- City of Jacksonville (Jacksonville, FL)
- …the monitoring, reviewing, investigating, and processing of complex workers' compensation claims that include primarily lost time, permanent total disability, and ... workers' compensation laws, rules, and regulations and workers' compensation claims processing practices and procedures with substantial litigation experience… more
- CVS Health (Tampa, FL)
- …will be responsible for designing, developing, and implementing digital solutions and systems . This role requires technical expertise to architect and code software ... applications, perform system testing and debugging, collaborate with cross-functional teams, and...and other IT partners. As part of the AT Claim Organization, you will be responsible for code deliverables… more
- Travelers Insurance Company (Tallahassee, FL)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment… more
- MyFlorida (Fort Lauderdale, FL)
- …initial or additional claims . This is accomplished through tracking the assigned claim load and utilizing the benefit payment system . + Answers inquiries ... relative to the information submitted. Ensures that documentation of claim records is maintained and available to the Office...and policies to determine the eligibility of reemployment assistance claims using the CONNECT system . This includes… more
- CVS Health (Tallahassee, FL)
- …Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/ Claims Research Medicaid team. Extensive claims research on ... Explain provider's rights and responsibilities in accordance with contract. + Process claim referrals, new claim handoffs, nurse reviews, provider complaints,… more
- Cardinal Health (Tallahassee, FL)
- … claims processing. + Manages billing queue as assigned in the appropriate system . + Manages and resolves complex insurance claims , including appeals and ... in accordance with company policy, regulations, or third-party policy. + More challenging claim cases + Investigates and updates the system with all information… more
- Elevance Health (Tampa, FL)
- …claim identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of the concept ... or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement… more
- Sedgwick (Tallahassee, FL)
- …criteria; to provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated program through training and ... reviews on cases where the nurse is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work guidance.… more
- MyFlorida (Tallahassee, FL)
- …initial or additional claims . This is accomplished through tracking the assigned claim load and utilizing the benefit payment system . + Answers inquiries ... relative to the information submitted. Ensures that documentation of claim records is maintained and available to the Office...and policies to determine the eligibility of reemployment assistance claims using the CONNECT system . This includes… more
- MyFlorida (Orlando, FL)
- …initial or additional claims . This is accomplished through tracking the assigned claim load and utilizing the benefit payment system . + Answers inquiries ... and policies to determine the eligibility of reemployment assistance claims using the CONNECT system . This includes...relative to the information submitted. Ensures that documentation of claim records is maintained and available to the Office… more