- Allied Universal (St. Petersburg, FL)
- Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is ... Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation… more
- City of Coral Gables, FL (Coral Gables, FL)
- …and supports overall risk-management activities. The role manages workers' compensation claims from first report through closure, partners with internal stakeholders ... and contractual insurance requirements and assists with all risk related liability claims . Job Duties and Responsibilities The following duties are normal for this… more
- Molina Healthcare (Tampa, FL)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Sedgwick (Tallahassee, FL)
- …work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all ... claims to ensure information substantiates disability. + Provides clear...and appropriate follow-up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made on claims… more
- Molina Healthcare (FL)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... Analysis** + Use a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Apply understanding of… more
- Carnival Cruise Line (Miami, FL)
- Processes data entry, vendor claims , and Purchase Order (PO) research. Job Functions: + Process vendor claims , internal department claims , delivery receipts ... + The Receiving Coordinator role processes data entry, vendor claims , and Purchase Order (PO) research. + Process vendor..., and Purchase Order (PO) research. + Process vendor claims , internal department claims , delivery receipts for… more
- LogixHealth (Dania Beach, FL)
- …benefits (EOB) statement + Analyze A/R (Accounts Receivable) reports to follow up on unpaid claims + Send out appeals on claims that require an appeal + Submit ... required documentation to insurance companies as requested + Research claims for information in order to process bills in...+ Correct errors and resubmit all unprocessed or returned claims to insurance companies + Create UB92 and HCFA… more
- Kemper (Miami, FL)
- …you will be responsible for building rapport with customers. You handle claims involving unrepresented injured claimants, from start to finish. We are offering ... handle multiple vehicle accidents + In some instances, handle claims where claimant is injured and at fault party...have a minimum of 1 year of auto liability claims handling experience + Prior bodily injury experience a… more
- CVS Health (Tallahassee, FL)
- …and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all ... etc. **Preferred Qualifications** + Experience overseeing or defending product liability claims and litigation. + Familiarity or experience with insurance and… more
- Marriott (Lake Buena Vista, FL)
- …* Works with the unemployment services provider to respond to unemployment claims ; reviews provider reports for accuracy and corrects errors. * Prepares, audits ... through orientation, property meetings, bulletin boards, etc. * Conducts periodic claims reviews with Regional Claims office to ensure claims are closed in a… more