- Molina Healthcare (Jacksonville, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage ... and benefit interpretation. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in a timely fashion and in accordance with… more
- USAA (Tampa, FL)
- …impactful. **The Opportunity** We are seeking a dedicated Business Process Owner Lead - Claims User Experience - Claims Optimization. We offer a flexible work ... analyze data. **What sets you apart:** + 6+ years P&C Property Claims Operations leadership and/or Optimization experience. + Guidewire ClaimCenter software delivery… more
- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will… more
- Philadelphia Insurance Companies (Lake Mary, FL)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Claims Specialist - Auto to join our team. JOB SUMMARY Investigate, evaluate and settle more complex ... first and third party commercial insurance auto claims . JOB RESPONSIBILITIES + Evaluates each claim in light...investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. + Communicates… more
- BCA Financial Services, Inc. (Orlando, FL)
- …Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we offer: + Monday through Friday schedule + ... follow up, medical billing, insurance billing, medical insurance billing, medical insurance claims , insurance claims resolution, insurance collector, claims … more
- LogixHealth (Dania, FL)
- Location: On-Site in Dania, FL This Role: As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the ... and carry out processes on all out of network claims . The ideal candidate will have strong technological skills,...and respond to carrier and/or arbitrator inquires + Submit claims through state arbitration portals Qualifications : To perform… more
- AssistRx (Orlando, FL)
- …and external business review meetings. Responsible for forecasts and analyzing claims data to determine Copay utilization, establish escrow account minimum balances ... well as make recommendations to increase utilization based on Copay claims and patient compliance/adherence activities. Also, this position will implement… more
- Humana (Tallahassee, FL)
- …your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a dynamic, ... + 2+ years of demonstrated expertise in end-to-end healthcare claims operations, including claim ingestion, processing, system navigation, payment workflows,… more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist, Retirement - Lakeland **Department:** Benefits Administration **Location:** Lakeland, FL ... Matter Expert (SME) for the Retirement business area, + Processing beneficiary claims for PROFIT Plan distributions, + Providing premier customer service to lobby… more
- Ascension Health (Jacksonville, FL)
- **Details** + **Department:** Billing and Claims + **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM + **Hospital:** Ascension St. Vincent's + **Location:** 3 ... party payers in an out-patient or medical office environment. + Prepare insurance claims for submission to third party payers and/or responsible parties. + Review … more