- MyFlorida (Ocoee, FL)
- …for providing legal representation in defense of the Department in claims of inverse condemnation, as assigned. Responsible for thoroughly researching all ... for providing support to Department attorneys representing the Department in claims and litigation against and by the Department, as assigned. Responsible… more
- Amentum (Tallahassee, FL)
- …appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination with ... defense sectors.** + Deep knowledge of insurance products, risk financing, claims management, and enterprise risk practices. + Strong negotiation, communication, and… more
- Molina Healthcare (Tampa, FL)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more
- UIC Government Services and the Bowhead Family of Companies (Jacksonville, FL)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- Humana (Tallahassee, FL)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- MetLife (Tampa, FL)
- …Disability (STD), State Plans, PFML, and concurrent Absence Management Solutions (AMS) claims to ensure we meet or exceed customer expectations. Will engage business ... related field or equivalent experience * 7-8 years of related disability claims administration experience Preferred: * Prior training or management experience *… more
- Doosan Bobcat (Miami Lakes, FL)
- …export, and process related issue resolution in regards to shipping, documentation, claims , lead times and customer service. Acting as the main liaison between ... export, and process related issue resolution in regards to shipping, documentation, claims , lead times and customer service. Acting as the main liaison between… more
- Sedgwick (Orlando, FL)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Sedgwick (Tallahassee, FL)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Molina Healthcare (Miami, FL)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims , Provider Services and Contracting. * Identifies issues, resolves problems… more