- 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 (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)
- …and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance ... thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partners with Network to… more
- Sedgwick (Orlando, FL)
- … for multiple lines of business, including but not limited to, expediting the claims process, and providing detailed claim notes on all calls, resolving issues ... with a comprehensive curriculum. + An assigned mentor and manager that will support and guide you...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Molina Healthcare (St. Petersburg, FL)
- …Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the ... accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role will focus on...guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen.… more
- Marriott (Lake Buena Vista, FL)
- …Type** Management **JOB SUMMARY** As a member of the property Human Resources support staff, he/she works with Human Resources employees to carry out the daily ... * Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits… more
- Sedgwick (Orlando, FL)
- …a world class training program with a comprehensive curriculum + An assigned mentor and manager that will support and guide you on your career journey + Career ... world's most reputable brands + An assigned mentor and manager who will guide you on your career journey...adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry… more
- CDM Smith (Fort Myers, FL)
- …strategies. Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the ... to those requirements. Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS… more
- AdventHealth (Maitland, FL)
- …Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support **Our promise to you:** Joining AdventHealth is about being part of ... FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation...must have attention to detail and competencies in decision support and reporting through converting raw data as well… more
- Zelis (St. Petersburg, FL)
- …gained, and the personal interests that shape who you are. Position Overview The Manager , DRG Validation of the Expert Claims Review (ECR) department is ... operations and team management of the DRG product. The Manager , DRG Validation will be primarily responsible for the...+ Oversee the DRG validation process including management of claim assignment and queues, adherence to client turnaround time… more