- Nestle (Palm Beach Gardens, FL)
- …and nutrition for patients and consumers. **POSITION OVERVIEW:** The Customer Solutions and Claims Specialist serves as the primary point of contact for the customer ... order touches. + Identify and resolve demand capture failures to ensure timely processing . + Monitor and address account specific issues upon receipt of order;… more
- Healthfirst (FL)
- …contract reimbursement terms, code sets (HCPCS, ICD10, DRGs, CPT, etc.), and claims processing practices WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants ... and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital… more
- NBC Universal (Orlando, FL)
- …Position Overview: The Senior Financial Accounting Analyst for Payroll Tax and Processing is responsible for supporting all SAP Payroll tax, garnishment, and payroll ... processing activities including but not limited to tax jurisdiction...IT support as needed. + Replacement Checks + Fraud Claim Research + Pay Slip inquiries and explanation +… more
- Truist (Orlando, FL)
- …guidelines. 2. Independently analyze, research, and support electronic payment cases/ claims /inquiries escalated by internal departments and client service centers to ... resolution. Claims /inquiries related to Regulation E are met in accordance...tools. 9. Support extended hours for same day wire processing for all channels. 10. Under minimal supervision, perform… more
- Molina Healthcare (St. Petersburg, FL)
- …teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- USAA (Tampa, FL)
- …military spouse/domestic partner + 5 or more years Medicare or Medicare Supplement claim processing , operations, or administrative experience. + 5 or more years ... to review, analyze, and investigate life, health, and annuity claims to ensure claim validity and to protect the association from potentially fraudulent… more
- City of Jacksonville (Jacksonville, FL)
- …of workers' compensation laws, rules, and regulations and workers' compensation claims processing practices and procedures with substantial litigation experience ... laws, rules, and regulations. + Knowledge of complex workers' compensation claims processing practices and procedures involving lost time, disability,… more
- Sedgwick (Tallahassee, 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
- Molina Healthcare (FL)
- …updates/changes to member enrollment, provider contract, provider demographic information, and/or claim processing guidelines. Evaluates the accuracy of these ... communicate written and verbal + Knowledge of verifying documentation related to updates/changes within claims processing system . + Experience using claims … more
- NextEra Energy (North Palm Beach, FL)
- …(First Notice of Loss), following up with TPAs (Third Party Administrators), manage claims BDXs (Bordereau), processing invoices, generate loss runs & reports, ... affiliated and non-affiliated risks. As the Operations Analyst for Claims & Finance, you will be assisting the ...administrative, and clerical support as required * Supports parallel claim function to support the team * Work with… more