- Modernizing Medicine (Tampa, FL)
- …all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections + Initiate outbound calls ... or related experience required + Basic understanding of medical billing claims submission process and working with insurance carriers required (eg, Medicare,… more
- USAA (Tampa, FL)
- …Opportunity** As a dedicated **Strategic Account Relationship Manager Senior for Claims Optimization** , you will be responsible for developing, managing, growing, ... + Travel may be required. **What sets you apart:** + P&C Claims Operational experience, industry knowledge of contract requirements and experience with oversight… more
- Command Investigations (Orlando, FL)
- …hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or ... Homeowners Investigations. + Writing accurate, detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Accident scene investigations + Possession of a valid driver's license + Ability to prioritize and organize… more
- TEKsystems (Orlando, FL)
- About the Role We're looking for a detail-oriented and resourceful disability claims processor to join our team. This role is perfect for someone who enjoys ... investigative work, thrives in a fast-paced environment, and is eager to contribute to both compliance and growth initiatives. You'll play a key role in ensuring the integrity of our physician panel by conducting in-depth background checks and credential… more
- Insight Global (Bonita Springs, FL)
- Job Description Insight Global is looking for a Legal Claims Assistant who will assist the legal team which manages the processes associated with reporting and ... investigating lawsuits, counterclaims and regulatory inquiries and also provides other support in the legal operations of the company. Responsibilities include: Manage assigned cases to resolution Liaise with members of the Legal Department, network and… more
- TEKsystems (Daytona Beach, FL)
- …United States Responsibilities: + Loss Drafts Associates will assist customers with claims on their homeowner's insurance. + The specialist manages the loss claim ... from the point of reporting through completion of the repairs. + All activity about the claim must be documented, and draws are issued for the repairs as needed. + The specialist must demonstrate the ability to make decisions, problem analysis, and promptness… more
- Healthfirst (FL)
- …within any area of operations (Member Services, Enrollment & Billing, Claims , Provider Services, etc.). + Experience with database reporting and automation, ... budgeting or internal audit processes. + Experience monitoring quality in a reporting and analysis environment. + Experience conducting root-cause analysis and making recommendations based on your findings. + Experience with Tableau, Alteryx, or similar data… more
- USAA (Tampa, FL)
- …reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work ... requirements that may be performed in the job. **Benefits:** At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k),… more
- Sedgwick (Tampa, FL)
- …and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the ... jurisdictions on complex claim issues. + Uses knowledge of all aspects of claims handling in evaluating exposure; recommends and directs action plans for issue or… more
- Sedgwick (Orlando, FL)
- …making timely payments/approvals and adjustments, medically managing disability claims ; coordinating investigative efforts, thoroughly reviewing contested claims ... without job accommodations, and evaluating and arranging appropriate referral of claims to outside vendors. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes,… more