- MetLife (Tampa, FL)
- …aligned goals and objectives. * Identify, remove, and challenge barriers related to claims management . Escalate to senior leaders in the organization as ... Internal/External Customers Preferred: * Associate Degree * 2 plus years of hands-on claims management experience preferably * 5 plus years of Management *… more
- Molina Healthcare (FL)
- …systems. + This role is involved in member enrollment, provider information management , benefits configuration and/or claims processing. + Responds to incoming ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to providers...identifying and communicating error issues and potential solutions to management . + Handles special projects as assigned. + Other… more
- The Hartford (Lake Mary, FL)
- …role. CCU is a highly specialized claim organization responsible for the management of construction defect and construction related claims involving bodily ... proactive communications to customers and business partners in the management and resolution of claims + Respond to inquiries from customers and provide superior… more
- Molina Healthcare (FL)
- …facilitate resolution. * Collaborates with the member enrollment, provider information management , benefits configuration and claims processing teams to ... JOB DESCRIPTION **Job Summary** Provides support for provider claims adjudication activities including responding to providers to address claim issues, and… more
- USAA (Tampa, FL)
- …technical acumen in the areas of effective claims handling processes, claims risk and compliance, integrated change management and front-line communications ... special and impactful. **The Opportunity** Accountable for auto, property and/or other claims teams to deliver operational business results at scale. Responsible for… more
- Sedgwick (Orlando, FL)
- …combination of education and experience required to include two (2) years of claims management , managed care or other related experience. **Skills & Knowledge** ... + In depth knowledge of claims management , managed care and/or absence management processes and procedures + Excellent oral and written communication,… more
- Carnival Cruise Line (Miami, FL)
- …to assess fitness for duty per International Maritime Health guidelines. + **Crew Medical Claims Management ** + Review crew cases of high risk and escalate to ... This role reports to the Senior Manager of Case Management and oversees the daily operations of crew case...compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return… more
- HCA Healthcare (Kissimmee, FL)
- …**Job Summary and Qualifications** **POSITION SUMMARY: Responsibilities include risk/CMS data management , claims management , education components of the ... facility's risk management program and to ensure claims and compliance with regulatory and accreditation agency risk management standards are met. Establish,… more
- Stantec (Orlando, FL)
- …and forecasting. - Experience with scheduling large, complex projects. - Experience with claims management for design projects. - Sound knowledge and experience ... projects as if they were our own, our project management business, and technical experts work with clients to...Claims /Risk mitigation. - Oversee and approve development and management of the Project Scope WBS. - Oversee and… more
- Sedgwick (Jacksonville, FL)
- …rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability ... Services Director - Workforce Absence **PRIMARY PURPOSE** : To determine account management strategies related to client service plans; to be responsible for… more