- Sedgwick (Tallahassee, FL)
- …support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues ... providers through use of medical and disability duration guidelines, adhering to quality . + Identifies opportunities to expedite care for cost containment and timely… more
- Marriott (Orlando, FL)
- …relations. * Empowers employees to provide excellent customer service. * Meet quality standards and customer expectations on a daily basis. * Incorporates guest ... Human Resources Activities** * Assists in minimizing cost of accident claims through aggressive claims management. * Brings issues to the attention of Human… more
- AECOM (Tampa, FL)
- …+ Work with management and staff to resolve pre-litigation disputes and potential claims + Manage various types of litigation matters and claims utilizing ... outside counsel retained by the company to maximize quality and cost-effectiveness + Handle subpoenas, document requests, and other litigation related items with… more
- Allegion (Orlando, FL)
- …exceed customer expectations. The Branch Manager will promote the continuation of our quality reputation and the focused growth of the branch. **What You Will Do:** ... branch personnel expense reports + Manage all workman's comp claims and participate in depositions pertaining to claims... claims and participate in depositions pertaining to claims against the branch + Conduct all hiring, discipline,… more
- Zelis (St. Petersburg, FL)
- …clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA ... concepts to expand the DRG product. + Manage assigned claims and claim report, adhering to client turnaround time,...Meet and/or exceed all internal and department productivity and quality standards + Recommend new methods to improve departmental… more
- The Hartford (Sunrise, FL)
- …in the RMS process - meeting with insured's, making presentations, working with claims and underwriting, etc. + Work with Risk Engineering Manager on special ... submitted in a timely fashion and be of high quality . These reports must provide direction to the insured,...other approved educational sources such as CPCU/IIA (CPCU, ARM, Claims ), CIC etc. Industry Specific Knowledge and Safety: Have… more
- Molina Healthcare (Tampa, FL)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... and credentialing. **KNOWLEDGE/SKILLS/ABILITIES** + Audits loaded provider records for quality and financial accuracy and provides documented feedback. + Assists… more
- Molina Healthcare (Orlando, FL)
- …analytics and reporting solutions that help track, measure, and optimize automated claims processing solutions. The role will leverage tools like Power BI, Azure ... reporting to track solution effectiveness and surface potential issues + Creating claims impact reporting to assess automation potential, issues or financial impact… more
- MyFlorida (Tallahassee, FL)
- …and warehouse operations. + Trains and motivates office staff to improve the quality of their work performance. + Directs the work of assigned Lottery Marketing ... with daily and weekly Fortune claim processes including review of problem claims submitted, contacting PAS for assistance, assisting customers with completion of … more
- Otsuka America Pharmaceutical Inc. (Jacksonville, FL)
- …as needed. + Ensure customer requests are met and solicit feedback on the quality of engagement. + Facilitate speaker programs to share knowledge and insights. + ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more