- Siemens Energy (Orlando, FL)
- …within Commercial Law + Provensuccess in handling complex matters with demonstrated claims management ,strong negotiation skills, and the ability to work ... a multi-disciplined negotiation team. + Supportinginternal contractual reviews and management approvals. + Conductingtrainings for business partners. + Contractssupport… more
- LogixHealth (Dania, FL)
- … services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... As a Reimbursement Analyst at LogixHealth, you will work with the department management teams to provide cutting edge solutions that will directly improve the… more
- Healthfirst (FL)
- …institution + Experience in Healthcare/Health Plan customer service, operations, vendor management , or claims processing. + Previous work experience in ... Demonstrated knowledge in creating reports, surveys and quality audits for management , external clients, and Executive leaders. + Experience communicating with… more
- Sedgwick (Tallahassee, FL)
- …disability. + Provides clear and appropriate follow-up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made on ... work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all … more
- USAA (Tampa, FL)
- …and impactful. **The Opportunity** Accountable for the auto, property or other claims operation to deliver business results at scale. Responsible and accountable for ... the operational execution of the member experience in claims . Creates and delivers a strategic focus on world class member experience and operational results.… more
- Zurich NA (Maitland, FL)
- …General Liability claims ** + 5+ years of experience handling litigation management + Work experience working with a carrier + Effective verbal and written ... Litigated Claims Specialist, General Liability 126146 At Zurich North...analytical, critical thinking, and problem-solving skills + Excellent time management , prioritization, and multi-tasking abilities + Experience in team… more
- Elevance Health (Tampa, FL)
- **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... as required by law. The **Business Architect Sr. - Claims Systems** will be part of Elevance Health's National...to achieve the future state capabilities with Business Relationship Management (BRM) skills, and confirm solutions work as intended… more
- The Hartford (Lake Mary, FL)
- Consultant Claims - CH08CE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... searching for a motivated, positive individual to join our claims team as a Marine Claims Consultant....from notification to settlement and recovery. + Strong Litigation Management Skills required. An understanding of relevant legal processes… more
- Sedgwick (Orlando, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Associate - Workers Compensation Are you looking for an opportunity to join ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change… more
- Highmark Health (Tallahassee, FL)
- …errors and/or performing quality control review and final adjudication of paper/electronic claims . Determines whether to return, deny or pay claims following ... claims and inquiries to determine corrective action including adjusting claims as necessary and takes the corrective action steps using enrollment, benefit… more