- Elevance Health (Tampa, FL)
- **Business Architect Sr. - Claims Systems ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... as required by law. The **Business Architect Sr. - Claims Systems ** will be part of Elevance...and other claims -based root-cause investigations leveraging intimate claims system and business process knowledge to… more
- 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
- CRC Insurance Services, Inc. (FL)
- …and audit claims process ensuring proper documentation was created in the system and/or files. 7. Review claims and approve payments under the appropriate ... Responsible for overseeing, managing and supporting all activities of the claims employees and operations of the department. **ESSENTIAL DUTIES AND… 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)
- …impactful. **The Opportunity** **It is all about learning and growing.** Our Customer Service Claims Representative role may be a new career for you. There's a lot ... Creek Blvd, Tampa, FL 33619) as a Customer Service Claims Representative. You will be part of an outstanding...Notice of Loss by obtaining relevant information for effective claim investigation. Set up appropriate services, as needed, to… 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