- 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
- CDM Smith (Orlando, FL)
- …and Evidence Gathering: Collect and organize all necessary documentation to support claim amounts. This includes gathering invoices, receipts, contracts, ... Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related… more
- Sedgwick (Orlando, FL)
- …naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes ... professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability...curriculum. + An assigned mentor and manager that will support and guide you on your career journey. +… more
- Molina Healthcare (FL)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... for all PI solutions. + Lead efforts to improve claim payment accuracy, claim referrals, adjustment analysis...to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partner with… more
- MyFlorida (Tallahassee, FL)
- …additional claims . This is accomplished through tracking the assigned claim load and utilizing the benefit payment system. Track assignments for ... to apply the law in making initial determinations on claims . The individual in this position must be able...relative to the information submitted. Ensures that documentation of claim records is maintained and available to the Office… more
- Sedgwick (Miami, FL)
- …develops colleagues, identifies, and manages needed training, and monitors individual claim activities for trends and improvements; provides guidance and support ... emphasis for deeper analysis. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Provides support , feedback, and guidance concerning daily operations and audit activity… more
- Molina Healthcare (St. Petersburg, FL)
- …and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance ... thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partners with Network to… more