- MyFlorida (Fort Lauderdale, FL)
- …when issues are identified in the managed care plan provider reimbursement and claims processes. Conducts program training to Medicaid managed care plans related ... related programs. One (1) year experience auditing or conducting monitoring of medical claims activities related to a healthcare program . Two (2) years of… more
- Sedgwick (Orlando, FL)
- …the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no ... operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor… more
- Sedgwick (Tallahassee, FL)
- …the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no ... Lead **PRIMARY PURPOSE** **:** To manage complex high-exposure general liability claims ; to review medical treatment records associated with general liability,… more
- Travelers Insurance Company (Orlando, FL)
- …of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. **Salary ... guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating...Trainees sharing knowledge and best practices to foster their development . + In order to perform the essential functions… more
- USAA (Miami, FL)
- …and investigation strategies on any questionable or suspect first or third part claims . + Participates in the development of fraud prevention strategies. + ... the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty,...responsibilities, you will also** **perform triage duties to review claims identified by our predicative fraud tool to determine… more
- The Hartford (Sunrise, FL)
- …for tuition and registration fees for degree programs that support your career development (subject to additional requirements). + Student Loan Paydown ... analytical expertise, strategic thinking, and communication skills to accurately adjudicate PFML claims . As Ability Analyst, you will play a critical role in… more
- Sedgwick (Miami, FL)
- …we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time ... financial and professional needs. It means sharpening your skills and growing your career . And it means working in an environment that celebrates diversity and is… more
- Sedgwick (Tallahassee, FL)
- …the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no ... & Insurance Specialty Loss Adjuster **Embark on an Exciting Career Journey with Sedgwick Specialty** **Job Location** **: USA,...you are a leader in the industry, or a claims management expert looking for a new challenge, this… more
- CDM Smith (West Palm Beach, FL)
- …Task Force Leader and identifies when technical expertise may be needed throughout the program delivery process. * Supports the claims process by reviewing and ... a challenging, progressive and inclusive work environment which fosters personal leadership, career growth and development for every employee. We value… more
- MyFlorida (St. Petersburg, FL)
- …. Requisition No: 866435 Agency: Department of Health Working Title: HUMAN SERVICES PROGRAM ANALYST - 64004525 1 Pay Plan: Career Service Position Number: ... Logi. + Assist the Business Operations Specialist in the development and implementation of guidelines to be used for...Enters Services and tracking process for Directions Behavioral Health program , review clinical notes match claims and… more