- 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...partners. **What Will You Do?** + Directly handles assigned claims . + Provides quality customer service and ensures file… 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
- Molina Healthcare (St. Petersburg, FL)
- …Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the ... accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role will focus on...guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen.… more
- Zelis (St. Petersburg, FL)
- …disputes as they relate to DRG validation, itemized bill review, and/or clinical claim review Expert Claim Review. They will be responsible for reviewing ... facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence...Chief Medical Officer in managing disputes related to clinical claim reviews. This position will also be responsible for… more
- Sedgwick (Tallahassee, FL)
- …to callers regarding claims for multiple lines of business; to expedite the claims application process and provide detailed claim notes on all calls; to ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- CCMS & Associates (Dunedin, FL)
- CCMS & Associates is looking for a 1099 Residential and Commercial Property Claims Quality Review Specialist for the upcoming CAT season. We are answering a call to ... with our innovative team! We are seeking a Property Claims Quality Review Specialist with at least 3 years...and carrier desk adjusters + Maintain accurate and organized claim files + Maintain acceptable product quality through compliance… more
- The Walt Disney Company (Celebration, FL)
- …and inspections of marine systems and equipment to determine validity of the warranty claim + Review, assess, and submit warranty claims , as specified in the ... the Senior Manager of Marine and Technical Projects, oversees the warranty claim coordination between key project teams, stakeholders, and regulatory bodies, related… more
- Sedgwick (Orlando, FL)
- …an opportunity to do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening ... Sr **PRIMARY PURPOSE** : Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan… more
- Molina Healthcare (Miami, FL)
- …execute effective Payment Integrity strategies through both pre-payment and post payment claims reviews, aligning with industry and corporate standards as well as ... Clinician. This includes assessing medical documentation, itemized bills, and claims data to ensure appropriate payment levels, optimize resource utilization,… more
- NextEra Energy (North Palm Beach, FL)
- …* Performs other job-related duties as assigned, including technical, administrative, and clerical support as required * Supports parallel claim function to ... teams. This role will ensure accurate data and shared services for underwriting support , claims administration, and finance and accounting data, analysis, and… more