- Republic Finance, LLC (Pensacola, FL)
- …core values, company policies, operational procedures and compliance. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides ... excellent customer care through daily transactions, customer inquiries and problem resolution. Adheres to corporate, legal, and regulatory policies, guidelines, and requirements regarding compliance. Answers incoming phone calls; checks branch's voicemail.… more
- CDM Smith (Boca Raton, FL)
- …assigned activities including critical path method (CPM), scheduling and claims administration. Interprets plans and specifications for clients, contractors, and ... the company's field personnel. Identifies and communicates project deficiencies, expected cost overruns, materials issues and any other related construction issues or risks related to their area of oversight. Prepares related reports (ex: monthly progress… more
- Gerber Collision & Glass (FL)
- …provide coaching to ensure all locations are performing to potential. Contact all claims managers and dealer accounts on a monthly basis (minimum). + Conduct ... operations reviews with location managers and audits (in-person) on a monthly basis, and meet as requested. + Promote, develop and act as a liaison with area insurance contacts and other referral points. Ensure that stores are responsive to clients in a timely… more
- HUB International (Davie, FL)
- …judgment to resolve. May also negotiate with underwriters and carriers. Troubleshoots claims and billing issues. + Responsible for overall retention of accounts in ... assigned book of business. + Develops new business from existing accounts and assigned leads and contributes to meeting departmental production goals. Identifies and follows-up on cross-selling opportunities when appropriate. + Manages, organizes, and conducts… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …+ Minimum 2 years Health Plan Operations experience including; Enrollment (preferred), Claims processing or Customer Service. + Working knowledge of MSOffice (Word, ... Excel, Outlook) Pay: $17.75 per hour About Us WHO WE ARE Convey Health Solutions manages a myriad of administrative needs and make it easier for health plans to operate and provide valuable experiences for their members. How so? We focus on building specific… more
- PCL Construction (Orlando, FL)
- …sites. + Manages complex project organizational structure. + Oversees and negotiates claims /disputes with owner and trade contractors with senior project manager and ... project managers. + Understands, communicates, and proactively manages contract and documents. + Ability to travel 70% of the time. **Qualifications** + Postsecondary education or training in engineering, construction management, or related discipline. + 15+… more
- CVS Health (Tallahassee, FL)
- …in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases ... for clinical and legal review. - Documents all appropriate case activity in case tracking system. - Prepares and presents referrals, both internal and external, in the required timeframe. - Facilitates the recovery of company lost as a result of fraud matters.… more
- Trinity Health (Fort Lauderdale, FL)
- …and HCPCS level II coding guidelines, along with CCI edits and Medicare claims processing manual contents in a multi-facility, integrated health care delivery system ... or revenue cycle or consulting experience** **,** **as normally obtained through an associate degree in related field and three (3) to five (5) years of professional coding experience or equivalent combination of education and professional coding experience.**… more
- Suddath (Jacksonville, FL)
- …including conducting ride behinds, Quality Control checks in customer homes, claims resolution, and driver performance and management. + Ensures customer ... requirements and expectations are adhered to in both customer facilities and customer homes. Ensures professionalism is maintained within team and across customer interactions. + Conducts onsite evaluations of assigned-to locations to establish standard task… more
- Elevance Health (Tampa, FL)
- …rates of reimbursement, as applicable. + Assists in problem solving with providers, claims or service issues. **Minimum Requirements:** + Requires BA/BS in a health ... related field and minimum of 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure is required… more