- MyFlorida (Tallahassee, FL)
- CLAIMS PROCESSING SUPERVISOR - 36000333 Date:...to team members. Assist in preparing the How to Claim web page information for all new promotions. + ... . Requisition No: 866202 Agency: Department of Lottery Working Title: CLAIMS PROCESSING SUPERVISOR - 36000333 Pay Plan: Lottery Exempt Serv Position Number:… more
- Highmark Health (Tallahassee, FL)
- …and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs, ... **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health… more
- 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 ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Sedgwick (Jacksonville, FL)
- …asbestos) by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate ... + Calculates and assigns timely and appropriate reserves to claims ; monitors reserve adequacy throughout claim life....depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Sedgwick (Orlando, FL)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim ...depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client;… more
- Molina Healthcare (Miami, FL)
- …recovery application. * Follows department processing policies and procedures including, claims processing ( claim reversals and adjustments), claim ... JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim ...and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other… more
- Sedgwick (Tallahassee, 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 (Tallahassee, 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
- NextEra Energy (North Palm Beach, FL)
- …Claims Account Manager will be responsible for the following: + Assumed Reinsurance Claims Management & Processing + Review and validate assumed reinsurance ... submission, tracking, and resolution of reinsurance recoveries, including facultative and treaty claims . + Analyze claim data and documentation to confirm… more
- Molina Healthcare (Orlando, FL)
- …equivalent combination of relevant education and experience. * Medical claims processing experience across multiple states, markets, and claim types. * ... requests. * Assists with reducing rework by identifying and remediating claims processing issues. * Locates and interprets claims -related regulatory and… more