- City of Jacksonville (Jacksonville, FL)
- Workers' Compensation Specialist Senior Print (https://www.governmentjobs.com/careers/jacksonvillefl/jobs/newprint/4971840) Apply Workers' Compensation ... Specialist Senior Salary $58,703.40 Annually Location Jacksonville, FL Job Type...monitoring, reviewing, investigating, and processing of complex workers' compensation claims that include primarily lost time, permanent total disability,… more
- Lee County Board of County Commissioners (Fort Myers, FL)
- Administrative Specialist , Senior Print (https://www.governmentjobs.com/careers/leecounty/jobs/newprint/5064004) Apply Administrative Specialist , Senior ... spouses and family members of such service members and veterans, who claim and meet eligibility requirements of veterans preference, receive preference and priority… more
- LogixHealth (Dania Beach, FL)
- Location: On-Site in Dania Beach, FL This Role: As a Senior Billing Specialist at LogixHealth, you will work with a team medical billers, administrators, and ... A/R (Accounts Receivable) reports to follow up on unpaid claims + Assist with trouble shooting with pockets of...required documentation to insurance companies as requested + Research claims for information in order to process bills in… more
- CVS Health (Tallahassee, FL)
- …do it all with heart, each and every day. **Position Summary** The ** Senior Accounts Receivable Specialist ** prepares accounting and financial records and ... in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim ...fee claims for ancillary product offerings via claim system. **Required Qualifications** + 2+ years of experience… more
- Molina Healthcare (FL)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… 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 with the CFPB (Consumer Finance Protection Board). 3. Adhere to department standards… more
- CVS Health (Tallahassee, FL)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost ... both routine and non-routine business support tasks for the Sr Quality Specialist area under limited supervision, referring deviations from standard practices to… more
- Travelers Insurance Company (Tampa, FL)
- …reserving, negotiating and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...**What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality… more
- CVS Health (Tallahassee, FL)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- CVS Health (Tallahassee, FL)
- …Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider ... amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete… more