- Sedgwick (Orlando, FL)
- …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Informs ... and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims ...Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to… more
- Sedgwick (Orlando, FL)
- …federal/state leave of absence eligibility review; and to ensure the ongoing processing of claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** * Informs ... and/or client requirements for a qualifying condition. * Makes claim determinations to approve non-complex ADA claims ...Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to… more
- Sedgwick (Orlando, FL)
- …Security Disability Income (SSDI), and other disability offsets; and to ensure the ongoing processing of claims . **ARE YOU AN IDEAL CANDIDATE?** We are looking ... naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes… more
- CCMS & Associates (Naples, FL)
- …effectively with adjusters, insurers, and repair facilities to ensure seamless claims processing . + Maintain professional, customer-focused interactions with ... costs, and delivering high-quality appraisals for auto and heavy equipment claims . Job Responsibilities: + Conduct field inspections and appraisals of automobiles,… more
- Robert Half Accountemps (Melbourne, FL)
- …area. In this role, you will play a vital part in managing insurance claims , processing payments, and ensuring the accuracy of billing information. This position ... * Gather insurance information from patients and healthcare providers to facilitate claim submissions. * Input accurate data into financial systems to generate and… more
- Molina Healthcare (Tampa, FL)
- …concisely and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system ... response to incoming provider reconsideration request is relating to claims payment and requests for claim adjustments...years operational managed care experience (call center, appeals or claims environment). + Health claims processing… more
- Baylor Scott & White Health (Tallahassee, FL)
- …issues. + Knowledge and expertise of medical benefit policies and plan designs, claims hospital and medical processing , and adjudication with data skills. + ... needed + Participate in the development and implementation of an enterprise claim platform, providing subject matter expertise on the system configuration and… more
- Cardinal Health (Doral, FL)
- …GED or equivalent work experience, preferred + Strong knowledge of insurance claim processing and denial management preferred. + Familiarity with Medicare, ... Collector is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances… more
- CVS Health (Tallahassee, FL)
- …analytical, critical-thinking, and problem-solving skills. **Preferred Qualifications** + Claims processing experience. + Customer service experience. ... related to Network contracts and agreements. + Research identified issues; submit claim adjustment requests and determine the root cause of disputes. + Serve… more
- Bristol Myers Squibb (Tampa, FL)
- …intake and loading requirements. Act as subject matter expert related to Model N claims & payment processing and reporting functionality and has a high level ... loading requirements + Acting as a Subject Matter Expert regarding Model N claims & payment processing and reporting functionality including: + Providing… more