- Elevance Health (Miami, FL)
- … for limited lines of business, claim types and products including specialized claims with appropriate guidance from management and peers. **How you will ... ** Claims Auditor I** **Virtual:** This role enables associates...an accommodation is granted as required by law._ The ** Claims Auditor** **I** is responsible for pre and post… more
- Sedgwick (Tallahassee, FL)
- …information that meets both the internal and external customer's requirements accurately into the claims management system. + Assigns new claims to the ... **Skills & Knowledge** + Knowledge of medical terminology + Understanding of claims management + Excellent oral and written communication skills + PC literate,… more
- Sedgwick (Orlando, FL)
- …combination of education and experience required. One (1) year of benefits or claims management experience preferred. **Skills & Knowledge** * Excellent oral and ... 12650 Ingenuity Dr Orlando FL 32826 **PRIMARY PURPOSE:** To process claims and determine accommodation options following written guidelines and procedures pursuant… more
- Amentum (Tallahassee, FL)
- …appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management , including litigation strategy and resolution in coordination ... or defense sectors.** + Deep knowledge of insurance products, risk financing, claims management , and enterprise risk practices. + Strong negotiation,… more
- Community Health Systems (Naples, FL)
- …Safety Officer or collaborate with one to support quality and safety initiatives. ** Claims & Litigation Management ** + Oversee legal claims processes, ... The **System Director of Risk Management ** is a key leader responsible for overseeing...resolution strategies, including mediation and settlement negotiations with CHS Claims . **Reporting & Governance** + Prepare and present monthly… more
- USAA (Tampa, FL)
- …initiatives related to product development, compliance, operational and process improvements, claims management , vendor management , product documentation, ... Opportunity** As a dedicated **Director, Insurance Product Development and Management ** , you will be joining the New Business...launch of new P&C insurance products and handle the management of the P&L and product lifecycle of launched… more
- LogixHealth (Dania Beach, FL)
- … services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... bring your expertise to process all denied and unpaid claims submitted to insurance carriers to ensure payment is...A/R (Accounts Receivable) reports to follow up on unpaid claims + Prepare and submit out appeals on … more
- Sedgwick (Tallahassee, FL)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase ... of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team...to be accredited or qualified by experience + **Insurance claims experience:** it is imperative that you have experience… more
- CenterWell (Tallahassee, FL)
- …EMR/PM systems. + Maintain Standard Operations Procedures for RCM functions: claims management , accounts receivable follow-up, internal collections, collection ... help us put health first** Associate Director will lead the Revenue Cycle Management team for the CenterWell Senior Primary Care Organization. This individual will… more
- Polk County Public Schools (Bartow, FL)
- … program. * Works closely with the RN Nurse Case Manager from the TPA regarding claims management . * Serves as a backup to Analyst and management at ... exists to perform responsible reporting of workers' compensation and risk management administration. This position gathers information, reviews claims ,… more