- Wells Fargo (Miami, FL)
- …+ Ability to interact and collaborate with individuals across departments. + Experience with claims research and management + Cash Management or Armored ... Transportation experience + Solid troubleshooting and resolution skills + Contract writing or interpretation + Ability to take on a high level of responsibility, initiative, and accountability + Invoice research and validation for armored carrier and/or… more
- The Cigna Group (Sunrise, FL)
- …of communication with matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing, Legal, Medical Economics, Compliance, ... service with physicians and ancillaries. + Supports the development and management of value-based relationships. + Builds and maintains relationships that nurture… more
- Molina Healthcare (Orlando, FL)
- …+ Maximizes use of information from multiple sources, including claims /encounters, pharmacy, utilization management , clinical indicators, industry benchmark, ... software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and… more
- Marriott (Longboat Key, FL)
- …in maintaining required OSHA programs and statistical data. * Assists in the management of claims by ensuring proper procedures are followed and documented. ... **Schedule** Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** Assists the Director of Loss Prevention… more
- Wounded Warrior Project (Jacksonville, FL)
- …veterans' benefits or advocacy. + Three years of experience utilizing VA claims technologies (eg, Veterans Benefits Management System, Caseflow, Direct Upload) ... resource allocation and improve service delivery for warrior referrals and claims . + Establish and maintain standardized policies, processes, and procedures across… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …certification, School/Residency/Fellowship completion, Hospital privileges verification, System Award Management (SAM), Claims history, Accreditation (ancillary ... OIG reports, SAM report, Board certification, Hospital privileges verification, claims history, Accreditation (ancillary facilities), and obtaining additional information… more
- Highmark Health (Tallahassee, FL)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external audit findings and responds as… more
- Prime Therapeutics (Tallahassee, FL)
- …systems, particularly those that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + ... **Additional Qualifications** + A bachelor's degree in business intelligence, management information systems, mathematics, statistics, analytics, computer and information… more
- Sedgwick (Jacksonville, FL)
- …coordinates various specialized services such as subrogation, fraud evaluation or case management review to resolve claims . + Establishes and maintains effective ... PURPOSE** **:** To manage claim caseload of basic to highly complex claims within granted authority level including related financial implications, along with… more
- City of Coral Gables, FL (Coral Gables, FL)
- …Summary Administers the City's workers' compensation program and supports overall risk- management activities. The role manages workers' compensation claims from ... two (2) years of experience in the administration of worker's compensation, claims adjusting, or other area within risk management . Considerable knowledge… more