- The Albany Auto Group (Miami, FL)
- …a Warranty Administrator you will be responsible for: -records -submitting warranty claims to the factory or distributor and reconciles them accordingly. -complete ... to ensure we are complying with manufactures and JLR policies. -Processes warranty claims on a timely basis for each franchise or distributor. -Processes all… more
- Elevance Health (FL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... + Maintains accuracy and quality standards as established by audit management . + Identifies potential documentation and coding errors by recognizing aberrant… more
- MyFlorida (Tallahassee, FL)
- …Antitrust litigation + Experience in Complex litigation + Experience in False Claims Act litigation + Experience with E-discovery + Undergraduate degree in Economics ... involving multi-state antitrust litigation III. INVESTIGATION AND LITIGATION OF FALSE CLAIMS ACT VIOLATIONS: Assists the Lead Attorney in planning, organizing, and… more
- Molina Healthcare (St. Petersburg, FL)
- …you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners ... toward durable fixes, and convert disciplined CTM management into Stars gains, audit readiness, and measurable member-experience improvements. You'll begin as a… more
- Walgreens (St. Petersburg, FL)
- …billing is completed and accurate prior to claim submission (ie, medical claims billing). + Process reimbursement checks/payment in accordance with policy. + Review ... price modify logs and ensure there are corresponding SDL (submit direct link) claims . + Review, research and resolve all third party chargebacks in a timely manner.… more
- Zurich NA (Tallahassee, FL)
- …Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate ... and 8 or more years of experience in the Claims or Underwriting Support area. + Knowledge of Microsoft...property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- Sedgwick (Orlando, FL)
- …Adjuster - Power/Energy (SE & SW Regions) **PRIMARY PURPOSE** : To investigate claims internationally of any size or complexity, against insurance or other companies ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Prepares loss...+ Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently… more
- Zurich NA (Tallahassee, FL)
- …Diploma or equivalent and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship program including an associate ... and 8 or more years of experience in the Claims or Underwriting Support area. + Knowledge of Microsoft...property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We… more
- Sedgwick (Orlando, FL)
- …and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices. **ARE YOU ... and solution-focused. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Establishes FMLA claims ; tracks and codes documentation in accordance with internal workflow… more
- The Hartford (Sunrise, FL)
- …partners and agents through timely delivery of industry leading safety and risk management solutions. This role will have a Remote work arrangement, with the ... business activities and needs, make recommendations that will assist the insured's management to correct and prevent the potential for future financial loss +… more