- Sedgwick (Jacksonville, FL)
- …combination of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In ... depth knowledge of claims management, managed care and/or absence management processes and...other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- USAA (Tampa, FL)
- …trials, and mediations. + Provides legal advice to clients and P&C Claims team members. Develops, and implements legal strategy and ongoing budget projections ... to Claims Litigation, and clients, as appropriate on assigned cases....for trial. + Provides training to support staff, P&C Claims and Claims Litigation regarding changes in… more
- CVS Health (Plantation, FL)
- …in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related ... and Resolve:** Handle member inquiries and escalations related to benefits, claims , eligibility, and policy interpretation by identifying root causes, coordinating… more
- Elevance Health (FL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- LEGOLAND (Winter Haven, FL)
- …the system as new information is received in regards to guest/employee incidents and claims management. + Follows up on the status of all General Liability, Bodily ... Injury, Property Damage and Auto claims with insurance companies and TPA claims administrators as needed. + Forwards all telephone and written correspondence… more
- Highmark Health (Tallahassee, FL)
- …supervisory direction and oversight for all enrollment, premium billing, claims and/or customer service telephone and written correspondence inquiries (routine, ... problems. Provides research and technical support need to address complex claims and inquiries and/or when systems problems occur. Provides direction for… more
- MyFlorida (Tallahassee, FL)
- …design and implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile research, data ... limited to, the following: * Identify suspicious patterns in claims data and other sources by applying your knowledge...a variety of sources, including but not limited to claims platforms, data warehouse and other applicable databases within… more
- MyFlorida (Tallahassee, FL)
- …Antitrust litigation + Experience in Complex litigation + Experience in False Claims Act litigation + Experience with E-discovery + Undergraduate degree in Economics ... involving multi-state antitrust litigation III. INVESTIGATION AND LITIGATION OF FALSE CLAIMS ACT VIOLATIONS: Assists the Lead Attorney in planning, organizing, and… more
- Cushman & Wakefield (Fort Lauderdale, FL)
- …Closeout Consultant is responsible for supporting the closeout process of warranty claims and projects. This cross-functional role will partner closely with New ... communication between stakeholders, and ensuring timely resolution of outstanding warranty claims . Emphasis on strong client relationships, high attention to detail,… more
- Canon USA & Affiliates (Tallahassee, FL)
- …and review of collaterals for clinical accuracy and adherence to clinical claims . Effectively interacts with multiple teams including R&D, global and local business, ... expertise, and reviewing study/test-plan design. Influence regulatory specifications and claims strategy by providing clinical consultation during early phase… more