- Kemper (Miami, FL)
- …incoming calls from customers regarding claims . + Enter information into the claims system Initiating the claims handling process. + Answer customer ... of this unique opportunity. We are seeking a Bilingual Claims Customer Service - Initial Loss to work at...prepared on everything you need to know about insurance claims and help you succeed in this role. **Position… more
- Sedgwick (Tallahassee, FL)
- …& Insurance (Remote) Manager Global Service Delivery Operations - Casualty Claims **PRIMARY PURPOSE** **:** Manages the global service delivery partnership, which ... + Facilitates change management by guiding stakeholders through transitions in processes, systems , or scope. + Evaluates resource alignment regularly to ensure the… more
- USAA (Tampa, FL)
- …ClaimCenter software delivery lifecycle experience. + Deep operational knowledge of end-to-end Claims internal, vendor, and enterprise systems . + Skilled in ... are seeking a dedicated Business Process Owner Lead - Claims User Experience - Claims Optimization. We...and changes in order to improve and support business systems and activities and/or to deliver greater effectiveness and… more
- Molina Healthcare (Jacksonville, FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations,… more
- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...have had a clear vision of a better healthcare system and have continually evolved to get there. In… more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist, Retirement - Lakeland **Department:** Benefits Administration **Location:** Lakeland, FL ... Matter Expert (SME) for the Retirement business area, + Processing beneficiary claims for PROFIT Plan distributions, + Providing premier customer service to lobby… more
- USAA (Tampa, FL)
- …Process Management, or similar methodology. + Demonstrated experience with utilizing various systems to collect and analyze data. **What sets you apart:** + P&C ... Property Claims Operations and/or Optimization experience + Over 2 years...MCO experience + Deep operational knowledge of end-to-end Property Claims processes + Demonstrated knowledge of new and emerging… more
- Healthfirst (FL)
- …reporting and database technologies and ensure Healthfirst is leveraging existing systems to maximize optimal value. + Collaborate with Information Technology, ... teams to support effective department management including introducing new technology, system upgrades and reporting impacts and providing leadership dashboards to… more
- Prime Therapeutics (Tallahassee, FL)
- …decision we make. **Job Posting Title** Senior Solution Product Owner - Pharmacy Claims Data **Job Description** The Senior Solution Product Owner is responsible for ... or GED is required + 5 years of work experience leading business processes, system changes and/or similar relevant business experience + Must be eligible to work in… more
- Community Health Systems (Naples, FL)
- The ** System Director of Risk Management** is a key leader responsible for overseeing risk management, patient safety, and regulatory compliance across Physicians ... Regional Healthcare System . This role ensures compliance with federal, state, and...incident reporting and medication variance tracking through computerized risk systems . + Monitor trends, identify safety issues, and conduct… more
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