- Walgreens (Niceville, FL)
- …Seeks new and better ways to further promote productivity. + Ensures the accurate processing of insurance claims to resolve patient issues and prevent payment ... rejections. Follows up with insurance companies and medical providers and participates in 3rd-party audit. + Follow-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions, and allergies to suggest alternative… more
- Walgreens (Palm Bay, FL)
- …enhancements to pharmacy systems to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent ... payment rejections. Follows- up with insurance companies as well as medical providers and participates in 3rd party audit. + Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest… more
- Sedgwick (Tallahassee, FL)
- …containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Communicates claim action/ processing with ... Specialist **PRIMARY PURPOSE** : To analyze complex or technically difficult unemployment claims to determine benefits due; and to ensure ongoing adjudication of … more
- Sedgwick (Orlando, FL)
- …**_caring counts-and so do you._** **We're not just a global leader in claims management; we're a team driven by empathy, expertise, and impact. Right now, ... the go-to guide for individuals navigating the challenges of disability claims . Your role blends technical expertise with human connection-you'll interpret medical… more
- Sedgwick (Tampa, FL)
- …Insurance Experienced Desk Adjuster - Remote **PRIMARY PURPOSE** **:** Handles losses and claims valued up to $15,000 for property and casualty insurers through the ... Efficiently manages a case load using technology for efficient claim processing . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Evaluates insurance policies, … more
- City of Lakeland (Lakeland, FL)
- …claims activity, providing a forum for discussion and adjustment of the processing of all insurance and self-insured claims in workers' compensation, property ... the following areas: risk determination and evaluation, oversight of claims administration, city-wide contract administration regarding insurance requirements and… more
- MyFlorida (Bunnell, FL)
- … processing Medicaid HMO's, Medicare and third party/commercial insurance claims . Responsible for reviewing insurance web portals for eligibility, deductibles, ... makes the necessary determination as to the correct insurance, and processes all claims accordingly. Researches claims for Medicaid, Medicaid HMO's, Medicare and… more
- MyFlorida (Tallahassee, FL)
- …and monitoring of the Agency's Medicaid fiscal agent; responsible for the processing of Florida Medicaid claims and multiple supporting systems; ensuring ... Medicaid providers are properly enrolled into the program, Medicaid recipients receive proper coverage, enrollment into managed care plans; extracting, analyzing, and/or reporting Medicaid data; and ensuring that new Agency systems are planned and procured.… more
- MyFlorida (Tallahassee, FL)
- …well as engage in other prevention activities, including pre-payment reviews, paid claims reversals, site visits, identifying and processing sanctions of ... providers, including fines, suspensions and terminations from participation in the Medicaid program, and imposing payment restrictions. The selected candidate may be responsible for conducting audits, writing summary reports, and making referrals to other… more
- Walmart (Orlando, FL)
- …to determine root cause of issues for example systems insurance stock processing information for thirdparty insurance claims coordinating with insurance ... rotating merchandise and supplies from distribution centers and suppliers handling claims and returns completing maintaining and securing paperwork forms and other… more