- The Hartford (Lake Mary, FL)
- …accomplish theirs, too. Join our team as we help shape the future. Vice President, Claims Data Science & AI The Hartford is hiring a Vice President to lead the ... Claims Data Science organization. This role is pivotal in...and effectively calibrate the approach to staffing, including budget management . + Partner with technology, data, AI platform, AI/MLOps… more
- USAA (Tampa, FL)
- …candidate selected for this position will be joining the Service Team within the Claims Actuary and Analytic community, which is part of P&C Data Science. They be ... responsible for delivering insights to the Claims organization related to all things Service to better...communication materials to optimally present to various levels of management . + Incorporates visualization techniques to support the relevant… more
- CRC Insurance Services, Inc. (FL)
- …1. High School Diploma 2. College degree or equivalent work experience 3. Claims Adjuster's license 4. Good organizational/time management skills 5. Ability to ... (United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured,… more
- USAA (Tampa, FL)
- …impactful. **The Opportunity** We are seeking a dedicated Business Process Owner Lead - Claims User Experience - Claims Optimization. We offer a flexible work ... implementation to enable process redesign and innovation. Leads the overall management of process performance by developing control limits, monitoring key… more
- AssistRx (Orlando, FL)
- …and external business review meetings. Responsible for forecasts and analyzing claims data to determine Copay utilization, establish escrow account minimum balances ... well as make recommendations to increase utilization based on Copay claims and patient compliance/adherence activities. Also, this position will implement… more
- HCA Healthcare (Port Charlotte, FL)
- …you want to join an organization that invests in you as a Medical Insurance Claims Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 ... difference. We are looking for a dedicated Medical Insurance Claims Specialist like you to be a part of...of an HCA Hospital Parallon provides full-service revenue cycle management , or total patient account resolution, for HCA Healthcare.… more
- Centene Corporation (Tallahassee, FL)
- …pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management , provider/vendor contracts, risk ... of experience in healthcare analytics, large databases, data verification, data management , table creation and indexing, query optimization, utilization of stored… more
- Molina Healthcare (Jacksonville, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage ... amount and benefit interpretation. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in a timely fashion and in accordance… more
- IQVIA (Miami, FL)
- **Patient Support Medical Claims Processing Representative** _Contract Remote Role - Location (Open to Remote US)_ As the only global provider of commercial ... looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will… more
- Humana (Tallahassee, FL)
- …with DSNP and LTSS products + Six Sigma or Lean certification + Change Management Certification (Prosci or CCMP) + Humana Claims Platform/System Knowledge and ... your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a dynamic,… more