- Travelers Insurance Company (Tampa, FL)
- …negotiating and resolving assigned Construction Defect and latent Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... our business partners. **What Will You Do?** + Directly handles assigned severity claims . + Provides quality customer service and ensures quality and timely coverage… more
- Molina Healthcare (St. Petersburg, FL)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Akumin (Tampa, FL)
- **The Medical Biller** is responsible for submitting medical claims to government and private payers. Ensures that service date, CPT code, necessary modifiers, ... has been entered correctly into the billing system. Distributes claims into electronic and paper billing queues and transmits...include, but are not limited to:** + Submits medical claims to payers via electronic data interchange (EDI,) paper… more
- 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
- Sedgwick (Orlando, FL)
- …and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; ... coordinates investigative efforts, thoroughly reviews contested claims , negotiates return to work with or without job accommodations, and evaluates and arranges… more
- Sedgwick (Orlando, FL)
- …physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability plan; to make ... disability offsets; and to ensure the ongoing processing of claims . **ARE YOU AN IDEAL CANDIDATE?** We are looking...INCLUDE** + Makes claim determinations to approve non-complex disability claims or makes a recommendation to team lead to… more
- Sedgwick (Orlando, FL)
- …and making timely payments/approvals and adjustments, medically managing disability claims including comorbidities, concurrent plans, and complex ADA accommodations; ... coordinates investigative efforts, thoroughly reviews contested claims , negotiates return to work with or without job accommodations, and evaluates and arranges… more
- Travelers Insurance Company (Orlando, FL)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Kemper (Lake Mary, FL)
- …Litigation Adjuster will investigate, evaluate and handle to conclusion attorney represented injury claims , complex injury claims , and litigated claims . The ... **Position Responsibilities:** + Successfully handle any complex coverage or liability claims investigation. + Evaluate complex injury claims and determine… more
- Centene Corporation (Tallahassee, FL)
- …to customers + In some instances, researches and identifies basic and more complex claims payment errors and make appropriate adjustments to claims + In some ... instances, collaborates with the Claims department to price paid claims correctly and/or to send claims to the Claims department for corrections + In… more