- University of Miami (Miami, FL)
- …potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct additional investigation and assist ... and physicians in sensitive situations involving actual or potential claims . + Analyze and trend data as captured through...RN Training and licensure is a plus + Certified Professional in Health Care Risk Management (CPHRM), Certified … more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …developing leaders The RUR NM role is influential in creating a professional environment and fostering a culture where interdisciplinary team members can contribute ... and Ambulance. Conducts clinical legal relatedness review for Regional Counsel TORT Claims , No Fault, and Worker's Compensation cases to validate related care for… more
- EFI Global (Tallahassee, FL)
- …to customers that caring counts(R). Each of our more than 700 professional engineers, fire investigators, architects and scientists was selected for their technical ... proficiency, in-depth industry knowledge and commitment to professional integrity. Together, our diverse backgrounds and collective insights empower clients to make… more
- Legacy Parking Company (Orlando, FL)
- …to accomplish annual and periodic goals/initiatives + Monitor and review all damage claims . Recommend and implement plans or programs to improve safety of operations ... to prevent the occurrence or reoccurrence of similar claims + Monitor facility maintenance for cleanliness standards and make recommendations to improve the overall… more
- Sedgwick (Jacksonville, FL)
- …Public Accountant (CPA), Certified Information Systems Auditor (CISA), or other professional certification designation is required. **Experience** Ten (10) years of ... 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
- Humana (Tallahassee, FL)
- …Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to make an ... Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of...CPC, CCS, CFE, AHFI) + Understanding of healthcare industry, claims processing and internal investigative process development + Experience… more
- MyFlorida (Fort Pierce, FL)
- …our team members to grow through engagement, empowerment, training, and professional development. Through our agency's learning management system, you have access ... include contract and specification interpretation, changed conditions, supplemental agreements, claims and/or disputes to ensure compliance with Construction Administration… more
- GE Vernova (Clearwater, FL)
- …and implement project specific contractual procedures, particularly regarding claims , insurance, variation orders, correspondence and notifications. + Support ... support and guidance to project team on general contractual issues and claims . Clarify contractual/legal enquiries, if necessary referring to Legal. + Provide… more
- MyFlorida (Tallahassee, FL)
- …Reemployment Tax Reimbursement Invoices for payment; and identifies and reports incorrect claims and potential fraud. + Coordinates and prepares fitness for duty and ... Relations functional areas, as needed. MINIMUM REQUIREMENTS: + Twoyears of professional experience in human resources or employee relations, including experience… more
- Molina Healthcare (Orlando, FL)
- …software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and ... + Maximizes use of information from multiple sources, including claims /encounters, pharmacy, utilization management, clinical indicators, industry benchmark, and/or… more