- USAA (Tampa, FL)
- …documentation may result in disqualification.** + Experience leading $1B+ Claims transformation programs. + Demonstrated experience managing programs with ... business needs into technical specifications. + Recent experience supporting Claims in a Program Management role. + PMP, Agile...role. + PMP, Agile and Change Management Certification. + Claims experience. + Proficient in Box, Rally, Clarity and… more
- USAA (Tampa, FL)
- …for consultation on and programming of instructions and alerts within the Claims Center (Guidewire) and Training Environments. These alerts will be programmed within ... apart:** + 2 years of experience adjusting or managing Claims within Guidewire. + 2 years of experience programming...2 years of experience adjusting and/or leading in aP&C Claims environment. + US military experience through military service… more
- BrightSpring Health Services (Fort Lauderdale, FL)
- …milligrams) + May resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current knowledge of Medicaid ... processes + May produce reports and keep management informed of unpaid claims and claims pending follow-up + Provides excellent customer service to external and… more
- Jacobs (Fort Lauderdale, FL)
- …input in pricing disputes with prime contractors and subconsultants. * Proactively manage claims and risks, initiate claims , dispute resolution, and respond to ... claims notifications. * Interface with the AD lead and Operations. * 10+ years' experience in commercial leadership of large infrastructure projects and/or programs, including Engineering, Design-Build, P3, project management, construction, project… more
- Elevance Health (Miami, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit … more
- Walmart (Coral Springs, FL)
- …area in accordance with company policies and procedures by properly handling claims and returns utilizing equipment to perform a variety of merchandising functions ... fulfillment process when necessary by processing information for thirdparty insurance claims rescanning illegible images alerting patients to inventory that is out… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- AECOM (Coral Gables, FL)
- …+ Work with management and staff to resolve pre-litigation disputes and potential claims + Manage various types of litigation matters and claims utilizing ... experience at an engineering, architecture or construction company + Claims /litigation handling, including management of outside counsel, relating to architecture,… more
- Butterfly Effects (Deerfield Beach, FL)
- …You'll manage assigned accounts, research and resolve denied or underpaid claims , and maintain compliance with payer guidelines and HIPAA regulations. This ... claim details related to denials or underpayments. + Research claims using insurance portals, Central Reach, and EOBs to...with the billing team to correct and resubmit denied claims due to billing errors. + Identify timesheet, coding,… more
- Healthfirst (FL)
- …Experience in Healthcare/Health Plan customer service, operations, vendor management, or claims processing. + Previous work experience in an auditing function ... deep understanding of healthcare Operations processes and supporting systems such as Claims Processing, Enrollment & Billing, and Member Services. + Knowledge of at… more