- Humana (Tallahassee, FL)
- …our caring community and help us put health first The Encounter Data Management Professional will conduct research and analysis to execute accurate, timely, and ... completeness of DSNP encounter submissions. Encounter Data Management Professional will have comprehensive knowledge of processes, policies and procedures as well as… more
- The Hartford (Lake Mary, FL)
- …of key processes, continuous improvement initiatives, and changes in trends in Claims . The individual will perform diagnostic analytics to identify underlying causes ... for performance and trend change. The individual will partner with teammates in Claims Strategy and Optimization, Claims Performance Analytics, Claims Data… more
- Sedgwick (Tallahassee, FL)
- …Insurance Experienced Desk Adjuster - Remote **PRIMARY PURPOSE** **:** Handles losses and claims valued up to $15,000 for property and casualty insurers through the ... processing. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates insurance policies, claims forms, policies, endorsements, carrier instructions, and other records… more
- DOCTORS HEALTHCARE PLANS, INC. (Miami, FL)
- Position Summary: The Director of Medical Management is responsible for the strategic direction, leadership, and oversight of all medical management functions, ... regulatory and accreditation requirements. This position is responsible for the day-to-day management of the Medical Management Department staff, based upon… more
- AdventHealth (Zephyrhills, FL)
- …The Director of Risk Management develops and administers the Risk Management Program for loss prevention and claims control (according to federal, ... and analysis of loss or injury exposure. In conjunction with Risk Management team. + Maintains both mandatory and voluntary incident reporting systems for… more
- CVS Health (Tallahassee, FL)
- …to litigated claims . + Strong attention to detail and project management skills. + Experience overseeing and answering written discovery. + Ability to work ... **Position Summary** As a Product Liability Litigation Adjuster, Risk Management , you will be responsible for managing lawsuits and...activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through… more
- Marriott (Lake Buena Vista, FL)
- …**Schedule** Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** As a member of the property ... * High school diploma or GED; 3 years experience in the human resources, management operations, or related professional area. OR * 2-year degree from an accredited… more
- AdventHealth (Maitland, FL)
- …+ Applies significant understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10, CPT, HCPCS II, DRG and revenue codes + ... you'll need to succeed:** + 3 years Healthcare, Managed Care, Hospital or Ancillary claims analysis, Hospital or Ancillary claims payment, or related field with… more
- Sedgwick (Miami, FL)
- …Aviation insurance industry. The role will involve handling Hull insurance claims , conducting surveys and meetings internationally, working closely with policy ... holders, insurers, brokers, and service providers to investigate and report on claims , whilst building and maintaining client relationships. As a member of the… more
- The Boeing Company (Fort Walton Beach, FL)
- …post-production data and applies Supply Chain principles to optimize inventory management practices and procedures, reduce costs due to inventory surplus/shortages, ... supply chain efficiency + Identifies and resolves customer supply chain management issues and discrepancies + Analyzes supplier and/or customer data regarding… more