- MetLife (Tampa, FL)
- …group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers who collaborate to create innovative solutions to ... within MetLife. This role will conduct quality reviews of disability claims , collecting and analyzing quality opportunities, and delivering results and driving… more
- Zurich NA (Maitland, FL)
- …General Liability and Commercial Auto personal injury cases. At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when ... your next career move. Designed with our employees' needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct… more
- Walmart (Brooksville, FL)
- …mentoring of associates assigning duties settingclear expectations providing associate recognition communicating expectations consistently and effectively ensuring ... Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures… more
- MetLife (Tampa, FL)
- …Customers Preferred: * Associate Degree * 2 plus years of hands-on claims management experience preferably * 5 plus years of Management * Proficient in Microsoft ... goals and objectives. * Identify, remove, and challenge barriers related to claims management. Escalate to senior leaders in the organization as appropriate along… more
- Highmark Health (Tallahassee, FL)
- …the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis of the ... of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of medical documentation,… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …and external regulations. This position reports directly to the Associate Director, CNS Scientific Communications. **Job Description** **Key Responsibilities ... **Core Content Development** + Under the guidance of the Associate Director, Medical Communications, draft and maintain high-priority, foundational scientific… more
- MyFlorida (Tallahassee, FL)
- …POSSIBLE MULTI-HIRE OPPORTUNITY THIS IS AN OPS POSITION TITLE: OPS CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION LOCATION: ... Disability Insurance, Supplemental Security Income and/or Medically Needy disability claims filed in the State of Florida. Training is...of education and work experience - such as an Associate 's degree with two years of work experience, or… more
- MetLife (Tampa, FL)
- …business continuity, etc. * 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
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …advisory boards, and congress logistics, through direct leadership of the Associate Director, HCP Program Operations. . Field Training and development: Overseeing ... 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
- Humana (Tallahassee, FL)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters… more