- Sedgwick (Tallahassee, FL)
- …accuracy, and files necessary documentation with state agency. + Communicates claim action/ processing with claimant, client and appropriate medical contact. ... + Ensures claim files are properly documented and claims coding is correct. + May process routine payments and prescriptions and status reports for lifetime… more
- Sedgwick (Miami, FL)
- …FUNCTIONS and RESPONSIBILITIES** + Processes auto property damage and lower level injury claims ; assesses damage, makes payments, and ensures claim files are ... and pursues subrogation opportunities; secures and disposes of salvage. + Communicates claim action/ processing with insured, client, and agent or broker when… more
- TEKsystems (Deerfield Beach, FL)
- …in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability to navigate multiple software ... skilled mechanic looking to shift gears in your career? We are seeking Mechanical Claims Analysts to join our expanding customer contact team. In this role, you'll… more
- Humana (Tallahassee, FL)
- …customer-focused and ensure the highest operational standards for more than 240M claims processing transactions associated with our 9+ million members. Reporting ... will allow this leader to ensure timely, accurate, and customer-focused claims processing , while driving continuous improvement, regulatory compliance, and… more
- The Hartford (Lake Mary, FL)
- …high exposure claims , involving complex issues and/or litigation. Responsibilities: + Claims Processing and Administration + Ensures that claims are ... as a Marine Claims Consultant. The Marine Claims Consultant is responsible for maintaining and processing...vendors to ensure service quality. + Reviews and analyzes claim reports to identify and address trends. Develops and… more
- Insight Global (Deerfield Beach, FL)
- …in Microsoft Office applications (Email, Teams, Outlook, etc.) and programs used for claims processing , as well as the ability to navigate multiple software ... Job Description Key Responsibilities: The automotive claims adjuster handles inbound calls from dealerships and mechanics, reviewing and deciding on warranty … more
- Cognizant (Tallahassee, FL)
- …duties as assigned by management. **Qualifications:** + A minimum of 1 year's claims processing experience is required. + Knowledge of physician practice and ... to multi-task successfully? If so, please apply today! The Claims Processor, you will ensure accurate and timely adjudication...stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA… more
- CHS (Clearwater, FL)
- … claims prior to payment. * Oversight for the ongoing management of claims processing technology, including plan building and identification of new and ... **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits**...total per household per month (PHPM) and per inbound claim cost so that improvements in productivity and efficiency… more
- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also ... systems, reports, and Standard Operating Procedures to work assigned claim steps and gather supporting claims information....work assigned claim steps and gather supporting claims information. + Processes invalid claims in… more
- CHS (Clearwater, FL)
- …medical terminology **Qualifications** **Qualifications:** + Minimum two (2) years of medical claims processing experience + Must have reliable and secure ... **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims … more