- The Hartford (Lake Mary, FL)
- Specialist Claims - CH07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working ... theirs, too. Join our team as we help shape the future. The Specialist role of Workers Compensation, Major Case Unit will manage the investigation, litigation,… more
- Publix (Lakeland, FL)
- **33789BR** **Position Title:** PROFIT Plan Claims Processing Specialist , Retirement - Lakeland **Department:** Benefits Administration **Location:** Lakeland, ... Matter Expert (SME) for the Retirement business area, + Processing beneficiary claims for PROFIT Plan distributions, + Providing premier customer service to lobby… more
- Aston Carter (Medley, FL)
- Accounts Receivable Specialist - Hybrid | Medley, FL | $Multi-Million Company Join a thriving industry leader!We're actively hiring an Accounts Receivable (AR) ... Specialist to support a high-performing finance team at a...retailer accounting teams and internal stakeholders. + Process invoices, claims , and apply payments accurately. What We're Looking For… more
- Modernizing Medicine (Tampa, FL)
- …Chile, and Germany. ModMed (https://www.modmed.com/company/) is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient ... all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections + Initiate outbound calls… more
- Cognizant (Tallahassee, FL)
- …of claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate ... adjudication of professional and hospital claims utilizing payer specific policies and procedures. Provide support...utilizing payer specific policies and procedures. Provide support to claims and client for issues related to claims… more
- CVS Health (Tallahassee, FL)
- …do it all with heart, each and every day. **Position Summary** + Claims analysis related to disputes, legal matters, state complaints, provider inquiries, and ... claim payment or denial issues that may affect Utilization Management, Enrollment, Claims , Configuration, Network, Contracting and/or Provider Data. + If any issues… more
- CVS Health (Tallahassee, FL)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- Molina Healthcare (Orlando, FL)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and...fraudulent billing practices, waste, overpayments, and processing errors of claims . ( _Use for claims specific positions… more
- BCA Financial Services, Inc. (Orlando, FL)
- …insurance claims , insurance claims resolution, insurance collector, claims follow up, revenue cycle specialist , revenue cycle representative Powered ... Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up experience. Benefits we offer: + Monday through Friday schedule +… more
- Kemper (Lake Mary, FL)
- …attorney represented injury claims , complex injury claims , and litigated claims . The Litigation Specialist will have advanced claim handling skills and ... **Position Responsibilities:** + Successfully handle any complex coverage or liability claims investigation. + Evaluate complex injury claims and determine… more