- Cognizant (Tallahassee, FL)
- …such as z/OS, ISPF, TSO, File-aid and SCM is required. + Experience in healthcare claims and their associated systems is crucial for understanding the complex ... this pivotal role, you will leverage your extensive experience with mainframe systems to design, develop, and optimize complex applications crucial to our business… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Claims Examiner III ensures that claims are processed according to department standards and assists the Claims manager in maintaining ... Key Responsibilities: + Review and release professional and institutional claims + Process Member Reimbursement claims +...builds teamwork + Ensure that the team utilizes the system capabilities to its maximum potential + Performs other… more
- DriveTime (Tampa, FL)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... 1 million service contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** **Responsibilities of the Job (Or Better… more
- CVS Health (FL)
- …of about 12-15 colleagues who are responsible for the filing of Stop Loss claims to partner Managing General Underwriter (MGU) and Stop Loss Carriers, follow up, ... for Management * Participates in weekly prioritization process for system enhancements * Develops and maintains inter-departmental relationships necessary for… 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
- Humana (Tallahassee, FL)
- …products, or other medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group practice ... management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R) or InterQual + Internal Medicine,… more
- Humana (Tallahassee, FL)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group practice ... management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG(R) or InterQual + Internal Medicine,… more
- Community Health Systems (Naples, FL)
- …Summary** The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate reimbursement. ... contact for insurance companies and other payers, researching and resolving claim issues while maintaining compliance with billing regulations and organizational… more
- Travelers Insurance Company (Tampa, FL)
- … claims , preferably General Liability claims . + Experience with claims management and software systems . + Strong understanding of insurance principles, ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating… more
- MyFlorida (Tallahassee, FL)
- …. + Experience working in a Risk Management Information System , Insurance Management system , or similar claims database. + Currently have or have held a ... - 43000332 Date: Jan 13, 2026 The State Personnel System is an E-Verify employer. For more information click...vendors. + Responsible for the overall maintenance of the claims information contained in the assigned claim … more