• Patient Support Medical/Biller Claims

    IQVIA (Miami, FL)
    **Patient Support Medical Claims Processing ​ Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team....+ High School Diploma or equivalent + Experience in claim processing required + Medical Billing Certification… more
    IQVIA (07/29/25)
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  • General & Product Liability Complex Claim

    Sedgwick (Miami, FL)
    … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim ...directions in a professional and timely manner. + Communicates claim activity and processing with the claimant… more
    Sedgwick (08/08/25)
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  • Claim Benefit Specialist

    CVS Health (Tallahassee, FL)
    …And we do it all with heart, each and every day. Reviews and adjudicates claims in accordance with claim processing guidelines. Claim Benefit ... and retention by providing accurate and timely resolution in processing medical claims . You will be a...Ability to use multiple computer applications at one time. Claim processing experience. **Desired qualifications** We are… more
    CVS Health (08/08/25)
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  • Remote Healthcare Claims Processing

    NTT DATA North America (Orlando, FL)
    NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **$18/hour W2** **Long Term Temporary** **Start: ... this Role the candidate will be responsible for:** + Processing of Professional claim forms files by...schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2+ year(s) using a… more
    NTT DATA North America (08/08/25)
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  • General Product and Liability Complex Claim

    Sedgwick (Miami, FL)
    …expertise preferred. **Skills & Knowledge** + Subject matter expertise in worker's compensation claims and/or liability claims processing + Ability to obtain ... FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional… more
    Sedgwick (08/08/25)
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  • Claim Operations Specialist

    Travelers Insurance Company (Tampa, FL)
    … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site...mail. Orders, receives and distributes supplies and/or equipment. + CLAIM PAYMENTS AND EXPENSE PROCESSING : Ensures the… more
    Travelers Insurance Company (06/18/25)
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  • Copay Manager - Support Program/ Claims

    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 ... and external business review meetings. Responsible for forecasts and analyzing claims data to determine Copay utilization, establish escrow account minimum balances… more
    AssistRx (07/02/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Tallahassee, FL)
    claim or reconsideration. **Required Qualifications** - 18+ months of medical claim processing experience. - Experience in a production environment. - ... every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a… more
    CVS Health (08/01/25)
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  • Claim Benefit Specialist

    CVS Health (Plantation, FL)
    …- Performs claim rework calculations. **-** Ensures accurate and timely claims processing **Required Qualifications** Applicant must have at least 2 years ... expert by providing members and providers with high quality claim adjudication. May handle customer service inquiries and problems....medical terminology. - Hands on experience in end-to-end medical claims processing . - Knowledge of the ACAS… more
    CVS Health (08/08/25)
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  • Assistant of Claims Processing

    Ascension Health (Jacksonville, FL)
    **Details** + **Department:** Billing and Claims + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:** 3 ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
    Ascension Health (08/01/25)
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