- 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
- Marriott (Longboat Key, FL)
- …required OSHA programs and statistical data. * Assists in the management of claims by ensuring proper procedures are followed and documented. * Brings issues to ... as necessary. * Report all employee accidents and guest liability incidents to Claims Reporting Service in a timely manner. * Administer property policies fairly and… more
- PruittHealth (Tallahassee, FL)
- …prior to hire and per renewal regulations. 30. Monitors workers compensation claims and coordinate work between employee and insurance carrier. 31. Operates copier, ... and dated and placed into personnel file. 42. Monitors worker's compensation claims and coordinate work between employee and insurance carries. 43. Ensures that… more
- Kemper (Miami, FL)
- …assigned cases. + Aggressively pursues files referred to Staff Counsel by the Claims Department. + Creates and maintains a documented strategy for case handling in ... of pleadings, briefs and memorandums. + Prepares and submits timely status reports to claims handlers on all significant activities as they occur, but at no greater… more
- MDD Forensic Accountants (Fort Lauderdale, FL)
- …corporations, government entities, and individuals calculate the true economic damage of claims or disputes. MDD is looking for a Staff Accountant to serve ... identify assets for recovery + Verify claim to source documents + Evaluate insurance claims and economic damage + Work closely with senior staff on litigation cases,… more