- USAA (Tampa, FL)
- …makes us special and impactful. **The Opportunity** As a dedicated **Product Development Manager ** , you will join our New Business Ventures and Innovation team, ... environment, building, and testing new products and capabilities within the auto telematics claims space and helping chart the course for the future of USAA's… more
- CDM Smith (Fort Myers, FL)
- …to those requirements. Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS ... **Requisition ID:** 42230BR **Business Unit:** CCI **Job Description:** The Commercial Manager - Pacific will be responsible supporting the project management teams… more
- Kemper (Lake Mary, FL)
- …Attend internal and external training programs to advance knowledge in the area of insurance claims . + Work closely with the manager , claims leadership and ... to our stakeholders that delivers on our promises._ **Position Summary:** Our Claims Litigation Specialist will investigate, evaluate and handle to conclusion all… 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...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Zurich NA (Tallahassee, FL)
- Marine Claims Specialist II 126114 Zurich North America is hiring a Marine Claims Senior Claims Specialist Role (With Hull and Liability experience ... With moderate direction, handles single and multi-party commercial Marine and Liability claims of low to moderate exposure and complexity within specific limits of… more
- CHS (Clearwater, FL)
- …related to claims and calls and provides feedback to their Manager . + Maintains up-to-date working knowledge on regulatory requirements associated with billing ... **Overview** ** ** ** Claims and Call Auditor (Call Center QC) -...with accuracy, and work with the MPS Call Center Manager /Supervisor/Team Lead and analyze the data for training purposes.… more
- Elevance Health (Tampa, FL)
- **Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... is responsible for leading encounter processing, diagnostic documentation and claims integrity across CareBridge. The ideal candidate has experience working… more
- Molina Healthcare (Jacksonville, FL)
- …Provider disputes and appeals to ensure adherence with Molina claims processing standards and provider contractual agreements. Includes responsibility from ... processed in accordance with local Health Plan requirements * Works with Claims , Configuration, Contracting, Provider Data Management, and other business partners to… more
- Molina Healthcare (Miami, FL)
- …organized and analytical thinking. Experience with Medicare/Medicaid, MS 365 and familiarity with claims is highly preferred. The Case Manager must be able to ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If you are… more
- Healthfirst (FL)
- …and track record of success directing the efforts of developers as a project manager or product owner in a deadline-driven and fast-paced environment + Ability to ... contract reimbursement terms, code sets (HCPCS, ICD10, DRGs, CPT, etc.), and claims processing practices WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and… more