- Elevance Health (Miami, FL)
- …in order to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health insurance policies, ... health insurance claims handling and provider network contracting. **How will you...and/or state. + May interface internally with Senior level management and legal department throughout investigative process. + May… more
- AIG (Miami, FL)
- …in setting the regional underwriting strategy and the day-to-day underwriting, and management of the LATAM Political Violence and Cyber White Label portfolio written ... of submission flow by distribution channels, effectiveness ratios, analysis of losses/ claims behaviors, among others + Collaborate in the development of business… more
- MyFlorida (Tampa, FL)
- …service, sales of Lottery products, validation and payment of winning claims , preparation of promotional book inventory, and various administrative tasks. This ... to the district office. + Pay/validation operator and assists players in completing claims in prizes greater than $599.00. + Primary or secondary ticket sales… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …working with Business Analysis to enhance field intelligence capabilities. + **Compliance Management :** Must comply with all state and federal laws, regulations and ... expertise in business analytics, business operations, sales support, and resource management within a commercial pharmaceutical organization. + Ability to focus on… more
- Prime Therapeutics (Tallahassee, FL)
- …conclude preliminary investigation in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource ... Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the… more
- GE Vernova (Clearwater, FL)
- …negotiation and compliance with contract commitments and commercial risk assessment & management of risk processes in the commercial (ITO - Inquiry-to-Order and OTR ... to ensure commercial intensity & compliance to the Grid Solutions Deal Risk Management process (Policy 5.0). This role to drive commercial operations and risk … more
- MyFlorida (Chattahoochee, FL)
- …professional position serving as the Registered Nursing Consultant Supervisor in Risk Management . The ideal candidate will be a collaborative team player who works ... Procedures. Develops, maintains, and monitors an automated Hospital Risk Management Incident Tracking System, covering resident incidents, including the type,… more
- Elevance Health (Miami, FL)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes. + Reviews company specific, CMS specific, and competitor specific… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …execution and provide feedback to optimize performance at all levels + **Compliance Management :** + Must comply with all state and federal laws, regulations and ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Allegion (Orlando, FL)
- …and approving of branch personnel expense reports + Manage all workman's comp claims and participate in depositions pertaining to claims against the branch ... policies are being followed and manage all vehicle damage claims . + Participate in the weekly Field Manager's Call,...Bachelor's Degree required + 5+ years of experience in management of people + 5+ years of experience owning… more