- 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 area Preferred Qualifications: + Bachelors… more
- L3Harris (Melbourne, FL)
- …L3Harris is seeking an experienced, proactive, and solutions-focused Director & Associate General Counsel - Litigation to manage a broad range of ... in global company environment. This role reports to the Vice President & Associate General Counsel - Litigation. The successful candidate will be responsible for… more
- University of Miami (Miami, FL)
- …and other regulatory agency reportable events and prepare submission for approval by Associate Medical Risk management Officer and the Chief Medical Risk Officer. + ... potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct additional investigation and assist… more
- Humana (Tallahassee, FL)
- …clinical concepts and extract clinical information from medical, pharmacy, and lab claims for analytics and modeling purposes + Translates analytic results into key ... or managed care working experience + Experience working with medical, pharmacy, lab claims + Experience working with big data and using PySpark, Spark R or… more
- Humana (Tallahassee, FL)
- …The Senior Encounter Data Management Professional ensures data integrity for claims errors. The Senior Encounter Data Management Professional work assignments ... skills to make an impact** **Required Qualifications** + 5+ years of claims operations related experience + Experience with analyzing, reconciling and manipulating… more
- Walgreens (Hollywood, FL)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- MetLife (Tampa, FL)
- …quality and performance standards. * Evaluating and improving business and associate performance by effectively conducting quality evaluations of Short Term ... Disability (STD), State Plans, PFML, and concurrent Absence Management Solutions (AMS) claims to ensure we meet or exceed customer expectations. Will engage business… more
- Sedgwick (Orlando, FL)
- …quickly to change **Education & Licensing** HS diploma or GED required. Associate degree from an accredited college or university preferred. Active property & ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Evolent (Tallahassee, FL)
- …require technical experts to find the most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs may be engaged in any testing ... - Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1 years of experience in… more
- Humana (Tallahassee, FL)
- …complete and accurate. + Certified Professional Coder or coding knowledge. + Claims knowledge and understanding of claims processing. **Additional Information** ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more