- Walmart (La Belle, FL)
- …Manages facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of policiesprocedures ... Determines training needs Develops and delivers training as needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
- Sedgwick (Miami, FL)
- …Defect **PRIMARY PURPOSE** **:** To investigate and adjust property and casualty claims , both residential and commercial, with little to no supervision. **ESSENTIAL ... FUNCTIONS and RESPONSIBILITIES** + Inspects claims and contacts involved parties in a timely manner....+ Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently… more
- Elevance Health (Tampa, FL)
- …is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and ... submitted DRG. **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in… more
- Sedgwick (Tampa, FL)
- …General Adjuster - Southeast Region **PRIMARY PURPOSE** **:** To handle losses or claims regionally unassisted up to $10M, including having the ability to address ... to determine insurance coverage. + Administers and reconciles complex catastrophic claims for property. + Interviews, telephones, or corresponds with claimant and… more
- Evolent (Tallahassee, FL)
- …will partner with stakeholders of various levels across analytics, finance, and account management . **What You Will Be Doing:** + Develop and deploy models and ... into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- Option Care Health (Tallahassee, FL)
- …on invoices submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to the patient or ... responsible party when their insurance carrier fails to make payment reasonable time frame. Generates and mails statements and collections letters. Follows-up on all denials within 48 hours of receipt. + Ensures compliance with policies and guidelines outlined… more
- HCA Healthcare (Sunrise, FL)
- …event and reports the work injury to carrier . Assisting RN on follow-ups and management of work injuries claims . Maintains a safe and therapeutic environment . ... . Assisting RN with annual webinar/education to leaders on work injury reporting, management and light duty program . Assisting RN with maintaining and updating OSHA… more
- MyFlorida (Tallahassee, FL)
- …. Requisition No: 859230 Agency: Management Services Working Title: HEALTH INSURANCE ... Analyst II Division of State Group Insurance State of Florida Department of Management Services This position is located in Tallahassee, FL Position Overview and… more
- Zurich NA (Tallahassee, FL)
- …work collaboratively across business units including but not limited to; claims , finance, risk engineering, actuary, and technical underwriting while gaining ... and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- CVS Health (Plantation, FL)
- …in-person support across multiple worksites, handling complex benefit and claims inquiries, and providing education during open enrollment and health-related ... and Resolve:** Handle member inquiries and escalations related to benefits, claims , eligibility, and policy interpretation by identifying root causes, coordinating… more