- Marriott (Singer Island, FL)
- …improvement. **Conducting Human Resources Activities** * Assists in minimizing cost of accident claims through aggressive claims management . * Brings issues ... **Schedule** Full Time **Located Remotely?** N **Position Type** Management **Pay Range:** $89,000 - $123,000 annually **Bonus Eligible:**… more
- Prestige Employee Administrators (Tampa, FL)
- …in Excel and underwriting/rating software. Preferred: + Knowledge of loss control and claims management processes. + Strong carrier and broker relationships. + ... compensation program. This role combines technical underwriting expertise with relationship management , requiring a keen eye for detail, strong analytical ability,… more
- Sedgwick (Tallahassee, FL)
- …Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience ... claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as… more
- Robert Half Accountemps (Tampa, FL)
- …Medicaid claims , preauthorization, and patient accounting. * Proficiency in claims data management and editing within specialized systems. * Understanding ... extra follow-up tasks when required. Requirements * Previous experience in insurance, claims processing, or customer service is preferred. * Demonstrated ability to… more
- Sedgwick (Jacksonville, FL)
- …+ Gain deep familiarity with key application modules, including reports, parameters, claims management , intake services, IIS Servers, SQL Servers and Salesforce ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- MetLife (Tampa, FL)
- …drive improvement or increase productivity * Effectively work with cross-functional claims management teams in the planning, enhancement, and implementation ... performance, coaching to address areas of opportunity and performance management as needed * Conducts EA, quality and other...* Bachelor's degree * 7+ years of STD Insurance Claims experience * knowledge of STD, group disability, Workers… more
- Molina Healthcare (FL)
- …of provider reimbursement changes * Provides data driven analytics to finance, claims , medical management , network, and other departments to enable critical ... . * Knowledge of health care operations (utilization management , disease management , HEDIS quality measures, claims processing, etc.) * Knowledge of health… more
- Molina Healthcare (Tampa, FL)
- …of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management , Network, and other departments to enable critical ... sources. + Knowledge of healthcare operations (utilization management , disease management , HEDIS quality measures, claims processing, etc.) + Knowledge of… more
- Centene Corporation (Tallahassee, FL)
- …including, but not limited to reimbursement strategy, contracting strategy, unit cost management , claims configuration and network operations. + Oversee network ... development staff and external consultants in the development of provider networks across expansion markets. + Lead health plans in periodic analyses of their provider networks from a cost, coverage, and growth perspective. + Provide leadership in evaluating… more
- NextEra Energy (North Palm Beach, FL)
- …design and implement predictive and prescriptive ML algorithms, to optimize underwriting, claims management , risk assessment, and client engagement. + Build and ... populate the data warehouse. + Create LLM based data flows for policy and claims bordereaux ingestion and develop mapping profiles for new data sources with our… more