- Elevance Health (Tampa, FL)
- **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... is responsible for leading encounter processing, diagnostic documentation and claims integrity across CareBridge. The ideal candidate has experience working… more
- USAA (Tampa, FL)
- …for this position. **The candidate selected for this position will be joining the Claims Analytics team, which is a part of P&C Actuary & Analytics.** **They will ... work directly with Claim 's business partners on benefit analysis, analyzing data to...initiatives.** **They will partner with the other teams within Claims Analytics, as well as the P&C Data Science… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting ... necessary. Key Responsibilities: + Review, research, analyze and process professional claims by navigating multiple applications and platforms accurately. + Ensure… more
- USAA (Tampa, FL)
- …**Auto Adjuster** you will proactively handle the complete end to end claims process. Taking statements, policy and coverages, determination of liability and ... and framework, responsible to adjust moderately complex auto insurance claims presented by or against our members to include...(now or in the future) you will need immigration support (ie, H-1B, TN, STEM OPT Training Plans, etc.).**… more
- USAA (Tampa, FL)
- …truly makes us special and impactful. **The Opportunity** As a dedicated Sr Auto Claims Adjuster, you will adjust highly complex auto insurance claims presented ... by or against our members to include the end-to-end claims process and settling claims in compliance...(now or in the future) you will need immigration support (ie, H-1B, TN, STEM OPT Training Plans, etc.)**… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Billing and Claims + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:** 3 ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more
- Modernizing Medicine (Tampa, FL)
- …the US, Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive ... Revenue Cycle Management team. As a critical team member, you will support patients receiving care from ModMed BOOST service providers and doctors, ensuring… more
- Prime Therapeutics (Tallahassee, FL)
- …our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit claims ... cause analysis and provide additional training as needed. Resolve claims edits and suspended claims . **Responsibilities** +...high level of quality and professionalism. + Provide backup support to other team/group members in the performance of… more
- USAA (Tampa, FL)
- …and implementation of multiple Data and Analytics sub-functions for Claims that may include: Information Strategy and Architecture, Information Management, ... Information Governance, Information Delivery Analytics & Insights Delivery, and Support . Lead the short-term and long-term strategy and vision of the assigned… more
- USAA (Tampa, FL)
- …impactful. **The Opportunity** We are seeking a dedicated Business Process Owner Senior - Claims User Experience - Claims Optimization. We offer a flexible work ... for process improvement initiatives. + Provides mentorship and guidance support for team and applicable business partners. + Actively...analyze data. **What sets you apart:** + Demonstrated P&C Claims technical acumen. + 2+ years Manager Claims… more