- Highmark Health (Tallahassee, FL)
- …efficient working relationships with key internal areas, such as Customer Service Operations ( Claims , Dental Benefits, Customer Service, Membership & Billing), ... resolution of issues related to benefit interpretations, customer service inquiries, claims adjudication, benefits issues, membership and billing activity, etc. This… more
- The Cigna Group (Tampa, FL)
- …of communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, ... Sales and Marketing and Service. + Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. + Works to meet unit cost targets, while preserving an… more
- The Cigna Group (Sunrise, FL)
- …of communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical Economics, Compliance, ... Sales and Marketing and Service. + Supports strategic positioning for provider contracting, assists in the development of networks and helps identify opportunities for greater value-orientation. + Contributes to the development of alternative network… more
- Orlando Utilities Commission (Orlando, FL)
- …The** **_Reliable_** **One** **,** is presently seeking a **Manager of Insurance & Claims ** to join the Risk Management department within the Office of General ... of OUC's self-insurance program, ensuring optimal coverage, cost efficiency, and effective claims resolution. In this role, you will oversee the administration of… more
- Sedgwick (Tallahassee, FL)
- …Fortune Best Workplaces in Financial Services & Insurance General Liability Claims Examiner | Dedicated Client | Remote **_Dedicated Client: Property Ownership ... and Operations - Parking Lot and related services_** **_5 years...Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- USAA (Tampa, FL)
- …**Auto Adjuster** you will proactively handle the complete end to end claims process. Taking statements, policy and coverages, determination of liability and ... defined guidelines and framework, responsible to adjust moderately complex auto insurance claims presented by or against our members to include the end-to-end … more
- USAA (Tampa, FL)
- …truly makes us special and impactful. **The Opportunity** As a dedicated Sr Auto Claims Adjuster, you will adjust highly complex auto insurance claims presented ... by or against our members to include the end-to-end claims process and settling claims in compliance.... + Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential… more
- Molina Healthcare (Tampa, FL)
- **Job Description** **Job Summary** Supports ongoing Claims and Enrollment operations in the management of smaller scale, less complex vendor activities. ... and manages email correspondence between vendors, functional counterparts, and stakeholders ( Claims , Enrollments, IT, Health Plan, Core Operations ) + Performs… more
- Molina Healthcare (Orlando, FL)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... unresolved errors issued on daily transactional audits and communicates with Core Operations Functional Business Partners to ensure resolution within 30 days of… more
- TEKsystems (Deerfield Beach, FL)
- Mechanical Claims Specialist - Job Description Are you an experienced automotive mechanic ready to transition from the shop floor to a dynamic office environment? ... We're seeking a Mechanical Claims Specialist to join our growing customer contact team,...our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions.… more