- Aston Carter (Deerfield Beach, FL)
- …The Claims Payment Analyst is responsible for reviewing, analyzing, and processing claims payment requests for automotive repairs. This individual determines ... to internal policies and procedures. Responsibilities + Review and process claims payment requests for automotive repairs. + Determine appropriate payment amounts… more
- Sedgwick (Tallahassee, FL)
- …from an accredited college or university preferred. **Experience** 2-3 years experience processing work comp claims as an examiner. Familiar with CPT, ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of Network bills that do… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** Responsible for collecting, storing, processing , and analyzing large sets of data. The primary focus will be on choosing optimal ... tools such as Python, Ruby or Perl. * Experience in building stream- processing systems, using solutions such as Kafka, Storm or Spark-Streaming * Experience… more
- AdventHealth (Apopka, FL)
- …5050 Wesley Rd Apopka, FL 32712 **The role you'll contribute:** The Pharmacy Processing Manager is responsible for all activities regarding Rx Plus Pharmacy's state ... licensed data entry, claims adjudication, prior authorization, pharmacy specialist, and technician quality...State and Federal pharmacy laws and regulations. The Pharmacy Processing Manager hires, trains and manages team members and… more
- Voltyx (FL)
- …or third party recruiting agencies, and will not recognize claim to any unsolicited resumes or candidate information.** \#WEEMPOWERPOSSIBLE ... (https://www.linkedin.com/company/voltyx/mycompany/) **Job Locations** _US-FL_ **Posted Date** _3 weeks ago_ _(11/6/2025 10:26 AM)_ **_ID_** _2025-6210_ **_\# of Openings_** _1_ **_Category_** _Field Service Supervisor_ more
- Zelis (St. Petersburg, FL)
- …outbound call center setting, this role focuses on identifying and resolving various claim processing and provider billing issues. Additionally, the Medical Bill ... financial outcomes. What you will do: + Analyze medical claims submitted by members along with their Explanation of...their Explanation of Benefits (EOB) to verify accuracy of claim processing and provider billing + Manage… more
- Sedgwick (Tampa, FL)
- …documentation. Efficiently manages a case load using technology for efficient claim processing . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates ... efficiently. + Utilizes technology and automation tools for efficient claim handling. + Sends claims exceeding $15,000...tools for efficient claim handling. + Sends claims exceeding $15,000 gross loss amount to leadership for… more
- Sedgwick (Orlando, FL)
- …system documentation.** **Coordinates investigative efforts to ensure thorough and appropriate claim reviews.** **Identifies when claims require external support ... **_caring counts-and so do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise, and impact. Right now,… more
- GE Aerospace (Jacksonville, FL)
- …Microsoft Office Suite and ability to navigate other business-related software, including claim processing systems and applications. + Excellent written and oral ... In this high-impact role, you'll deliver sharp insights, adjudicate complex claims , and collaborate across teams using advanced analytics and emerging technology.… more
- Molina Healthcare (FL)
- …concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines, provider contracts, fee schedules and systems ... or equivalent combination of relevant education and experience. * Health claims processing experience, including coordination of benefits (COB), subrogation… more