- The Hartford (Lake Mary, FL)
- …of key processes, continuous improvement initiatives, and changes in trends in Claims . The individual will perform diagnostic analytics to identify underlying causes ... and trend change. The individual will partner with teammates in Claims Strategy and Optimization, Claims Performance Analytics, Claims Data Office, Claims… more
- Sedgwick (Tallahassee, FL)
- …Insurance Experienced Desk Adjuster - Remote **PRIMARY PURPOSE** **:** Handles losses and claims valued up to $15,000 for property and casualty insurers through the ... processing. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records… more
- AdventHealth (Maitland, FL)
- …sources using knowledge of healthcare managed care contracts and healthcare administrative claims data Reviews existing complex models and implements them on new ... Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT, CPT, HCPCS II, DRG and revenue codes… more
- LogixHealth (Dania Beach, FL)
- …environment and will bring your expertise to process all denied and unpaid claims submitted to insurance carriers to ensure payment is received. The ideal candidate ... A/R (Accounts Receivable) reports to follow up on unpaid claims + Prepare and submit out appeals on ...claims + Prepare and submit out appeals on claims that require additional review or reconsideration + Provide… more
- AdventHealth (Maitland, FL)
- …+ Applies significant understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10, CPT, HCPCS II, DRG and revenue codes + ... + 3 years Healthcare, Managed Care, Hospital or Ancillary claims analysis, Hospital or Ancillary claims payment, or related field with bachelors degree + 5… more
- Sedgwick (Tallahassee, FL)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team...to be accredited or qualified by experience + **Insurance claims experience:** it is imperative that you have experience… more
- Sedgwick (Miami, FL)
- …Aviation insurance industry. The role will involve handling Hull insurance claims , conducting surveys and meetings internationally, working closely with policy ... holders, insurers, brokers, and service providers to investigate and report on claims , whilst building and maintaining client relationships. As a member of the… more
- Molina Healthcare (Tampa, FL)
- …to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance ... and accurately, in accordance with regulatory requirements. + Research claims processing guidelines, provider contracts, fee schedules and system configurations… more
- Sedgwick (Orlando, FL)
- …their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more ... To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not...of business, including but not limited to, expediting the claims process and providing detailed claim notes on all… more
- Cardinal Health (Tallahassee, FL)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will work within the scope of responsibilities as ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more