- World Insurance Associates, LLC. (New Smyrna, FL)
- …excellent service, and professional communication + Handling renewals, service requests, claims , billing and new policies + Maintain a thorough understanding of ... the markets and their appetites, underwriting guidelines, submitting and procedures + Review all applications, policies, endorsements and audits for accuracy + Coordinate expiration list with department manager to obtain renewal business information… more
- NBC Universal (Orlando, FL)
- …investigations of employment-related and other types of complaints, ensuring that claims are promptly and thoroughly investigated and documented appropriately + ... Represent the Company in the handling of all aspects of the pre-litigation process, including conducting internal investigations, drafting responses to federal and state agency charges of discrimination, and participating in mediation and drafting statements… more
- NextEra Energy (North Palm Beach, FL)
- …state regulations and requirements + Assists with managing producer, broker, and claims adjuster licenses and renewals and database management + Periodically meets ... with management to provide updates on licensing and outstanding tasks + Gather information for any state related reporting, surplus lines tax filings or data calls + Assists in providing information for internal and external requests + Ability to analyze data… more
- Humana (Tallahassee, FL)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in… more
- University of Miami (North Miami, FL)
- …listed in patient's account with accurate subscriber information, policy number, and claims address and plan order. + Completes the checklist and document co-pay. ... + Creates referral if applicable, "Benefit only" or "Preauthorization", and documents benefits information: deductible, co-insurance and out of pocket benefits + Meets productivity standards for assigned work queue, QA goal of 95% or greater and maintains WQ… more
- City of Jacksonville (Jacksonville, FL)
- …hearing), domestic violence, unified family court cases and county civil (small claims ). The work requires a knowledge of clerical practices and procedures used ... in a court of law which is learned on the job or through related experience. Trains, assigns, monitors and reviews the work of new employees. Contacts require courtesy, tact and effectiveness in dealing with others while providing interpretive or advisory… more
- NASCO (Tallahassee, FL)
- …with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics, provider network optimization) + Certifications in cloud technologies (AWS ... Certified ML Engineer, Data Engineer, Azure Data Engineer, etc.) **Experience:** + 10 years of experience in Information Technology, with a focus on data design and management + 8 years of experience in enterprise data architecture and/or commercial SaaS… more
- Orlando Utilities Commission (Orlando, FL)
- …date. + Partner with payroll, HRIS, and legal teams to handle unemployment claims and reporting. + Conduct exit interviews and analyze results for actionable ... insights. + Collaborate with the Employee Engagement team on survey findings and focus area development. **The ideal candidate will have:** + Bachelor's Degree in Human Resources, Business Administration, or related field. + Minimum of **3 years' experience**… more
- AssistRx (Orlando, FL)
- …to expedite patient access + Document and initiate prior authorization process and claims appeals + Report any reimbursement trends or delays in coverage to ... management Requirements + In-depth understanding and experience with Buy & Bill, Major Medical & Pharmacy Benefit Coverage. + 2 to 5 years of benefit investigation involving the analysis and interpretation of insurance coverage + 3 to 5 years of experience… more
- VentureTech Solutions (Fort Lauderdale, FL)
- …proceedings related to consumer debt collection lawsuits. + Review and assess legal claims brought by creditors, debt buyers, and collection agencies. + Develop case ... strategies and defenses based on applicable federal and state consumer protection laws (eg, FDCPA, FCRA, TCPA). + Draft legal documents including answers, motions, discovery responses, and settlement agreements. + Appear in court for hearings, trials, and… more