• Fraud and Waste Investigator

    Humana (Tallahassee, FL)
    …Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a ... corporate environment and understanding of business operations **Additional Information** **Work at Home Requirements** * At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is… more
    Humana (01/10/26)
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  • HUB International Internship Program Summer

    HUB International (Winter Park, FL)
    …experience in managing policies, endorsements, renewals, data management, and assisting in claims processing . . Market Research: Support analysis of United ... States insurance markets and regional trends. . Technical Training: Participate in workshops and training sessions to strengthen your skills and industry knowledge. . Reporting: Prepare reports and presentations to communicate project updates, findings, and… more
    HUB International (01/09/26)
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  • Pharmacy Intern Grad

    Walgreens (Tampa, FL)
    …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... payment rejections. Follows-up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest… more
    Walgreens (01/09/26)
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  • Intake Specialist Appeal and Grievance - Health…

    BayCare Health System (Clearwater, FL)
    …(phone, email, online portals) in systems. + Ensure accurate and timely processing of all intake information according to company and regulatory standards. + ... Equivalent GEDRequired Experience: 1 year of experience in Customer Service, Claims , Appeals, or Healthcare Administration. + Previous experience in handling Appeals… more
    BayCare Health System (01/09/26)
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  • Clinical Pharmacist Principle

    Humana (Tallahassee, FL)
    …Humana Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing , prior authorization, formulary management and clinical ... programming + Represents Humana at all Pharmacy Medicaid meetings including those with the Michigan Department of Health and Human Services (MDHHS) **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree in Pharmacy or Doctor of… more
    Humana (01/08/26)
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  • Senior Client Specialist

    First Horizon Bank (Doral, FL)
    …and policies, conduct account research, file and process fraud claims + Proactively identify cross-selling opportunities, recommending additional bank products ... + Provide loan support to relationship teams, collection of payments and fees, processing advances on lines of credit + Demonstrate knowledge of the loan… more
    First Horizon Bank (01/08/26)
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  • Law Enforcement Investigator II

    MyFlorida (Orlando, FL)
    …of alcoholic beverage and tobacco products in Florida, including receipt and processing of license applications; collection and auditing of taxes and fees paid ... Affairs has also established an email where people can electronically file claims or ask questions. The email is ###@fdva.state.fl.us. The Department of Business… more
    MyFlorida (01/08/26)
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  • Director, Home Health Grievances & Appeals

    CenterWell (Tallahassee, FL)
    …in Microsoft Access or experience with SQL Server databases + Previous experience processing medical claims + Bilingual (English and Spanish); with the ability ... to read, write, and speak English and Spanish **Additional Information** **SSN Alert Statement** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file.… more
    CenterWell (01/08/26)
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  • Investigation Specialist II

    MyFlorida (Gainesville, FL)
    …of alcoholic beverage and tobacco products in Florida, including receipt and processing of license applications; collection and auditing of taxes and fees paid ... Affairs has also established an email where people can electronically file claims or ask questions. The email is ###@fdva.state.fl.us. The Department of Business… more
    MyFlorida (01/08/26)
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  • Office Coordinator

    SCI Shared Resources, LLC (Sarasota, FL)
    …the Office Coordinator role include:** + Support the sales team by processing and validating contractual agreements to ensure accuracy + Provide exceptional customer ... and delivering messages accurately + Produce and maintain same day checks, trust claims , and the reconciliation of bank records. + Operate office equipment such as… more
    SCI Shared Resources, LLC (01/07/26)
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