- Manulife (FL)
- …: + Successfully completes high-quality, sophisticated long term care claims investigations + Independently develops and drives a detailed investigative ... management and Requesters + Optimally applies internal case management systems to keep department management updated and to plan...and trains more junior investigators on long term care claim cases and processes + Ability to travel on… more
- Ankura (Miami, FL)
- …Assist in research and analysis project cost records and financial statements + Reconcile claim amounts to accounting systems and to insurers' calculations + Use ... Ankura's proprietary tools and industry standards in the development of claim methodology and work product + Develop computer models of schedules, contractor… more
- Naval Air Systems Command (Jacksonville, FL)
- …Management website: https://www.opm.gov/policy-data-oversight/classification-qualifications/federal-wage- system -qualifications/#url=WG-3300 Experience refers ... when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation… more
- Naval Air Systems Command (Jacksonville, FL)
- …found at: https://www.opm.gov/policy-data-oversight/classification-qualifications/federal-wage- system -qualifications/#url=List-of-Approved-Job-Elements Experience ... when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation… more
- Naval Air Systems Command (Jacksonville, FL)
- …found at: https://www.opm.gov/policy-data-oversight/classification-qualifications/federal-wage- system -qualifications/#url=List-of-Approved-Job-Elements Experience ... when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation… more
- HCA Healthcare (Ocala, FL)
- …relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires regular outreach to payors and Practices. **In ... telephonically + Overcome objections that prevent payment of the claim and gain commitment for payment through concise and...+ Update patient accounts as appropriate + Submit uncollectible claims for adjustment timely and correctly + Resolve … more
- CDM Smith (Fort Myers, FL)
- …Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the project. ... Management: The candidate must understand and be knowledgeable in project delivery systems , contracting strategies, and typical contract forms and terms. The role… more
- HUB International (Fort Lauderdale, FL)
- …experience and in-depth knowledge of insurance markets, policy provisions, claim processes, business environment, and risk mitigation, applies independent and ... responsible. These include non-routine coverage issues and questions, denial of claims , renewal strategies for key accounts, and interpretation of non-routine… more
- Elevance Health (Miami, FL)
- …is responsible for investigating assigned cases, collecting, researching and analyzing claim data in order to detect fraudulent, abusive or wasteful ... **How you will make an impact:** + Using appropriate system tools and databases for analysis of data and...analysis of data and review of professional and facility claims to detect fraudulent, abusive or wasteful healthcare insurance… more
- University of Miami (Miami, FL)
- …experience required. Working knowledge of information technology, particularly how systems and applications integrate with business processes and operations ... + Risk financing, legal, and regulatory operations. + Healthcare operations including claims and litigation. + Patient safety culture, leadership, and advocacy. +… more