- Prime Therapeutics (Tallahassee, FL)
- …Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings and/or meet… more
- Orlando Utilities Commission (Orlando, FL)
- …enrollments, terminations, changes, beneficiaries, disability, accident and death claims , rollovers, distributions, loans, hardships and compliance testing. + ... Assist in reviewing routine claims and auditing employee contributions and related payroll deductions;...payroll deductions; Prepare reports and support audits related to claims , leave requests, STD/LTD processes managed by third-party vendors.… more
- AIG (Miami, FL)
- …of submission flow by distribution channels, effectiveness ratios, analysis of losses/ claims behaviors, among others + Collaborate in the development of business ... and distribution. + Interact with different areas of the Company such as Claims , Legal, Compliance, Actuarial, Finance, and Accounting among others for the proper… 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
- Butterfly Effects (Deerfield Beach, FL)
- …to support our national billing needs. In this role, you'll ensure clean claims and accurate submissions, allowing our field teams to focus on what matters ... CPT codes, and claim details before submission. + Process claims using the First-In / First-Out method to prevent...to reduce claim denials. + Correct and resubmit denied claims for billing errors. + Review and address immediate… 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
- AIG (Miami, FL)
- …are established and maintained for the Energy division. + Work with Claims , Finance, Operational, Accounting, Legal, and Actuarial support teams to support portfolio ... to monitoring of submission flow by distribution channels and analysis of losses/ claims behaviors, among others. + Support in the preparation of presentations to… more
- RELX INC (Boca Raton, FL)
- …including counseling employees on leave applications and ensuring timely adjudication of claims by the Third Party Administrator (TPA) + Entering leave data into ... policy and overseeing state-specific leave requirements + Administering Workers Compensation claims across all US divisions and ensuring timely submission of First… more
- Stantec (Orlando, FL)
- …System selection to be based on Project/Client needs as well as proactive Claims /Risk mitigation. - Oversee and approve development and management of the Project ... written communications, including Change notifications, Change Requests, responses to Claims notifications, etc. within the timeframes required by the Contract… more
- AdventHealth (Altamonte Springs, FL)
- …Physician Advisor is responsible for providing clinical review of utilization, claims management, and quality assurance related to inpatient care, outpatient ... denial management by reviewing and making recommendations on appealed provider claims and makes determinations for appeals and grievances from patients; assists… more