- Zurich NA (Tallahassee, FL)
- …School Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an ... Associate Degree and 5 or more years of experience...and 12 or more years of experience in the Claims or Underwriting Support areaAND + Experience with Microsoft… more
- Sysco (Pompano Beach, FL)
- …delivery impacts. + Communicate daily with Director of Transportation, Claims Coordinator, and Transportation Supervisors, Transportation Leads, and Transportation ... company policies (ie attendance, Code of Business Conduct and Ethics, Associate Handbook, etc.). + Accept additional responsibilities or special projects as… more
- CVS Health (Tallahassee, FL)
- …Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. They will act as ... customer service inquiries and problems. **Key Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication authority or… more
- Humana (Tallahassee, FL)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …creating event-driven architectures + AWS Certified Solution Architect - Associate or higher **Bonus Qualifications/Experience** + AWS Certified Solutions Architect ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Sarasota County Government (Sarasota, FL)
- …Responsible for the management of in-house adjusting staff for property and liability claims and TPA oversight for auto and Workers Compensation programs on behalf ... programs for the County. + Direct and supervise all phases of the claims process from intake and investigation through litigation, settlement and/or trial. + Consult… more
- Humana (Tallahassee, FL)
- …achieving operational and compliance key performance indicators. In addition, the associate will participate in cross functional teams and support analyzing business ... an impact** **Required Qualifications** + Minimum 1 year of experience in medical claims payment and processing + Minimum 1 year of experience analyzing and… more
- Humana (Tallahassee, FL)
- …responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Evolent (Tallahassee, FL)
- …across the organization, training and development, provider relations, member services, claims management and our implementation team will also be available. **What ... - Required and Preferred** + RN Licenses (Active and Unrestricted) - Required + Associate 's degree or equivalent years of work experience.- Required + 1-2 years of… more
- Humana (Tallahassee, FL)
- …Typical business hours are Monday-Friday, 8 hours/day, 5 days/week in the associate 's home time zone. **Required Qualifications** * Bachelor's Degree * A minimum ... Chart Review/Insurance Billing) or Internal/External Audit or Regulatory/Compliance OR Claims Investigations or Criminal Investigation/White Collar Crime); interacting with… more