- Evolent (Tallahassee, FL)
- …CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing and ... + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers, utilization patterns,… more
- Travelers Insurance Company (Orlando, FL)
- …and resolving assigned General Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer ... not manage staff. **What Will You Do?** + Directly handles assigned severe claims . + Provides quality customer service and ensures file quality and timely coverage… more
- Professional Plastics (Tampa, FL)
- …equivalent * Minimum of 7 years strategic buying experience * Certified Professional Purchasing Manager (CPPM) Competencies: To perform the job successfully, the ... Critical Thinking: Analytically and logically evaluating information, propositions, and claims . Detects flaws, inconsistencies, and seeks the root-causes of… more
- Kemper (Miami, FL)
- …believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly ... our promises._ **Position Summary:** Kemper has an immediate opening for a Casualty Claims Adjuster. In this position, you will be responsible for building rapport… more
- LogixHealth (Dania Beach, FL)
- …experience in professional healthcare billing + Familiarity with payer regulations, claims appeals processes, and denial reasons + Proficiency in EHR and billing ... bring your expertise to process all denied and unpaid claims submitted to insurance carriers to ensure payment is...A/R (Accounts Receivable) reports to follow up on unpaid claims + Prepare and submit out appeals on … more
- Sedgwick (Miami, FL)
- …each and every day. It's having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it ... Aviation insurance industry. The role will involve handling Hull insurance claims , conducting surveys and meetings internationally, working closely with policy… more
- Marriott (Lake Buena Vista, FL)
- …GED; 3 years experience in the human resources, management operations, or related professional area. OR * 2-year degree from an accredited university in Human ... 1 year experience in the human resources, management operations, or related professional area. **CORE WORK ACTIVITIES** **Managing Recruitment and Hiring Process** *… more
- Sedgwick (Orlando, FL)
- …their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more ... To provide excellent service displaying empathy to callers regarding claims for multiple lines of business, including but not...all required details of the call in a concise professional manner. Enters verbal and written claim information that… more
- Molina Healthcare (Tampa, FL)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Sedgwick (Tallahassee, FL)
- …work. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs clinical review of referred claims ; documents decision rationale; and completes medical review of all ... claims to ensure information substantiates disability. + Provides clear...RN or CRC a must. Current license, registration and/or professional designations as required within the jurisdiction. Clinical expertise… more