- Norstella (Tallahassee, FL)
- …to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You ... teams to develop and refine database queries, data pipelines, and processing workflows, incorporating AI/ML methodologies for advanced analytics. + Partner with… more
- Sedgwick (Tallahassee, FL)
- …directly with auto repair facilities to determinate supplemental repair processing and provides a supplemental estimate. **ADDITIONAL FUNCTIONS and ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- LogixHealth (Dania Beach, FL)
- …individual providers and monitor contract termination dates and make sure that claims are processed based on the contracted rates. Key Responsibilities: + Assigning ... or equivalent combination of education and experience + Prior word processing , spreadsheet and internet software experience including proficiency with MS Teams,… more
- Prime Therapeutics (Tallahassee, FL)
- …Part D eligibility requirements, Part D plan designs, drug formularies, drug pricing, claims processing and reimbursements, True Out of Pocket expenditures, that ... are not limited to premium amounts, late enrollment penalties, and reimbursement of drug claims . + Ensures the accuracy of payments to Part D sponsors. + Resolves… more
- NextEra Energy (North Palm Beach, FL)
- …prioritize operational risks inherent in insurance operations, including underwriting, claims processing , operations, finance, actuarial, and regulatory ... operational risks, considering industry-specific factors + Work closely with underwriting, claims , actuarial, and other business units to develop and implement risk… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- …review and approval activities, including collecting and reviewing ingredient and processing information, evaluating proposed product names, claims and label ... + Creates and launches new document requests as needed to support labeling claims or new regulatory requirements. + Uses the Quality Management System to develop… more
- University of Miami (Miami, FL)
- …necessary. + Responds to customer inquiries regarding insurance coverage for services and processing of claims . + Adheres to University and unit-level policies ... verify insurance information. + Obtains authorization for HMO patients. + Verifies claims are mailed to the proper address. + Contacts physicians, insurance… more
- Legacy Parking Company (Miami, FL)
- …of Assistant Managers and Team Leaders + Monitor and review all damage claims . Recommend and implement plans or programs to improve safety of operations to ... prevent the occurrence or reoccurrence of similar claims + Monitor facility maintenance for cleanliness standards and...to budget and revenue enhancements. + Responsible for payroll processing ; ensuring sign off on hours in timely manner;… more
- Legacy Parking Company (Miami, FL)
- …to accomplish annual and periodic goals/initiatives + Monitor and review all damage claims . Recommend and implement plans or programs to improve safety of operations ... to prevent the occurrence or reoccurrence of similar claims + Monitor facility maintenance for cleanliness standards and make recommendations to improve the overall… more
- Legacy Parking Company (Miami, FL)
- …of Assistant Managers and Team Leaders + Monitor and review all damage claims . Recommend and implement plans or programs to improve safety of operations to ... prevent the occurrence or reoccurrence of similar claims + Monitor facility maintenance for cleanliness standards and...to budget and revenue enhancements. + Responsible for payroll processing ; ensuring sign off on hours in timely manner;… more