- Travelers Insurance Company (Tampa, FL)
- …creates Claim File Analysis (CFA) for adherence to quality standards. + Utilizes diary management system to ensure that all claims are handled timely. + At ... results of others. + Applies the Company's claim quality management protocols and Best Practices to all claims... management protocols and Best Practices to all claims ; documents the rationale for any departure from applicable… more
- Suddath (Jacksonville, FL)
- …**General position summary:** This position involves assisting and monitoring the claims resolution process, ensuring fair and accurate settlements based on carrier ... Additionally, you will keep business units informed of updated Risk Management Department information and provide necessary resources. **Essential Duties &… more
- Travelers Insurance Company (Tampa, FL)
- …creates Claim File Analysis (CFA) by adhering to quality standards. + Utilizes diary management system to ensure that all claims are handled timely. At required ... negotiating and resolving assigned Construction Defect and Latent Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Robert Half Technology (Clearwater, FL)
- …Industry Knowledge: Deep understanding of P& C insurance concepts, such as claims processing, underwriting, and policy management , to support relevant data ... solutions. Education: Bachelor's degree in Computer Science, Information Systems, Data Science, or a related field (or equivalent experience). Technology Doesn't Change the World, People Do.(R) Robert Half is the world's first and largest specialized talent… more
- Prime Therapeutics (Tallahassee, FL)
- …Pharmacy Benefit Management (PBM) experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Campaign ... + Develop, build and prepare less complex omni-channel campaigns within the Campaign Management tool; ensuring on time, on budget and tactical objectives are met +… more
- Sedgwick (Tampa, FL)
- …and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the ... claim issues. + Uses knowledge of all aspects of claims handling in evaluating exposure; recommends and directs action...a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change… more
- USAA (Tampa, FL)
- …**Injury Examiner** , you will be responsible to adjust complex bodily injury claims , UM/UIM, and small business claims to include confirming coverage, ... determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a… more
- Molina Healthcare (St. Petersburg, FL)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- City of Jacksonville (Jacksonville, FL)
- …to complete your application now. Work for the city you love The Risk Management Division is actively seeking a Workers' Compensation Specialist Senior. Did you know ... the monitoring, reviewing, investigating, and processing of complex workers' compensation claims that include primarily lost time, permanent total disability, and… more
- University of Miami (Miami, FL)
- …sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The department of Risk Management has an exciting opportunity for a ... full-time Sr. Manager, Risk Management to work on the UHealth campus. The Sr....events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct additional investigation… more