- MyFlorida (Tallahassee, FL)
- …design and implement algorithms to effectively data-mine within various types of claims data utilizing a variety of software applications; compile research, data ... include, but not be limited to, the following: * Identify suspicious patterns in claims data and other sources by applying your knowledge of heath care coding… more
- Sedgwick (Orlando, FL)
- …you looking for an impactful job that offers the opportunity to develop a professional career? Bring your 1-2 years' experience in an office setting and grow with ... comprehensive benefits package to take care of your mental, physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE** : To analyze reported leave… more
- Elevance Health (FL)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more
- MyFlorida (Tallahassee, FL)
- …Annually Qualifications: Admission to the Florida Bar and two years of professional experience in the practice of law, legal research, teaching law or ... Antitrust litigation + Experience in Complex litigation + Experience in False Claims Act litigation + Experience with E-discovery + Undergraduate degree in Economics… more
- Otsuka America Pharmaceutical Inc. (Tallahassee, FL)
- …third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc. ... through influence, persuasion and relationships. + Highest personal and professional integrity and strong work ethics. + Results orientation,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Sysco (Auburndale, FL)
- …on injury trends, KPIs, and risk assessments. + Support the workers' compensation claims process by completing OSHA determinations, identifying gaps in claims ... other requirements related to general liability, motor vehicle, and property damage claims . + Partner and collaborate with all functional leaders to influence and… more
- MyFlorida (Tallahassee, FL)
- …issues and the chargeability of employer accounts for benefit payments on claims . This may be accomplished telephonically, through written correspondence, or through ... of first payments when potential issues are detected on initial or additional claims . This is accomplished through tracking the assigned claim load and utilizing the… more
- MyFlorida (Orlando, FL)
- …applying laws and policies to determine the eligibility of reemployment assistance claims using the CONNECT system. This includes gathering claimant and employer ... information, reviewing documentation, assessing claims , knowledge and application of Florida Reemployment Assistance Program Rules and State/Federal Laws, and… more
- Sedgwick (Orlando, FL)
- …job requiring no prior experience that offers an opportunity to develop a professional career? + A stable and consistent work environment in an office and/or ... to take care of your mental, physical, financial and professional needs. See what a day in the life...To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not… more
- Carnival Cruise Line (Miami, FL)
- …reviewing care plans, coordinating with internal stakeholders, supporting disability claims , and facilitating return-to-work planning. The Manager also escalates ... planning in compliance with regulations and employment obligations. + Support disability claims and benefits review for crew unable to return to duty. +… more