- USAA (Tampa, FL)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will confirm and analyzes… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Position Summary** The Senior Manager, Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The role ... compliance while collaborating closely with the Field Strategy & Operations team to meet field force needs. **Key Responsibilities**...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Healthfirst (FL)
- …from an accredited institution + Experience in Healthcare/Health Plan customer service, operations , vendor management, or claims processing. + Previous work ... **Preferred Qualifications** + Demonstrated experience or deep understanding of healthcare Operations processes and supporting systems such as Claims Processing,… more
- Highmark Health (Tallahassee, FL)
- …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... and audit support when needed. **ESSENTIAL RESPONSIBILITIES** + Supervises the daily operations and workforce work distribution to ensure that standards are met for… more
- CDM Smith (Orlando, FL)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Job Summary** The Senior Director of Quality Strategy and Operations will be responsible for developing and delivering the Global Quality strategic plan, ... department's budget, ensuring efficient allocation of resources and cost-effective operations , including resource utilization and optimization + **Global Systems:**… more
- Molina Healthcare (Tampa, FL)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... prior authorizations, fee schedules, and other business requirements critical to claim accuracy. Maintain audit records, and provide counsel regarding coverage… more
- USAA (Tampa, FL)
- …to facilitate timely claims resolution. + Supports workload surges and/or Catastrophe Operations as needed. + May act as an informal resource for team members ... responsible to adjust attorney involved moderately complex bodily injury claims to include confirming coverage, determining liability, investigating, evaluating,… more
- MyFlorida (Jacksonville, FL)
- OPS OPERATIONS ANALYST I - 64801493 Date: Sep 5, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 860080 Agency: Department of Health Working Title: OPS OPERATIONS ANALYST I - 64801493 Pay Plan: Temp Position...duties relating to the processing of Social Security disability claims . This position requires the incumbent have good oral… more
- Walmart (Orlando, FL)
- …rotating merchandise and supplies from distribution centers and suppliers handling claims and returns completing maintaining and securing paperwork forms and other ... example systems insurance stock processing information for thirdparty insurance claims coordinating with insurance companies to resolve rejections interpreting… more