- MetLife (Tampa, FL)
- …evaluations of Short Term Disability (STD), State Plans, PFML, and concurrent Absence Management Solutions (AMS) claims to ensure we meet or exceed customer ... claims administration experience Preferred: * Prior training or management experience * Working knowledge of statistical analysis techniques and methodologies… more
- Insight Global (Boca Raton, FL)
- …solid foundation and proven track record in Commercial Healthcare Insurance including claims processing, products, and benefits management . The Product Owner may ... years of experience working within the Commercial Healthcare Insurance industry, including claims processing, products, and benefits management 5+ years of… more
- CDM Smith (Fort Myers, FL)
- …Assist the project team in developing and maintaining a project risk register. Claim management : Early support for claims and disputes on the project. Identify ... Manager - Pacific will be responsible supporting the project management teams in CDM Constructors' Pacific region, primarily projects...contractual requirements to maintain and prosecute claims , and assist project team in managing to those… more
- Jacobs (Miami, FL)
- …strategic oversight and technical guidance across all phases of construction management : contract administration, claims resolution, cost/time control, safety, ... is ideal for a professional with deep experience in construction management , contract administration, and stakeholder coordination within the municipal water sector.… more
- BrightSpring Health Services (Fort Lauderdale, FL)
- …knowledge of Medicaid claim regulations and processes + May produce reports and keep management informed of unpaid claims and claims pending follow-up + ... resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current...in any area of the pharmacy as directed by management Qualifications + High school diploma or equivalent +… more
- Molina Healthcare (Tampa, FL)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... all end-to-end business requirements have been documented. + Creates management reporting tools to enhance communication on configurations updates...life cycle + Gains a deep understanding of Molina claims life cycle and all processes that affect … more
- CDM Smith (Orlando, FL)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...other duties as assigned. \#LI-LP2 **Job Title:** FEMA Disaster Management Accountant **Group:** WAF Field Mod Fringe **Employment Type:**… more
- Humana (Tallahassee, FL)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical ... alignment with market goals. **Operational Focus and Proactivity:** + Priority Management : Balance competing priorities by reducing or adjusting, in partnership with… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data Enablement (DE) for Business Analysis (BA) is accountable for strategically ... responsible for providing strategic insight and ensuring smooth day-to-day data lifecycle management processes and activities for data assets as follows: + Providing… more
- The Hartford (Lake Mary, FL)
- Sr Representative Claims - CH08BESr Representative Clms CA - CH08ANConsultant Claims CA - CH08BNConsultant Claims - CH08CE We're determined to make a ... successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and procedures… more