- CHS (Clearwater, FL)
- **Overview** ** Claims Manager ** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims...total per household per month (PHPM) and per inbound claim cost so that improvements in productivity and efficiency… more
- Ryder System (Tallahassee, FL)
- … are being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact ... counsel, independent adjusters, experts, and other vendors in the claim -handling processes. + Supervises outside vendors retained for investigations,...Ryder s Liability program. + Assists Claims Manager in the identification of exposures… 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 ... bills; analyzes city, state, and federal documents for liability claims and establishes claim value. + Makes...settlement authority under the direction of the General Liability Claims Manager . + Responds to on call… 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
- USAA (Tampa, FL)
- … claims management, vendor management, product documentation, fulfillment, and/or system releases. This role is remote eligible, however, individuals residing ... and impactful. **The Opportunity** As a dedicated **Product Development Manager ** , you will join our New Business Ventures...testing new products and capabilities within the auto telematics claims space and helping chart the course for the… more
- Elevance Health (Tampa, FL)
- **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... is responsible for leading encounter processing, diagnostic documentation and claims integrity across CareBridge. The ideal candidate has experience working… more
- Healthfirst (FL)
- …reporting and database technologies and ensure Healthfirst is leveraging existing systems to maximize optimal value. + Collaborate with Information Technology, ... teams to support effective department management including introducing new technology, system upgrades and reporting impacts and providing leadership dashboards to… more
- CHS (Clearwater, FL)
- …related to claims and calls and provides feedback to their Manager . + Maintains up-to-date working knowledge on regulatory requirements associated with billing ... **Overview** ** ** ** Claims and Call Auditor (Call Center QC) -...with accuracy, and work with the MPS Call Center Manager /Supervisor/Team Lead and analyze the data for training purposes.… more
- Community Health Systems (Naples, FL)
- The ** System Director of Risk Management** is a key leader responsible for overseeing risk management, patient safety, and regulatory compliance across Physicians ... Regional Healthcare System . This role ensures compliance with federal, state, and...incident reporting and medication variance tracking through computerized risk systems . + Monitor trends, identify safety issues, and conduct… more
- Travelers Insurance Company (Tampa, FL)
- …reserving, negotiating and resolving assigned Construction Defect and Latent Property Damage claims . Provides quality claim handling throughout the claim ... facts or allegations of each case. + Consults with Manager on use of Claim Coverage Counsel...by adhering to quality standards. + Utilizes diary management system to ensure that all claims are… more