to ensure needs are met and potential problems are averted. +… more
- Zurich NA (Tallahassee, FL)
- …AVP, Underwriting Officer or VP Senior Underwriting officer level. The hiring manager will determine the appropriate level based upon the selected applicant's ... Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate… more
- Zurich NA (Tallahassee, FL)
- …AVP, Underwriting Officer or VP Senior Underwriting officer level. The hiring manager will determine the appropriate level based upon the selected applicant's ... Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate… more
- MyFlorida (Tallahassee, FL)
- …design and implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile research, data ... limited to, the following: * Identify suspicious patterns in claims data and other sources by applying your knowledge...collaboration with the team and the Program Integrity Unit Manager , draft investigative work plans and develop case strategies… more
- Prime Therapeutics (Tallahassee, FL)
- …presentations + Proficiency in Microsoft Word, Excel, Project, PowerPoint, and Visio ** Preferred Qualifications** + Rx Claims system proficiency + Previous PBM ... Functional Business Consultant The Functional Business Consultant serves as a project manager **,** business system or business process subject matter expert with a… 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...certified to qualify for employment as a social worker. Preferred Experience: Treating/Managing various Mental Health population/programs. Reference: For… more
- MyFlorida (Jacksonville, FL)
- …Florida. Your Specific Responsibilities: Under the direct supervision of the Program Manager , this is a highly visible and skilled position involving exercise of ... DOH clinical locations. + Provides requested support to team members (program manager , peers, interns, volunteers). + Assists with inventory and ordering office… more
- 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
- Towne Park (Lake Buena Vista, FL)
- …receptacles. Completes all tasks in a timely manner as instructed by the Account Manager .- 10% + Collects claim checks/tickets from all guests prior to issuing ... vehicles that have not been charged for parking. Maintains claim checks and guest folio archives. Produces guest vehicle...High School Diploma or GED + Cashier/cash handling experience preferred **Knowledge:** + Ability to understand 24 hour and… more