- GE Aerospace (Jacksonville, FL)
- …Microsoft Office Suite and ability to navigate other business-related software, including claim processing systems and applications. + Excellent written and oral ... In this high-impact role, you'll deliver sharp insights, adjudicate complex claims , and collaborate across teams using advanced analytics and emerging technology.… more
- Highmark Health (Tallahassee, FL)
- …supporting the Epic Resolute Hospital Billing application. Responsibilities include business/ systems analysis, requirements definition and documentation, system ... design, and problem resolution. The analyst communicates with system end-users to understand issues and implement solutions. **ESSENTIAL RESPONSIBILITIES** + Plans,… more
- Zelis (FL)
- …Identify new DRG coding concepts to expand the DRG product. + Manage assigned claims and claim report, adhering to client turnaround time, and department ... across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with...plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official… more
- Highmark Health (Tallahassee, FL)
- …inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly ... information system . + Enter all authorizations into the Argus IPNS information system to allow claim adjudication. + Complete other assigned duties as… more
- Naval Sea Systems Command (Panama City, FL)
- …and systems . You will prepare documentation covering product requirements, system specifications, and maintenance procedures. You will test and inspect the ... reliability and safety of electronic devices and systems , analyze data, and evaluate equipment performance under varying conditions. You will evaluate system … more
- Sedgwick (Orlando, FL)
- …time frames, and claims status either by phone, written correspondence and/or claims system . + Reviews medical information to determine if the claimant meets ... and/or client requirements for a qualifying condition. + Makes claim determinations to approve non-complex ADA claims ...Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to… more
- Sedgwick (Orlando, FL)
- …information and claims status either by phone, written correspondence and/or claims system . **QUALIFICATIONS** + Education & Licensing: High school diploma ... naturally empathic and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes… more
- MyFlorida (Alachua, FL)
- STATE VETERANS' SERVICE OFFICER - 50000444 Date: Nov 25, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. MINIMUM QUALIFICATIONS: An… more
- MyFlorida (Ocala, FL)
- STATE VETERANS' SERVICE OFFICER - 50000908 Date: Nov 21, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... and employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. Other vacant positions may… more
- MyFlorida (Pensacola, FL)
- STATE VETERANS' SERVICE OFFICER - 50001538 Date: Nov 18, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... employment history must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. MINIMUM QUALIFICATIONS: +… more