- Molina Healthcare (St. Petersburg, FL)
- …identifies and recommends updates to policies, SOPs, and job aids to improve claims quality and efficiency. + Collaborates with external departments and ... **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support for ... Claims Research Analyst provides senior-level support for claims processing and claims research. The Sr.… more
- Molina Healthcare (FL)
- …communicating claims error issues and potential solutions to leadership. * Meets claims department quality and production standards. * Supports claims ... JOB DESCRIPTION Job Summary Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching,… more
- Molina Healthcare (FL)
- …* Adjudicates or readjudicates claims in a timely manner. * Meets claims department quality and production standards. * Supports claims department ... JOB DESCRIPTION Job Summary Provides support for claims adjustment activities including administering claims payments, maintaining claim records, and providing… more
- Zurich NA (Maitland, FL)
- …points of contact including customers, vendors, suppliers, and brokers to provide a quality claims experience. Additionally, you will learn and develop knowledge ... are handled in the most efficient, effective way while delivering a quality customer-centric claims experience. This position will work from one of the following… more
- WelbeHealth (Tallahassee, FL)
- …corrections + Provide feedback to the Oversight & Monitoring Manager on claims processing errors, quality improvement opportunities, and configuration change ... Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate… more
- WTW (Miami, FL)
- …+ Maintain strong professional relationships with key parties to facilitate efficient claims resolution. **Compliance & Quality Assurance** + Ensure adherence to ... highly motivated individual to join our Company as a Claims Analyst based in Miami. The candidate will have...Analyst based in Miami. The candidate will have multiple claims responsibilities such as supporting the effective management, analysis,… more
- Zurich NA (Maitland, FL)
- …points of contact, including customers, vendors, suppliers, and brokers, to provide a quality claims experience. + Learn and develop knowledge of established ... General Liability Claims Specialist I 129754 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to… more
- Sedgwick (Tallahassee, FL)
- …and documentation standards. + Providing technical and jurisdictional guidance on claims adjudication, including quality reviews and reserve evaluations for ... Fortune Best Workplaces in Financial Services & Insurance Assistant Claims Team Lead - Workers Compensation Are you looking...Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Elevance Health (Lake Mary, FL)
- …at least one of the following: AA/AS or minimum of 15 years of experience in claims auditing, quality assurance, or recovery auditing. + Requires at least one of ... Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case… more
- Molina Healthcare (Tampa, FL)
- …to claims standard operating procedures (SOPs) and job aids to increase the quality and efficiency of claims processing. * Fields claims questions from ... JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements… more