- Humana (Tallahassee, FL)
- …caring community and help us put health first** The Pharmacy Contracting Professional 2 ensures contract compliance and performs analysis regarding pharmacy ... claims . Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Senior Provider Reimbursement Professional - Certified Medical Coder performs research, analysis, documentation, and ... an organization that provides health insurance. The Senior Provider Reimbursement Professional works assignments involve moderately complex to complex issues where… more
- Travelers Insurance Company (Orlando, FL)
- …Is the Opportunity?** Bond & Specialty Insurance (BSI) provides management and professional liability, cyber, crime insurance, and surety bonds to or on behalf ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- AON (Tampa, FL)
- …and collaboration, focused on developing tailored health insurance solutions for Professional Employer Organizations (PEOs). You'll work with both internal teams and ... medical plans for PEO clients. + Analyze data such as census information, claims experience, and premium history to calculate insurance premiums. + Collaborate with… more
- Humana (Tallahassee, FL)
- …timely and accurate submission of mandated reports, leveraging their understanding of claims data and Medicaid program requirements to drive accurate and timely ... submissions. The Senior Data and Reporting Professional integrates data from multiple sources to produce requested...data into reports and dashboards + Experience working with claims data + Experience working with big and complex… more
- Travelers Insurance Company (Tallahassee, FL)
- …reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality ... claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims by completing essential… more
- Sedgwick (Orlando, FL)
- …best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... your insights. + Take advantage of a variety of professional development opportunities that help you perform your best...**:** To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- Sedgwick (Orlando, FL)
- …looking for an impactful job requiring that offers an opportunity to develop a professional career? Bring your 2+ years' experience in a office setting or medical ... to take care of your mental, physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process... needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability… more
- Sarasota County Government (Sarasota, FL)
- …equipment logistics, assist with software imaging and testing, and support warranty claims . We're looking for candidates with a high school diploma (or equivalent), ... by testing, imaging, and installing software. + Support Dell warranty claims through troubleshooting, submitting requests, and coordinating repairs. + Conduct annual… more
- WTW (Miami, FL)
- …phone and face to face with clients. + Champion the proper advocacy of claims . + Participate in stewardship meetings. + Support Client Management team in identifying ... + Participate and take leadership roles in targeted community and professional associations. **People Management:** + Provide annual input for the performance… more